Top Provider Network Executive jobs in Anderson, SC
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
PRN Nurse Practitioner/ Flex Provider
- Matrix Medical Network
-
Townville, SC
FULL_TIME
- Company DescriptionMATRIX MEDICAL NETWORK is dedicated to helping in the care of Medicare Advantage plan members. Our success comes as the result of our extraordinary people, years of experience, advanced technology and powerful information management capabilities. In partnership with health plans and medical service providers, we are establishing new standards in health care quality, efficiency and effectiveness.Job DescriptionFLEX PROVIDER POSITION SUMMARY: The Flex Provider (fP) provides clinical assessment and care to assigned patients including assessments of health plan members in their homes and in facilities. The responsibilities include: adult/geriatric assessment, medical history, physical exam, medication reconciliation, diagnosis, and health education. Additionally, patient education, communication to the PCP, follow-up facilitated with the PCP, and case management referrals may also be part of any assessment. Clear documentation according to Matrix Medical Network (MMN) guidelines and protocols is required. Flex Providers will use previously acquired skills, education, medical training and experience as a medical professional in performing assessments. In the performance of the assessments, patient safety and well‐being is of the highest priority. Flex Providers are expected to maintain MMN standards for quality and customer service. Accordingly, the assessments performed by Flex Provider will be performed in accordance with currently approved and generally accepted professional medical standards and with MMN policies and procedures. From time to time, MMN will provide to Flex Providers copies of those policies and procedures. Other clinical care services may be required within the NP scope of practice. FLEX PROVIDER RESPONSIBILITIES: • Performs in-depth health risk assessments on all assigned members in patient homes or facilities • Works collaboratively with physicians, case managers, social workers, family members, key care givers and any appropriate ancillary medical personnel as appropriate • Responsible for identifying overall quality improvement activities through assessing and planning health care which is individualized to the member and consistent with Matrix Medical Network policies and protocols • Reviews and interprets the medical and social history of members • Performs appropriate screening procedures for members • Interprets laboratory data, recommends appropriate follow-up, reconciles medications • Refers members to PCP, case management and disease management programs as necessary. • Maintains positive control of all PHI information • Works closely with others within Matrix to create an effective and productive schedule • Is compliant with Matrix training/education requirements, OSHA, State Board of Nursing and other regulatory programs; seeks guidance for compliance-related concerns and adheres to all applicable laws, regulations and Matrix Medical Network policies and procedures QualificationsFLEX PROVIDER REQUIREMENTS: Knowledge, Skills and Abilities: • Must be able to demonstrate computer skills, including use of e-mail and Microsoft office word and excel • Must be able to demonstrate effective written communication skills including but not limited to writing reports and correspondence • Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families and staff and listening to members, providers and families • Demonstrated ability to meet deadlines, and use time effectively and efficiently. Concentrates efforts on priorities • Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and “shifts gears” comfortably • Is dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind • Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect • Uses logical methods to solve problems with effective solutions; looks beyond the obvious for solutions • Is action oriented and sees challenges as opportunities Baseline Clinical Knowledge • Proven ability to perform comprehensive, adult/geriatric physical exam • Demonstrated ability to identify, diagnose and document chronic disease in adults • Demonstrated ability to recognize conditions, characteristics, and behaviors that place seniors at risk • Proven ability to pursue feedback, continuing education and professional development • Ability to effectively reconcile medications • Demonstrated ability to identify and document the needs of clinically complex patients Pertinent Clinical Work Experience which is relevant to Matrix • Must have: Minimum 1 year clinical experience as a Nurse Practitioner in geriatric, adult or family practice setting plus 3 – 5 years relevant RN experience or 2 -3 years Nurse Practitioner experience in geriatric, adult or family practice. Education • Bachelor of Science in Nursing preferred • Master’s Degree required OR commensurate experience and satisfactory completion of NP licensure Licensure/Certifications • Current RN and NP licensure in state of practice • Board certification by AANP or ANCC, in Adult, Family Practice and Geriatrics or Adult-Gerontology Primary Care • Current CPR certification Travel Requirements: Travel required • Must meet company driving standards • Must have valid state driver license and be able to drive a car • Must meet company’s automobile liability insurance standards and provide proof of coverage • Must be able to travel by public transportation, and airplanes • Must be able to independently travel to assigned locations Physical and Psychological Demands: • Requires prolonged sitting • Requires bending, stooping, twisting, kneeling, crouching, crawling and/or stretching from seated or standing positions • Requires eye-hand coordination and manual dexterity sufficient to operate medical equipment, computer tablet, computer keyboard, telephone, copier, calculator and other office equipment • Requires close vision, peripheral vision, and ability to adjust visual focus, hearing and smelling • Must be able to communicate information via telephone or computer • Requires moderate to intense concentration due to complexity of the job • Must be able to lift and/or move up to 75 lbs. • Must be able to observe “Universal Precautions” for blood-borne pathogens and body fluids Additional InformationEqual Opportunity EmployerMatrix Medical Network does not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other proscribed category set forth in federal or state regulations.The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of the position.
