San Diego, CA, 92108, USA
123 days ago
Director, Provider Network Management
*This position is in San Diego and requires local residency.* *Eligible to participate in the Director Incentive Plan.* *Elevate your career with Scripps Health, where Compassion Meets Excellence. * Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. *Why join Scripps Health?* /*AWARD-WINNING WORKPLACE:* /** At Scripps Health, your ambition is empowered, and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall. *About the Role:* Ø As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve SHPS members. Ø Oversee provider relations functions including training, problem solving and satisfaction for all medical groups, IPAs, institutional and ancillary providers. Ø Be responsible for Customer Service for both member and provider inquiries. Ø Maintain provider directories for all contracted IPAs and medical groups. Ø Scripps is an integrated delivery system. Ø Scripps Heath Plan is both an MSO and a KK licensed plans for commercial large group. Ø SHPS also assumes plan to plan risk with major HMO plans. #LI-EE1 *Required Education/Experience/Specialized Skills:* · At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity. *Preferred Education/Experience/Specialized Skills/Certification:* · Masters degree in healthcare administration or similar. · Good with reporting (pivots) and Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** *Director, Provider Network Management* **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS HEALTH PLAN SERVICES* **Requisition ID:** *252002230*
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