Director, Network Management
Fort Worth, TX
Employer: | Cook Children's Health Care System |
Category: | Information Technology |
Job Type: | Full Time |
Description | |
Location: Calmont Operations Building Department: Network Mgmt Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: 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. Additional Information: Cook Children's Health Plan is looking for a Director, Network Management. As the Director, you will plan, organize, staff, and coordinate all activities of the Health Plan's Network Management Department. You will work 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. You, as the Director, will be the primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan. The director is also responsible for facilitating positive, professional relationships within the managed care organization, providers, and the community. You will have oversight and management of all physician, hospital and ancillary provider relationships. Qualifications:
About Us: Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. |