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)
At International SOS we work to protect global workforces from health and security threats. We make a meaningful impact every day by safeguarding people and saving lives worldwide, 24/7.
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The Head of Provider Network and Claims, TRICARE Overseas Program (TOP) is responsible for the overall global operational performance and execution of the TOP provider network administration, global claims, and TOP enrollment. A subject matter expert and lead for Global Claims accountable for executing strategies to meet contractual KPIs and enabling beneficiary and provider satisfaction. Engages global teams to provide optimum beneficiary experiences, driving consistency, cost-effective solutions while leveraging data-led decisions and infusing new methodologies and/or technology. Drives end to end value for sustained scalable performance, develops talent management and retention strategies to ensure DHATOP PMO trust and satisfaction. Member of TOP Operations Leadership Committee focused on driving results, risk mitigation and overall performance. A key contributor to the overall TOP strategy.
This job description outlines the types of responsibilities the incumbent is required to perform.
The incumbent may be required to perform job related tasks other than those specifically presented in this job description. This job description is subject to regular review.
International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.