- Premera Blue Cross (Mountlake Terrace, WA)
- …executive and public presentations, training, and meeting facilitation. + Knowledge of network development and provider /vendor network recruitment. ... and cross-market expertise. Create provider specific and public presentations. + Provide input and/or drive development of payment methodologies and … more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- AmeriHealth Caritas (Washington, DC)
- …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... annual goals and objectives. **Contracting** + Responsible for hospital and physician network development and management. + Develops and recommends policy… more
- Vatica Health (WI)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- Elevance Health (Atlanta, GA)
- …distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- Sanford Health (Sioux Falls, SD)
- …**Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a ... comprehensive network of affiliated healthcare providers across the Sanford Health...health care needs of Sanford Health Plan membership. Oversees development and execution of provider contracting strategies.… more
- Guardian Life (Bethlehem, PA)
- …Bachelor's degree or equivalent work experience required + 5+ years of experience in dental insurance, provider relations, or network operations + Proven ... be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network , resulting in… more
- Molina Healthcare (Jacksonville, FL)
- … Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, in alignment ... its service area.). **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- Molina Healthcare (TX)
- … Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- The Cigna Group (Oakland, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of ... Provider Contracting Team and reports to the VP, Network Management. This role assists in developing the strategic...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Jersey City, NJ)
- …Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps ... identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for the … more
- The Cigna Group (Toledo, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,... Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …while also driving the development and growth of these teams. * Lead provider analytics to support network development and contracting by identifying ... analytics team while serving multiple stakeholders across the organization. * Lead the development of strategic provider and network analytics across… more
- Humana (Springfield, IL)
- … provider facing Quality Improvement (QI) initiatives, including scorecard development /monitoring, gaps in care reports, and CAHPS survey results/strategy. + ... Collaborates with the market provider engagement/contracting/ network optimization/practice transformation team to: + Develops provider engagement strategy,… more
- CenterWell (Phoenix, AZ)
- …Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience. + Some ... eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities \#LI-MM1… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …order to be considered. Essential Accountabilities: Level I: + Recruit and retain all provider types to ensure network adequacy. + Facilitates provider ... resolution for providers. Identifies and communicates trends that impact provider satisfaction. + Supports the development of...impact on improving provider satisfaction. + Leads Provider Relations efforts to drive network and… more
- CenterWell (Olympia, WA)
- …equivalent experience + 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven ... eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities \#LI-MM1… more
- Modivcare (AR)
- …+ Ability to lead development , execution, and deployment of provider network initiatives. + Strong organizational planning and budgetary administration ... defining, implementing, and maintaining a compliant, effective, and efficient transportation provider network within assigned markets. The Director will oversee… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting, Network Management or Provider Relations experience + ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more