Cook Children's Health Care System · 1 day ago
Director, Network Management-Health Plan
Fort Worth, TX
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expCook Children's Health Care System is dedicated to providing vital coverage to low-income families, and they are seeking a Director of Network Management for their Health Plan. This role involves planning, organizing, and coordinating all activities of the Health Plans Network Management Department while developing provider contracting strategies to enhance member access and provider satisfaction.
Hospital & Health Care
Responsibilities
Plans, organizes, staffs, and coordinates all activities of the Health Plans Network Management Department
Works with Staff and Senior Management to develop and implement provider contracting strategies and provider service strategies to improve member access and enhance Provider satisfaction with the Health Plan
Primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan
Responsible for facilitating positive, professional relationships within the managed care organization, Providers, and the community
Responsible for the oversight and management of all physician, hospital and ancillary provider relationships
Qualification
Required
Bachelors degree required
Advanced training in healthcare, business, or a related field required
Five to Ten years operational experience in a health care organization preferably in the area of provider network management
Minimum of five years team management experience
Must demonstrate proven success in establishing and maintaining positive working relationships with health care providers and their staffs
Working knowledge of HMO business operations specifically the functions of utilization management, member services, claims, credentialing and benefit plan interpretation
Experience preparing and presenting information to individuals and groups
Must be attentive to detail, have excellent organizational, problem solving, verbal and written communication skills
Strong customer service orientation and skill set
Must be able to work independently and actively participate as an integrated team member
Analytical thought processes and strong organizational, conflict resolution, and facilitation skills
Team and collaboration oriented, performance driven
Preferred
MBA preferred
Company
Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
5001-10000 employees
H1B Sponsorship
Cook Children's Health Care System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Late StageLeadership Team
Mike Simmons
President & CFO Cook Children's Home Health
Stephen Kimmel
Chief Financial Officer
Recent News
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