- Galapagos Federal Systems, LLC (Los Angeles, CA)
- …Senior Technical Advisor handles managing and controlling the program, serving as the primary liaison with the Contracting Office (CO), Contracting Officer's ... Design & Installation, Cybersecurity Engineering & Support, Application Integration & Development , Software & Hardware Engineering, Network & Systems Management,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …management. as needed. The RN Lead Care Manager will assist the HP2 network providers in applying systems, science, incentives, and information to improve medical ... address home care needs, and connect members to community resources; collaboration with primary care physicians and other providers to ensure there are no gaps in… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryThe RN Care Manager will assist the HP2 network providers in applying systems, science, incentives, and information to improve medical ... address home care needs, and connect members to community resources; collaboration with primary care physicians and other providers to ensure there are no gaps in… more
- MetroPlus (New York, NY)
- …Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and ... healthiest life. Position Overview Reporting to the Vice President of Provider Network Operations, the Director of Provider Engagement will lead the Provider… more
- MetroPlus (New York, NY)
- …the largest public health system in the United States, MetroPlusHealth 's network includes over 27,000 primary care providers, specialists and participating ... improvement of MetroPlusHealth Core Applications. Will work with Provider Contracting , Credentialing, Claims Operations, Utilization Management, and Network … more
- MetroPlus (New York, NY)
- …Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and ... determine ongoing Claims Examiner training needs, and assist in the development of training curriculum. Conduct in-depth research of contract issues, system-related… more
- CVS Health (Phoenix, AZ)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment… more
- Providence (Renton, WA)
- …as a thought leader with the Provider contracting team on issues related to network development and value creation for the region. + Participate at a senior ... **Description** The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer… 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
- Highmark Health (Albany, NY)
- …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
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …goals and objectives. ** Contracting :** + Responsible for hospital and physician network development and management. + Develops and recommends policy changes ... **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're… more
- Elevance Health (Columbus, OH)
- …in three people across all 50 states. **Summary:** We seek a Staff VP of Network Contracting for this exciting opportunity to drive change and impact care ... interaction with all the business leaders and stakeholders. **Team Scope:** As Staff VP of Network Contracting , you will be responsible for a team of 10 FTE's. … more
- Elevance Health (Waukesha, WI)
- …Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is ... high level of negotiation skills. Fee schedules are customized.** PRIMARY DUTIES: + Serves as key resource for other... DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and… more
- Elevance Health (Charleston, WV)
- Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is contracting and ... an impact:** + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and... staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- CVS Health (Baton Rouge, LA)
- …health care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned profile of larger and more complex providers (ie, ... internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation… more
- CVS Health (Princeton, NJ)
- …in New Jersey. The primary functions of the BH Senior Manager of Network Relations are: + Involvement in the development and maintenance of a credentialed ... + Provide provider education and develop and deliver provider training + Ensure network adequacy and appointment access, including development of network … more
- CVS Health (Princeton, NJ)
- …care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned, high profile providers or groups (ie, local, individual ... to ensure service levels are meeting expectations. + Manages the development of agenda, validates materials, and facilitates external provider meetings. +… more
- Elevance Health (Topeka, KS)
- …the provider network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education and experience,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Administration + 15+ years' experience in ambulatory operations leadership, business development , network development , transaction, or strategic planning ... The Vice President of Adult Ambulatory Operations and VUMC Primary Care System oversees the development of...the healthcare service sector + Experience in establishing a primary care network + Experience overseeing … more
- AmeriHealth Caritas (Philadelphia, PA)
- **Provider Network Coordinator** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34226 Your career starts now. We are looking for the ... Department by assisting with root cause analysis and the development of reports, as well as other support activities...of provider issues. + Serves as a resource to Network Management Account Executives for contracting and… more
