Director, Provider Network Management

Scripps Health; San Diego; Presencial; VES 15.401.000 - 20.022.000; Jornada completa

Descripción de la vacante

A leading healthcare provider in San Diego is seeking a Director of Provider Network Management. This role involves creating a comprehensive provider network and overseeing relations and customer service for members and providers. Candidates should have at least seven years of management experience in provider relations, including four years in leadership. A Master's degree in healthcare administration is preferred. Join this award-winning workplace and enhance your career in a supportive environment.

Servicios

Transitional and professional development programs

Great Place to Work Certified

Recognized as a top employer for women and diversity

Formación

• At least seven years combined experience in management of provider relations and contracting.
• Four years in a leadership capacity.

Responsabilidades

• Create and maintain a comprehensive contracted provider network.
• Oversee provider relations functions including training and problem-solving.
• Maintain provider directories for contracted IPAs and medical groups.

Conocimientos

Management of provider relations

Contracting experience

Customer service

Reporting skills

Educación

Masters degree in healthcare administration

Herramientas

Epic Tapestry

Descripción del empleo

Overview

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

• As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve SHPS members.
• Oversee provider relations functions including training, problem solving and satisfaction for all medical groups, IPAs, institutional and ancillary providers.
• Be responsible for Customer Service for both member and provider inquiries.
• Maintain provider directories for all contracted IPAs and medical groups.
• Scripps is an integrated delivery system.
• Scripps Health Plan is both an MSO and KK licensed plans for commercial large group.
• 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