- Point32Health (Canton, MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development , negotiation, ... payment policies and methodologies. Utilize this knowledge to refine and advance network development and performance. Contract Negotiation and Management +… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting ...and coaches the team building on competencies enhancing professional development and retention. The Director must work… more
- Sanford Health (Sioux Falls, SD)
- …- Day Shifts **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
- Corewell Health (Grand Rapids, MI)
- …all applicable legislative and competitive standards. Develops and assists in the development of network contracting strategies on reimbursement, risk ... Network Development . Essential Functions + Directs the requisite provider contracting and network development activities within his/her assigned… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …fulfil their aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Director , US CAR-T Pricing & Contracting ** reports to the Head of ... initiatives. Over the next 12-18 months, this position will focus heavily on the development of our US pricing and contracting strategy and drive organizational… more
- Humana (Charleston, WV)
- …part of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes physician, hospital, and/or ... other provider contracts and agreements for the State of Ohio. The Director , Provider Contracting requires an in-depth understanding of how organization… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- WellSpan Health (York, PA)
- …+ Manages the development and maintenance of the System's preferred standard contracting terms to be incorporated into new or revised contracts. + Manages and ... new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill,… more
- Hackensack Meridian Health (Wall, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Director of Physician Contracting ** , under the direction of the Vice President ... of Physician Contracting , is responsible for conducting contract due diligence and...and partnership acquisition across the Hackensack Meridian Health (HMH) network . This includes reviewing practice valuations, conducting practice due… more
- Highmark Health (Camp Hill, PA)
- …process, and assumes the lead where necessary. Responsible for the development , implementation, maintenance, and updating of the plan's multiple fee schedules ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Point32Health (Canton, MA)
- …with the negotiations of financial and legal terms. The Manager, Allied Health Contracting will work closely with the Director , Allied Health Contracting ... (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a team of Contract Managers, Associate Contract Managers,… more
- Magellan Health Services (Boise, ID)
- …the successful development of the provider network including network development , contracting , credentialing and provider communications for existing ... adequacy and appointment access, development of network resources in response to unmet needs, contracting.... Knowledge of NCQA requirements. General Job Information Title Director , Network Development - Clinical… more
- Manulife (Boston, MA)
- …affordable long-term care providers to our customers when they need it. The Director , Provider Network Development & Relationship Management, is responsible ... objectives. + Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable… more
- Commonwealth Care Alliance (Boston, MA)
- …preferred. * 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. ... the provider relations team. Cross-Functional Collaboration * Work closely with network contracting , credentialing, claims, IT, customer service, compliance, and… more
- Cardinal Health (Atlanta, GA)
- …on expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is the ... analysis, segmentation, financial profit pool modeling, and executed value-based care contracting frameworks + Robust network of strong, existing professional… more
- CVS Health (Charleston, WV)
- …in new and exciting ways every day. Aetna is recruiting for an **Executive Director , Network Management** who provides strategic leadership and oversight for ... provider relationships. You'll make an impact by: + Overseeing key network management contracting activities, including negotiating fee schedules, reimbursement… more
- CVS Health (Hartford, CT)
- …by evaluating market trends, competitive landscape, and patient needs to shape the network development strategy and optimize provider network composition. + ... budgets, quarterly forecasts, and long-term strategic planning. The Executive Director will oversee network management and provider...with the Aetna network team to ensure network maintenance and development is integrated into… more
- BrightSpring Health Services (Louisville, KY)
- …have an exciting opportunity for you to join our team as aBusiness Development Director with PharMerica's Behavorial Health and Individuals with Developmental ... needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account...presentations and proposals to meet the customers needs + Director of Business Development is responsible for… more
- BrightSpring Health Services (Louisville, KY)
- …IDD and BH presentations and proposals to meet the customers needs + Director of Business Development is responsible for attaining quarterly and annual ... Our Company PharMerica Overview Remote TheDirector of Business Development - Individuals with Development Disabilities...needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
- CACI International (Annapolis Junction, MD)
- …Travel: Continental US * * * **The Opportunity:** CACI seeks a seasoned Business Development Director to expand its Mission and Engineering Support Line of ... Support Line of Business LOB. **Duties and Responsibilities** The successful Business Development Director candidate will: + Lead business development … more