Company Statement
Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.
To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
Director, Provider Network Management
Qualifications:
- Bachelor’s degree in Health or Business Administration or a related field required
- Master’s degree preferred (MBA, MPH, MA)
- 10+ years’ experience in the health care industry with increasing responsibility including staff management (R)
- 10+ years prior experience (contracting, provider and/or vendor management) (R)
- Staff management experience preferred (P)
- Familiarity with provider community and health care marketplace trends and superior knowledge of NYS hospital reimbursement and managed care laws and regulations. (R)
- Network management, provider/facility service and contracting experience (R)
- Strong quantitative skills including the ability to identify trends, analyze and interpret financial and utilization data (R)
- Outstanding oral and written communication skills (R)
- History of demonstrating initiative and out-of-the-box thinking along with the flexibility to implement change quickly (R)
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.