- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative ... of developing proposals, negotiating terms, and accurately drafting and finalizing contracting language and financial rates. A successful Senior Contract Manager is… more
- HSS (New York, NY)
- …you too can be part of our transformation across the enterprise. Senior Director , Payor Strategy & Contracting Full-Time Overview: Reporting directly to the ... Assistant Vice President, Payor Strategy and Contracting , the Senior Director Payor...: + Experience (10+ years) in payor or provider contracting , provider network oversight and/or revenue cycle… more
- The Cigna Group (San Antonio, TX)
- …in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES ... **LOCATION:** **Can be based in Houston, Austin or San Antonio, TX** **PROVIDER CONTRACTING ADVISOR** This position serves as an integral member of the Provider … more
- Providence (Irvine, CA)
- **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to develop ... Region and/or System objectives. + Works with key Region leadership to define Contracting Principles and contracting strategies that further the mission, vision… more
- American Red Cross (Washington, DC)
- …its best. Are you ready to be part of the world's largest humanitarian network ?_** **Join us-Where your Career is a Force for Good!** **Job Description:** **WHY ... and community resource groups for employees and volunteers. From the Ability Network , our Asian American & Pacific Islander Resource Group, the Latino Resource… more
- CVS Health (Woonsocket, RI)
- …programs, practice transformation, and administrative support. We are hiring an Executive Director of Value Based Payor Contracting ; this subject matter expert ... payors to enable risk-based contracts with the CVS Accountable Care provider network . This position, working in tandem with business development, partner success,… more
- SSM Health (Oklahoma City, OK)
- …with insightful observations and action plans to address trends. + Serves as network contact for managed care contracting functions. Provides resolution to ... reviews direct employer payer contracts. Directs financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives. + Analyzes… more
- Highmark Health (Albany, NY)
- …methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and ... market strategy. **This is a remote based role with the right candidate living within NY, WV, DE, or PA.** **ESSENTIAL RESPONSIBILITIES** + Direct and oversee hospital and institutional provider contract negotiations, taking the lead in complex or high-dollar… more
- Hackensack Meridian Health (Edison, NJ)
- …+ **Other** + Other projects as requested by the Manager of Revenue & Contracting Strategy/ Director . + Hire, develop and manage a highly qualified revenue ... leader of positive change. The **Manager of Revenue & Contracting Operations (MRCO)** is responsible for the modeling and...is responsible for the modeling and analytics for the Network wide revenue functions for Hackensack Meridian Health's (HMH)… more
- Hartford HealthCare (Wethersfield, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual… more
- City of New York (New York, NY)
- …decrease avoidable health outcomes. Job Description: The Bureau of the Agency Chief Contracting Officer (ACCO) within the Division of Finance is seeking to hire one ... procurement professional to serve as an Assistant Agency Chief Contracting Officer. DUTIES WILL INCLUDE BUT NOT BE LIMITED...Processes. - Lead a staff consisting of an M/WBE Director and M/WBE Analysts in the full array of… more
- CVS Health (Houston, TX)
- …collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... dedicated to helping you achieve your career goals. Position Summary The Lead Director will manage the development of contracts and agreements with providers and… more
- Point32Health (Canton, MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Reporting to the Vice President of Network and Provider Performance Management, the Director of Network ... Analytics plays a strategic leadership role with the Provider Partnerships organization. The Director manages a team of managers and analysts, working in a matrix… more
- Elevance Health (Columbia, SC)
- ** Director Network Management** The ** Director...you will make an impact:** + Develops and implements network contracting and network expansion ... to include identifying and cultivating strategic alliances and building new network models with significant provider organizations. + Provides strategic design and… more
- CVS Health (Parsippany, NJ)
- …more personal, convenient and affordable. Position Summary The NJ Medicaid Lead Director , Network Management is accountable for designing conceptual models, ... while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory,… more
- Intermountain Health (Las Vegas, NV)
- …clinical services, and the clinically integrated networks. **Job Description:** The Medical Director of the Nevada Pediatric Clinically Integrated Network (CIN) ... in class outcomes **Preferred Qualifications** * Experience in as a Senior/Executive Medical Director or equivalent position in a pediatric network * MBA, MHA,… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/ director -of- network -development-and-provider-relations/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management… more
- Stanford University (Stanford, CA)
- Senior Associate Director for Licensing and Strategic Transactions **Dean of Research, Redwood City, California, United States** Compliance Legal Post Date Feb 12, ... and dynamic professional to join our team as the Senior Associate Director for Licensing and Strategic Transactions. This leadership position offers a unique… more
- Stanford University (Stanford, CA)
- …timely manner. Negotiate or provide guidance on IP-related terms for other Stanford contracting units. + Network with industry representatives, peers in academic ... Director of Industry and Technology Transactions **Dean of...coordination, and oversight for Stanford's industry research and alliance contracting , including complex, high-visibility, high-value strategic alliances and some… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... HEDIS initiatives and regulations. * Manages and provides coaching to Network Contracting Staff. * Manages and evaluates team member performance; provides… more