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Lead Director Network Management

Company: VirtualVocations
Location: Pasadena
Posted on: November 15, 2024

Job Description:

A company is looking for a Lead Director, Network Management - Medicaid/North Carolina.



Key Responsibilities

Design conceptual models and plan initiatives for Medicaid value-based agreements with providers
Negotiate contracts to maintain and enhance Medicaid provider networks while ensuring compliance with company standards
Collaborate cross-functionally to meet accessibility, quality, regulatory, and financial goals



Required Qualifications

Minimum 7+ years of related experience with expert-level negotiation skills
Proven knowledge of provider financial issues and complex contracting arrangements
Experience in Health Plan/Payer or Provider Systems
Medicaid regulatory experience preferred
Bachelor's degree or equivalent professional work experience

Keywords: VirtualVocations, Sugar Land , Lead Director Network Management, Executive , Pasadena, Texas

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