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Top Physician Hospital Network Executive

Organizes, directs and controls the operations of an integrated physician/hospital network that provides contracting opportunities for managed care payers.: Organizes, directs and controls the entire provider network function including network development, contracting, credentialing, provider relations, and provider services. Establishes physician and hospital recruitment priorities, determines compensation methodologies and negotiates contracts. Ensures a comprehensive, cost-effective, and accessible provider network. Negotiates, administers, extends, terminates, and renegotiates contracts. Formulates and coordinates proposals. Coordinates activities of workers engaged in formulating bid proposals. Evaluates or monitors health outcome and contract performance to determine necessity for amendments or extensions of contracts, and compliance to contractual obligations. Approves or rejects requests for deviations from contract specifications. Arbitrates claims or complaints occurring in performance of contracts. May serve as liaison officer to ensure fulfillment of obligations by contractors. Develops and maintains a network of relationships with leaders involved in the integrated network of physicians.

Top Provider Network Contracting Executive

Provides executive leadership and coordination over Provider Network Contracting operations to include development and implementation of strategic plans that provide sound provider interaction and contracting.: Responsible for the research, policy development, contract development and expansion of the provider network. Plans, organizes and directs the Provider Network Contracting department. Organizes, controls, and evaluates the implementation of strategic plans that provide strong provider relations and contracting. Formulates and administers departmental policies. Plans, organizes, implements and evaluates outcomes of the department’s strategic plans. Develops strategic initiatives and transforms initiatives into action plans. Develops and fosters effective collaboration between departments and other affiliated services to ensure an integrated approach to provider network contracting. Develops new strategies to enhance service and improve overall performance. Develops and maintains administrative and regulatory compliance systems. Reviews budgetary recommendations, and manages and monitors the departmental budget. Hires, develops and motivates a qualified staff. An advanced degree is typically required for this position with seven years of provider relations and contracting experience in managed care.

Network Development Director

Directs a department responsible for developing and maintaining an integrated network of providers, hospitals, and affiliated health programs within a designated area. Develops and maintains the operations of an integrated network of providers, hospitals, and affiliated health care programs. Establishes and operates affiliated clinical programs with community providers which generate income and positions the organization as the preferred provider of care. Typically requires a bachelor's degree with seven years of related managed care administration experience and strong capitation negotiating skills.: Negotiates with providers including medical groups, IPAs, hospitals, mental health providers, and ancillary services. Drafts contracts and communication to both legal department and contracted entities. Identifies, plans, and develops network needs for expansion in both existing and additional service areas. Actively recruits providers and facilities within a designated territory. Analyzes existing medical group and hospital/facility rate structures to ensure competitive market rates. Provides network servicing, in-service training, visits to provider groups, and provider relations problem resolution, focusing on contract issues. Works with the Member Services Department in resolution of claims issues, training, and response to provider questions and problems. Provides administrative, management, and operational oversight to the network. Develops, monitors, and oversees implementation of strategic and operational plans specific to network activities. Monitors the performance of network activities and provides related timely reports. Designs and implements programs to maintain positive relationships between health plans, physicians, and providers. Responsible for hiring, developing, and managing a qualified management staff concerned with the development and maintenance of the health care network. Prepares, manages, and monitors the departmental budget.

Fast Food Manager (Network)

Directs operations over franchised or independent fast food or wholesale-prepared food establishment; directs and coordinates activities of subordinate District Managers involved in operating fast food services. Analyzes market trends and economic conditions to forecast sales potential in areas. Evaluates adequacy of return on investments on individual restaurants and alters or initiates procedures to improve service, sales, and reduce expenses. Examines financial performance of individual restaurants, and reviews and acts on reports that include recommendations for maintenance and repair, changes in operational procedure, marketing, advertising, and purchasing.: Maintains employment records for each District Manager. Terminates employment of District Managers whose performance does not meet company standards. Directs activities of business records, collecting and paying accounts, and ordering or purchasing supplies.

Network Control Manager

Manages, coordinates, and monitors activities of employees engaged in supporting the organization's telecommunications and PC network activities, including documentation, administration, technical services, and procurement. This position typically reports to director level, is typically the second level of management, and may have first level supervisors reporting to this position; however, in smaller companies the manager may be the first level supervisor over subordinate staff. Typically requires eight to ten years of increasingly responsible experience in network operations, analysis, and design.: Reviews report of computer and peripheral equipment production, malfunction, and maintenance to ascertain costs and plan operating changes within department. Manages the testing and analysis of all network components including complex software, hardware, and transmission systems. Recommends corrective actions in order to ensure high quality, efficient network performance. Oversees the development of project plans designed to implement new technology and enhance existing systems. Develops and implements policies and standards and ensures their conformance to the organization's security procedures and company objectives. Confers with various vendors to evaluate hardware, software, and telecommunications equipment and recommends procurement in coordination with department and organization standards. Possesses comprehensive knowledge of network operating systems and network management tools, as well as extensive experience with telecommunications hardware such as LAN hubs, fiber optics, bridges, routers, universal cabling, gateways, etc.

Network Planning Manager

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Manages the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Typically requires eight to ten years of increasingly responsible experience in network planning. This position typically reports to director level.: Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements. Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware.

Provider Network Analyst

Analyzes costs and member accessibility of current and prospective provider networks. Performs a general review of physician costs and practice patterns and analyzes costs and member accessibility of current and prospective provider networks. Typically requires a college degree and two years of experience in data collection and analysis. The position may require contract negotiation experience. : Coordinates and disseminates contract information for the organization. Identifies available networks in each market area and requests detailed provider information from each network vendor for analysis. Matches providers against actual claims experience and produces analyses and reports comparing costs and member accessibility of current network versus prospective network. Performs statistical testing of network vendor discounts. Analyzes general physician costs and utilization patterns by market area. Compares treatment patterns against peer group to identify providers with abnormal variances in cost-effectiveness. May negotiate managed care payer contracts and provider contracts.

Medical Technology Teaching Supervisor

Teaches one or more phases of medical technology to students of medicine, medical technology, nursing arts, or to interns. Organizes and directs medical technology training program. Formulates curriculums, outlines course materials, and establishes criteria in other matters affecting education and welfare of students. Supervises other instructors. : Develops educational policies concerning teaching methods. May act as liaison officer between college or university and laboratory or hospital to coordinate academic and clinical training. May specialize in teaching one phase of medical technology.

Computer Network Analyst

Analyzes and controls the technical architecture of Local Area Networks and Wide Area Networks. Researches, tests, evaluates, and recommends telecommunications and data network systems. Analyzes workload, including traffic and utilization trends. Interfaces with users, consultants, technical teams, and vendors for maximum guidance in determining the most appropriate type of hardware installation. Supports complex PCs and LAN/WAN networks throughout the organization. Requires advanced knowledge and experience in the area of local and wide area networking, communications, and related hardware and software. Typically requires a bachelor's degree in computer science, MIS, or equivalent, and certification in networks.: Identifies areas of operation that need upgraded equipment, such as modems, fiber optic cables, and telephone wires. Conducts survey to determine user needs. Reads technical manuals and brochures to determine equipment that meets establishment requirements. Visits vendors to learn about available products or services. Tests and evaluates hardware and software to determine efficiency, reliability, and compatibility with existing system, using equipment such as computer terminal and modem. Analyzes test data and recommends hardware or software for purchase. Develops and writes procedures for installation, use, and solving problems of communications hardware and software. Monitors system performance. Instructs users in use of equipment, and assists users to identify and solve data communication problems. May design and develop complex software interface programs. May write technical specifications to send to vendors for bid. May oversee or assist in installation of communications hardware. May perform minor equipment repairs.

Network Planning Analyst

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