Director, Provider Network Management
 Scripps Health | ||
 United States, California, San Diego | ||
 Apr 08, 2025 | ||
|
Description
This position is in San Diego and requires local residency. Eligible to participate in the Director Incentive Plan.
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:
About the Role: O As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve SHPS members. O Oversee provider relations functions including training, problem solving and satisfaction for all medical groups, IPAs, institutional and ancillary providers. O Be responsible for Customer Service for both member and provider inquiries. O Maintain provider directories for all contracted IPAs and medical groups. O Scripps is an integrated delivery system. O Scripps Heath Plan is both an MSO and a KK licensed plans for commercial large group. O SHPS also assumes pan to plan risk with major HMO plans.
Qualifications
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
Primary Location
:
Central San Diego County-SAN DIEGO-SCRIPPS HEALTH PLAN SERVICES
Work Locations
:
SCRIPPS HEALTH PLAN SERVICES
10790 RANCHO BERNARDO ROAD 4S-300
SAN DIEGO
92127 Organization
:
Scripps Health Corp
Job Posting
:
Apr 7, 2025, 6:53:22 PM
Benefit Status
:
FT - FULL-TIME WITH BENEFITS
Minimum Rate (USD)
:
70.08
-
Maximum Rate (USD)
:
101.80
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability. | ||