Provider Network Director jobs in Covington, KY

Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Manager - Provider Relations (Network Strategy)
  • EyeMed Vision Care
  • Mason, OH FULL_TIME
  • Requisition ID: 837269
    Position:Full-Time
    Total Rewards: Benefits/Incentive Information

    There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same. And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

    Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear. In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands. Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

    If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.
    GENERAL FUNCTION
    The Manager, Network Strategy is responsible for leading projects, analytics, and day to day management to support the provider network and provider economics functions. The Manager will partner with the Provider Contracting team on initiatives to ensure the EyeMed Provider Agreement and associated fee schedules support the objectives of those initiatives. The Manager will provide recommendations to leadership and lead projects related to supporting provider escalations, recruiting & contracting efforts, custom network builds, and overall provider economics.

    MAJOR DUTIES AND RESPONSIBILITIES
    • Lead and develop recommendations for high priority Provider Relations projects and initiatives related to network strategy and provider economics.
    • Ensure recommendations align with organizational goals and other key stakeholders objectives.
    • Partner with Provider Communications, Provider Experience, and Call Center teams to ensure network strategy initiatives are supported with appropriate provider communications and interactions.
    • Identify opportunities for network simplification and work with internal stakeholders to implement recommendations.
    • Partner with Sales and Account Management team to intake, analyze, and provide recommendations on Strategic Provider needs and custom network builds
    • Partner with Configuration & Operations teams to launch new networks to support strategic client needs
    • Establish and maintain regular leadership dashboards on network management, network health, and provider economics
    • Lead efforts and provide recommendations to leadership on provider escalations, including but not limited to reimbursement increases, network adds, and change of ownership.
    • Collaborate with Contracting and Operations teams in planning and design of contract management system enhancements
    • Support departmental collaboration with Legal, Finance, Pricing, Operations, and Compliance to ensure understanding and compliance with provider agreements and associated fee schedules
    BASIC QUALIFICATIONS
    • Bachelor’s Degree in Business or related field, or equivalent work experience
    • 5 years of experience in business strategy, operations, contract management, or other related field
    • Demonstrated success in problem solving, collaboration and communication
    • Able to identify obstacles quickly and develop solutions that support the business
    • Strong organizational and time management skills
    • Strong critical thinking and data analysis skills
    • Strong oral and written communication skills
    • Advanced knowledge of Microsoft Office
    PREFERRED QUALIFICATIONS
    • Experience in the healthcare industry / provider relations
    • Knowledge and understanding of plan benefit designs, standards of administration, etc.,
    • Self-motivated and works independently with minimal supervision
    • Experience leading resolution to cross-functional issue resolution
    • Business Objects reporting experience
    Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

    Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

    We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.
  • 22 Days Ago

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Manager - Provider Relations (Network Strategy)
  • EssilorLuxottica
  • Mason, OH FULL_TIME
  • Requisition ID: 837269 Position:Full-Time Total Rewards: Benefits/Incentive Information There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the ...
  • 24 Days Ago

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Senior Director, Network Impact
  • StriveTogether Inc
  • Cincinnati, OH FULL_TIME
  • Senior Director, Network ImpactAbout StriveTogetherStriveTogether is a national movement with a clear purpose: helping every child succeed in school and in life from cradle to career, regardless of ra...
  • 22 Days Ago

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Director- Assistant Controller- Network
  • altafiber
  • Cincinnati, OH FULL_TIME
  • Job Purpose: This position has financial and controllership responsibility for the Cincinnati Network division. This includes management and review of financial statements, monthly close, balance shee...
  • 12 Days Ago

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Campus Director
  • Beonair Network of Media Schools
  • Cincinnati, OH FULL_TIME
  • About Us:The BeOnAir Network is an organization that instructs students in all areas of the broadcast industry to become the next generation of media professionals. Our brand promise is “Learn from a ...
  • Just Posted

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Clinical Director, Nursing Administration
  • The Christ Hospital Health Network
  • Cincinnati, OH FULL_TIME
  • The Clinical Director provides operational leadership and direction to the patient care areas reporting to the position. In addition to direct operational responsibilities, the Clinical Director is a ...
  • 17 Days Ago

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0 Provider Network Director jobs found in Covington, KY area

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Summer Day Camp Counselor
  • KECamps
  • Covington, KY
  • KE Camps is the leading provider of summer camps for country clubs nationwide. We partner with over 230 private clubs al...
  • 3/28/2024 12:00:00 AM

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Physician Center Medical Director
  • Concentra
  • Erlanger, KY
  • Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care ...
  • 3/28/2024 12:00:00 AM

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MANAGER INCIDENT RESPONSE
  • The Judge Group
  • Erlanger, KY
  • Job Description Manager, Cyber Incident Response - Greater Cincinnati, OH area, or ADM IT HubsPosition Summary: ADM is l...
  • 3/28/2024 12:00:00 AM

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Senior Process Manager (Supply & Inventory Planning Ld) - Erlanger, KY
  • Archer Daniels Midland Company
  • Erlanger, KY
  • **Senior Process Manager (Supply and Inventory Planning Lead) Erlanger, KY** **ADM Global Supply Chain** **This is a ful...
  • 3/26/2024 12:00:00 AM

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Regional Workforce Development Manager
  • Vantage Aging
  • Cincinnati, OH
  • Who We Are VANTAGE Aging is a non-profit focused serving older adults, a population that is often forgotten and left beh...
  • 3/25/2024 12:00:00 AM

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Reporter
  • Hearst Television
  • Cincinnati, OH
  • Job Description Local News Reporter WLWT, the NBC affiliate in Cincinnati, OH is looking for a Reporter who can create s...
  • 3/25/2024 12:00:00 AM

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Chief Executive Officer
  • Journey to Hope
  • Cincinnati, OH
  • POSITION SUMMARY: The Chief Executive Officer, using strong fundraising, networking and visionary skills, is responsible...
  • 3/25/2024 12:00:00 AM

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HVAC Service Sales Representative
  • Johnson Controls International
  • Cincinnati, OH
  • Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, ou...
  • 3/24/2024 12:00:00 AM

Covington is a city in Kenton County, Kentucky, United States, located at the confluence of the Ohio and Licking Rivers. Cincinnati, Ohio, lies to its north across the Ohio and Newport, Kentucky, to its east across the Licking. Part of the Cincinnati–Northern Kentucky metropolitan area, Covington had a population of 40,640 at the time of the 2010 U.S. census, making it the fifth-most populous city in Kentucky. It is one of its county's two seats, along with Independence. According to the United States Census Bureau, Covington has a total area of 13.7 square miles (35 km2), of which 13.1 square...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$169,260 to $218,676
Covington, Kentucky area prices
were up 1.1% from a year ago

Provider Network Director in Moline, IL
You can keep costs low when using your plan by staying “in network,” or using the doctors and other health care providers that are in your plan’s network.
December 27, 2019
Provider Network Director in Sacramento, CA
A healthcare provider network is a compilation of all doctors, physicians, hospitals, clinics, pharmacies, etc.
February 22, 2020
Provider Network Director in Springfield, OR
If the plan name includes any of the following things, your plan does NOT use the standard network.
February 12, 2020