- 1 Month Ago
Customer Service Representative
- Top Turf Inc
-
Greer, SC
FULL_TIME
- Top Turf is the Southeast's leading independently owned lawn care and pest control company. We have been around for over twenty years because we create lawns that you have always dreamed of. Our longe...
- 14 Days Ago
Lawn Care Tech Trainee
- Top Turf Inc
-
Greer, SC
FULL_TIME
- Top Turf is the Southeast's leading independently owned lawn care and pest control company. We have been around for over twenty years because we create lawns that you have always dreamed of. Our longe...
- 4 Days Ago
Cleaning Associate
- Top Tier Consulting & Assoc, LLC
-
Greenwood, SC
PART_TIME
- Job Overview: We are currently seeking a Cleaner to join our team. As a Cleaner, you will be responsible for maintaining cleanliness and hygiene standards in various settings. This is a paid position ...
- 8 Days Ago
Cleaning Associate
- Top Tier Consulting & Assoc, LLC
-
Greenville, SC
PART_TIME
- About us NB Top Tier Consulting & Assoc, LLC is a small business in Greenville, SC. We are professional, agile and our goal is to Prestige Pro Janitorial Solutions, LLC is provide our customers with d...
- 1 Month Ago
Bus Driver (Part-time) CLASS B w/ PASSENGER
- Greenville Executive Limo Service
-
Greenville, SC
PART_TIME
- Greenville Executive Limo Service "GVL Limo," Greenville's Premier Transportation Service is seeking new part time executive shuttle/bus/mini coach drivers. GVL Limo services very high-end clientele i...
- 22 Days Ago
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0 Top Provider Network Executive jobs found in Anderson, SC area
Sales Executive
- LHH
-
Greenville, SC
- Candidates must be located in the Greenville, SC area. LHH Recruitment Solutions, the world’s leading HR Solutions provi...
- 4/19/2024 12:00:00 AM
Sales Executive
- City Lifestyle
-
Greer, SC
- Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
- 4/19/2024 12:00:00 AM
Sales Executive
- myhomeIQ
-
Greenville, SC
- Job Description As a B2B SaaS Sales Executive, you will play a crucial role in driving revenue growth and expanding our ...
- 4/19/2024 12:00:00 AM
Administrative Executive Assistant
- Ameriprise Financial
-
Greenville, SC
- Job Description Job Description Administrative Executive Assistant Introduction Step into a purpose driven role on an el...
- 4/18/2024 12:00:00 AM
Office Administrator Office Manager
- Community Transportation Services L
-
Greenville, SC
- Job Description Job Description We are seeking an Office Administrator Office Manager to join our team! You will perform...
- 4/17/2024 12:00:00 AM
Executive Chef (Healthcare)
- HHS Culinary and Nutrition Solutions, LLC
-
Greenville, SC
- Executive Chef, Healthcare Food Service This Position Will Require Relocation Salary $60,000.00 Support the healing jour...
- 4/15/2024 12:00:00 AM
Chief Financial Officer
- Greenville Water
-
Greenville, SC
- CHIEF FINANCIAL OFFICER Under limited supervision from the Chief Executive Officer, the Chief Financial Officer oversees...
- 4/15/2024 12:00:00 AM
Executive Director
- The Veranda at Carnesville
-
Carnesville, GA
- Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
- 4/15/2024 12:00:00 AM
About Anderson, South Carolina
Anderson is a city in and the county seat of Anderson County, South Carolina, United States. The population was 26,686 at the 2010 census, and the city was the center of an urbanized area of 75,702. It is one of the principal cities in the Greenville-Anderson--Mauldin Metropolitan Statistical Area, which had a population of 824,112 at the 2010 census. It is further included in the larger Greenville-Spartanburg-Anderson, South Carolina Combined Statistical Area, with a total population of 1,266,995, at the 2010 census. Anderson is just off Interstate 85 and is 120 miles (190 km) from Atlanta an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Provider Network Executive jobs
$365,395 to $676,630
Anderson, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago