Director of Care Routing

Job Summary

A company is looking for a Director of Preferred Networks & Care Routing.

Key Responsibilities

• Design and lead the enterprise care routing strategy and preferred network frameworks
• Develop network intelligence capabilities and evaluate network adequacy to meet member needs
• Embed care routing workflows within existing operational teams and influence enterprise decisions related to network design

Required Qualifications, Training, and Education

• 10+ years of experience in healthcare network management or clinical operations
• 5+ years of leadership experience managing teams or enterprise-level initiatives
• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field required; Master's degree preferred
• Preferred certifications include Lean Six Sigma Black, PMP, or Agile certification
• Strong analytical skills and ability to translate data insights into operational workflows