Top Provider Network Executive jobs in Connecticut

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)

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Provider Network Manager Sr
  • Elevance Health
  • Rocky Hill, CT FULL_TIME
  • Location: NH-Manchester, MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill

    Job Description Summary

    Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.

    How You Will Make An Impact

    • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
    • Works independently and requires high level of judgment and discretion.
    • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
    • May collaborate with sales team in making presentations to employer groups.
    • Serves as a communication link between professional providers and the company.
    • Ensure that network composition includes an appropriate distribution of provider specialties.
    • Conducts more complex negotiations and drafts documents.
    • Prepare financial projections and conduct analysis.

    Minimum Requirements

    • Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
    • Experience in fee schedule development using actuarial models strongly preferred.
    • Travels to worksite and other locations as necessary.
  • 8 Days Ago

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Provider Network Specialist
  • Advanced Behavioral Health
  • Middletown, CT FULL_TIME
  • POSITION SUMMARY:The Provider Network Specialist provides support to complete activities associated with credentialing of providers and collection of quality of service information for the Department ...
  • 21 Days Ago

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Sr. Provider Network Development Specialist
  • Southern New England Healthcare
  • Windsor, CT FULL_TIME
  • The Provider Network Development Specialist reports to the Director of Network Management with accountability for recruiting providers to join SoNE Health’s participating provider network. The Provide...
  • 16 Days Ago

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Provider Network Manager Sr (US)
  • The Elevance Health Companies, Inc.
  • WALLINGFORD, CT FULL_TIME
  • Anticipated End Date: 2024-06-05 Position Title: Provider Network Manager Sr (US) Job Description: Location: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint site...
  • 18 Days Ago

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Accountant
  • Top Stack
  • Darien, CT FULL_TIME
  • The ideal candidate will be responsible for timely and accurate preparation of financial accounting data in a variety of areas. It is essential that this candidate brings analytical and organizational...
  • 7 Days Ago

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Senior Staff Accountant
  • Top Stack
  • Stamford, CT FULL_TIME
  • An exciting opportunity to join a fast-growing hospitality organization where the sky is the limit as a Staff Accountant! The ideal candidate will be dynamic by nature and enjoy working in a fast-pace...
  • Just Posted

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Sales Executive - Employee Benefits
  • AssuredPartners
  • Overview Love what you do but not where you do it? As a Sales Executive at AssuredPartners, you will use your existing s...
  • 6/11/2024 12:00:00 AM

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Account Executive - Employee Benefits
  • Marsh McLennan Agency
  • Aliso Viejo, CA
  • Client Service Executive Summary Responsible for retention of existing business and the development of business within t...
  • 6/10/2024 12:00:00 AM

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Account Executive - Employee Benefits (26725)
  • Dahl Consulting
  • Salem, OR
  • Dahl Consulting is currently partnering with a leader in the insurance industry. We work one-on-one with great candidate...
  • 6/10/2024 12:00:00 AM

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Account Executive, Employee Benefits
  • HUB International
  • Wichita, KS
  • Primary Role: The Employee Benefits Account Executive is expected to contribute to the retention and growth of the emplo...
  • 6/9/2024 12:00:00 AM

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Account Executive - Employee Health and Benefits
  • Marsh McLennan Agency
  • Dallas, TX
  • ESSENTIAL DUTIES & RESPONSIBILITIES: Primary Contact with the Producer Manage the Client Insurance Program, utilizing ag...
  • 6/9/2024 12:00:00 AM

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Insurance Sales Executive - Employee Benefits
  • AAA Club Alliance, Inc.
  • Maumee, OH
  • Dedicated Account Management Team to service your book, so you can focus on selling Ability to quote through multiple ca...
  • 6/8/2024 12:00:00 AM

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Account Executive-Employee Benefits
  • National Financial Partners Corp.
  • Palm Beach Gardens, FL
  • Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Div...
  • 6/7/2024 12:00:00 AM

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Senior Account Executive - Employee Benefits
  • Confidential
  • Alpharetta, GA
  • SUMMARY: Retain clients through servicing and management of client relationships both internally and externally. Collabo...
  • 6/7/2024 12:00:00 AM

Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Provider Network Executive jobs
$427,138 to $790,969