- CVS Health (Columbus, OH)
- …service issues. **Required Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… more
- CVS Health (Cary, NC)
- …impact by:** + Supporting the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners. + Developing ... more personal, convenient and affordable. **Aetna Senior Business Development Manager Role** Aetna is recruiting for a Senior ...Qualifications** + 5+ years of experience in Payer and Provider Value based care in contracting , … more
- The Cigna Group (Little Rock, AR)
- …The ** Manager , Network Management** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- The Cigna Group (Glendale, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- Centene Corporation (Iselin, NJ)
- …related field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and… more
- The Cigna Group (Mclean, VA)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more
- CVS Health (Tallahassee, FL)
- …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and… more
- BAYADA Home Health Care (Parsippany, NJ)
- …health care administration. + Two (2) or more years of negotiating experience (payer/ provider contracting , network management, or similar). + Demonstrable ... **POSITION SUMMARY:** The Manager will be responsible for a portfolio of...BAYADA Home Health Care's growth trajectory and the accelerating contracting activity and financial impact, the Manger will thrive… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager , Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies ... and contracting agreements, providing data-driven recommendations for necessary adjustments. The...with cross-functional teams to inform bottom-up forecast models and provide strategic financial inputs for budget planning.** **Maintain and… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Provider Network Account Manager II...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Elevance Health (Middletown, NY)
- ** Provider Network Manager Sr**...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... of the Elevance Health PulsePoint location listed above. The ** Provider Network Manager Sr** will...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Indianapolis, IN)
- …+ Drives the value-based contracting initiatives in IN, ensuring the provider network aligns with the competitive landscape and advancing managed care ... time per week **Schedule:** Monday- Friday, 8:00am-5:00pm EST. **Develops the provider network through contract negotiations, relationship development, and… more
- Elevance Health (FL)
- …onsite per manager discretion)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Amgen (Washington, DC)
- …be in your chosen field. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **Live** **This could be your everyday** Let's do ... business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve and maintain payer coverage and provider … more
- CVS Health (Richmond, VA)
- …with internal partners. . Evaluate, formulate, and implement the provider network strategic plans to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual...proficient managed care network negotiating skills. . Contracting for large facilities and/or provider groups.… more
- Elevance Health (Wallingford, CT)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Trinity Health (Boise, ID)
- …the work necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and ... Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying contract terms,… more
- Elevance Health (New Hyde Park, NY)
- …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more