Top Provider Network Executive plans and directs all aspects of an organization's provider network function. Responsible for developing the network and negotiating and administering contracts. Being a Top Provider Network Executive oversees provider relations and monitors and directs all provider services. Requires a bachelor's degree. Additionally, Top Provider Network Executive typically reports to a top management. The Top Provider Network Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Provider Network Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
At International SOS we work to protect global workforces from health and security threats. We make a meaningful impact every day by safeguarding people and saving lives worldwide, 24/7.
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The Head of Provider Network and Claims, TRICARE Overseas Program (TOP) is responsible for the overall global operational performance and execution of the TOP provider network administration, global claims, and TOP enrollment. A subject matter expert and lead for Global Claims accountable for executing strategies to meet contractual KPIs and enabling beneficiary and provider satisfaction. Engages global teams to provide optimum beneficiary experiences, driving consistency, cost-effective solutions while leveraging data-led decisions and infusing new methodologies and/or technology. Drives end to end value for sustained scalable performance, develops talent management and retention strategies to ensure DHATOP PMO trust and satisfaction. Member of TOP Operations Leadership Committee focused on driving results, risk mitigation and overall performance. A key contributor to the overall TOP strategy.
This job description outlines the types of responsibilities the incumbent is required to perform.
The incumbent may be required to perform job related tasks other than those specifically presented in this job description. This job description is subject to regular review.
International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.
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