Top Provider Network Executive jobs in Covington, KY

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

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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.
  • 1 Month 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 ...
  • 1 Month Ago
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Inside Sales Account Executive
  • Gannett | USA TODAY NETWORK
  • Cincinnati, OH FULL_TIME
  • As an Inside Sales / Account Advisor, you’ll have the opportunity grow your potential as a true Sales professional who seeks the excitement of “Making the Sale.” You’ll act as a consultant by developi...
  • 10 Days Ago
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Direct Support Professional (DSP)
  • EBE Care Provider
  • Cincinnati, OH PART_TIME
  • IMMEDIATE PART TIME DIRECT SUPPORT PROFESSIONAL POSITION!! LOCATION :KENWOOD AREA HOURS: FRIDAY 10 P- SUNDAY 3P , OVERNIGHT SLEEP HOURS 12A-8A Roles and Job Descriptions: Direct Support Professional J...
  • 16 Days Ago
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Now Hiring Compassionate Caregivers/DSPs for Second & Overnight Shifts - Weekdays & Weekends
  • TruCare Provider Services
  • Batavia, OH FULL_TIME
  • About Us:Join a team that's more than just a workplace – it's a community dedicated to making a real difference in the lives of individuals with intellectual and developmental disabilities (ID/DD). Tr...
  • 25 Days Ago
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Director, Network Lab Services
  • The Christ Hospital Health Network
  • Cincinnati, OH FULL_TIME
  • In collaboration with the Vice President & Chief Operating Officer and the Medical Director, the Laboratory Director assumes responsibility for the direction and supervision of all laboratory services...
  • 7 Days Ago
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0 Top Provider Network Executive jobs found in Covington, KY area

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Executive Director
  • Urban Minority Alcoholism & Drug Abuse Outreach Program
  • Cincinnati, OH
  • Job Description Job Description THE POSITION We seek an experienced organizational leader committed to improving the liv...
  • 4/19/2024 12:00:00 AM
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Executive Assistant
  • PeopleFirst Staffing
  • Cincinnati, OH
  • Searching for an Executive Assistant! $18-20/hr. depending on experience Brokerage office in Cheviot area looking for a ...
  • 4/18/2024 12:00:00 AM
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Account Executive
  • Goosehead Insurance Agency
  • Cincinnati, OH
  • Since 2003, Goosehead Insurance has been disrupting the insurance industry by giving clients the power of choice, utiliz...
  • 4/18/2024 12:00:00 AM
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Account Executive
  • Divisions Maintenance Group
  • Cincinnati, OH
  • JOB SUMMARY Divisions Maintenance Group provides maintenance services to multi-site and commercial facilities across the...
  • 4/18/2024 12:00:00 AM
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Account Executive
  • LaSalle Network
  • Cincinnati, OH
  • Are you a salesperson looking to make your move into the SaaS Healthcare Industry? LaSalle Network has partnered with a ...
  • 4/17/2024 12:00:00 AM
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Chief Executive Officer
  • Centennial, Inc.
  • Cincinnati, OH
  • Centennial is seeking a dynamic Chief Executive Officer to lead IPM Food Pantry, driving strategic vision and operationa...
  • 4/17/2024 12:00:00 AM
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Sales Executive
  • Livingston International
  • Cincinnati, OH
  • Position Snapshot: We are adding a new Sales Executive to our stellar team to the state of Ohio. This is a remote/home r...
  • 4/17/2024 12:00:00 AM
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Chief Executive Officer
  • Encompass Health
  • Edgewood, KY
  • The Chief Executive Officer is responsible for all day-to-day operations of the hospital. This position is accountable f...
  • 4/15/2024 12:00:00 AM
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About Covington, Kentucky

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 Top Provider Network Executive jobs
$387,168 to $716,949
Covington, Kentucky area prices
were up 1.1% from a year ago
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