Top Provider Network Executive jobs in Tallahassee, FL
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)
Recently Added Top Provider Network Executive jobs
Healthcare Network Development / Provider Relations Representative
- Alivi
-
Tallahassee, FL
FULL_TIME
-
SUMMARY The Network Development Representative focuses on building Specialty Benefits Networks across multiple Markets/States considering cost negotiations and adequacy to support expected membership volume by Levels of Service. The position will support the Specialty Benefits Networks with growth objectives and analytical analysis to ensure company strategies for expansion are adequate to meet contract demands for each respective Market/State. The position coordinates with Provider Leads to complete contracting with identified Specialty Benefit providers. DUTIES & RESPONSIBILITIES - Target potential providers to establish contractual agreements.
- Thoroughly understand Alivi’s Corporate Playbook and always ensure alignment with the playbook in all day-to-day activities.
- Work directly with strategic leaders of the company to ensure strategic support for expansion efforts and ability to administer contract arrangements with Health Plans/Payers in Medicare, Medicaid and Commercial lines of business.
- Travel to provider offices as needed to secure Specialty Benefit provider contracts.
- Support Alivi’s business development, corporate growth strategy and goals as needed.
- Recruit, negotiate, contract and re-contract with Specialty Benefit providers at all ‘Levels of Service’ to ensure quality, cost effectiveness and their participation in all products.
- Support contracting efforts for new products/risk strategies and help develop new service areas and negotiating with new providers.
- Support in the development of strategic initiatives relating to provider networks, including service area expansions, new payment and incentive methods, risk arrangements and new products.
- Work with provider relations team to develop and maintain a comprehensive provider network (hospitals, physicians, ancillary) that meets CMS access standards and deliver a full range of healthcare services to our members.
- Analyze, plan, and assure provider network adequately meets all CMS access standards across all geographic areas.
- Communicate internally and externally regarding all provider related issues. Participate in key committees throughout the organization.
- Act as a liaison between Alivi and contracted health plans concerning all aspects of Specialty Benefit provider network participation.
- Supports Credentialing Department by assisting with the collection of physician credentials for newly contracted providers.
REQUIREMENTS - Associates Degree preferred.
- 1 to 2 years experience with Specialty Benefit providers and downstream provider contracting.
- Knowledge of provider reimbursement strategies for Managed Care, government products and commercial products.
- Must have a valid driver’s license.
- Must be able to pass DMV record check.
- 15 Days Ago
Network Cabling Technician
- Network Cabling Services, Inc.
-
Midway, FL
FULL_TIME
- Job Summary:We are seeking a skilled Cable Technician to join our team. As a Cable Technician, you will be responsible for installing, maintaining, and repairing various types of cable systems. This i...
- 14 Days Ago
Network Cabling Technician
- Network Cabling Services, Inc.
-
Midway, FL
FULL_TIME
- Job Summary:We are seeking a skilled Cable Technician to join our team. As a Cable Technician, you will be responsible for installing, maintaining, and repairing various types of cable systems. This i...
- 14 Days Ago
Warehouse & Social Media Associate
- Top Tier Beads
-
Tallahassee, FL
PART_TIME
- About Us:Hey there, future Top Tier team member!Today’s your lucky day! You've discovered an extraordinary opportunity at Top Tier Beads. We’re a growing e-commerce startup that sells arts and crafts ...
- 15 Days Ago
Finishing Operator
- Big Top Manufacturing, Inc
-
Perry, FL
FULL_TIME
- DescriptionThe Finishing Operator is responsible for achieving immediate and short-term production objectives laid down by the Finishing & Hardware Supervisor. This position requires near perfect atte...
- 19 Days Ago
Administrative Assistant
- Big Top Manufacturing, Inc
-
Perry, FL
FULL_TIME
- DescriptionThe Administrative Assistant performs a variety of tasks to ensure the smooth operation of the business. Typical duties include greeting visitors, answering the phone, and performing basic ...
- Just Posted
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0 Top Provider Network Executive jobs found in Tallahassee, FL area
Executive Assistant
- Live the Life Ministries, Inc.
-
Tallahassee, FL
- Job Description Job Description JOB PURPOSE The Executive Assistant (EA) will serve as the Founding President’s right ar...
- 4/25/2024 12:00:00 AM
Executive Assistant
- Killearn Methodist Church
-
Tallahassee, FL
- Killearn Methodist Church is seeking an Executive Assistant to the Pastors. This position is a full time, salaried posit...
- 4/25/2024 12:00:00 AM
Sales Executive
- City Lifestyle
-
Tallahassee, FL
- Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
- 4/25/2024 12:00:00 AM
Executive Director (RN)
- SunCrest OMNI
-
Tallahassee, FL
- We are hiring for an Executive Director - RN with Home Health experience. At SunCrest OMNI Tallahassee, a part of LHC G...
- 4/24/2024 12:00:00 AM
Executive Assistant
- Volunteer Florida
-
Tallahassee, FL
- Executive Assistant Volunteer Florida is currently looking for an Executive Assistant to join our team. If you possess g...
- 4/24/2024 12:00:00 AM
Executive Assistant
- Trulieve
-
Tallahassee, FL
- Executive Assistant to the Chief Financial Officer & Chief Operating Officer Position Summary: Reporting directly to CFO...
- 4/23/2024 12:00:00 AM
Executive Administrator
- Pyxai, Inc.
-
Tallahassee, FL
- Job Description Are you an experienced Administrator who has a background building and maintaining strong member relatio...
- 4/22/2024 12:00:00 AM
Senior Account Executive
- Aspire Partners USA
-
Tallahassee, FL
- Aspire Partners seeks current or former Business Professionals, Executives, B2B Sales reps, Finance executives, CFOs, CO...
- 4/22/2024 12:00:00 AM
About Tallahassee, Florida
Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Provider Network Executive jobs
$356,686 to $660,503
Tallahassee, Florida area prices
were up 1.5% from a year ago
were up 1.5% from a year ago