Owns end to end operations and expansions for our provider networks in the US & Canada.
Deeply understand and elevate Carrot’s strategic positioning within the US & Canada healthcare and provider ecosystems.
Define and deliver on KPIs related to provider network operations response including establishing goals, methodology on measurement/tracking, and execution.
This role involves overseeing the strategic and operational management of a healthcare provider network. The role ensures network design, credentialing, enrollment, data management, and compliance meet regulatory and accreditation standards. The position emphasizes operational excellence, strategic oversight, and effective provider relationship management.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Supports & manages the implementation of market entry plans including vendor and health plan operational alignment.
Validates operational requirements, confirms operational readiness and monitors compliance with contract requirements.
Identifies and develops plans and SOPs for common workflows and resolves operational issues.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Engaging with prospective practices to secure commitment to value-based care contracts.
Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
Serving as a mentor to Network Development Leads and other Growth / Field team members.
Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.
Oversee operational and clinical performance of contracted provider partners.
Drive execution on economic, clinical, and population health strategies.
Proactively analyze population health data to identify opportunities for improvement.
Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.
Healthcare operations leader with deep expertise in quality improvement across diverse provider networks. Responsible for overseeing the performance and reliability of the organization's network infrastructure. Leads cross-functional efforts that improve provider engagement, optimize workflows, and elevate overall network performance.
Humana Inc. is committed to putting health first – for our teammates, our customers and our company through insurance and healthcare services.
Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.
Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.
Ensure day-to-day operational reliability and drive optimal clinician performance in our 24/7 virtual Urgent Care practice. Lead a team of clinician liaisons and schedulers to ensure clinician satisfaction, productivity, engagement, and success. Partner with the Director of Practice Operations and Urgent Care Clinical Leadership to operationalize strategic growth, scale, and quality projects.
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to raise the standard of healthcare for everyone.
Lead, coach, and develop Team Leads and Member Services Associates.
Own performance outcomes for medication access including resolution time, pharmacy turnaround, quality scores, and member satisfaction.
Serve as the primary operational partner for pharmacy vendors, owning escalation patterns, performance issues, and workflow alignment.
Maven is the world's largest virtual clinic for women and families with a mission to make healthcare work for all. They have raised more than $425 million in funding and have been recognized as a Time 100 Most Influential Company and a Fast Company Most Innovative Company.