- Covenant Health Inc. (Knoxville, TN)
- …budgets and provide management oversight. Partners closely with the System's contract management function to ensure contract compliance within each ... as assigned by management . + In conjunction with hospital leaders, contract management and value analysis functions, is responsible for providing analysis… more
- Elevance Health (ME)
- …Hampshire. The **Provider Network Manager Sr** . develops the provider network through contract negotiations, relationship development , and servicing. ... Senior Provider Contract Manager - $2500 Sign-On Bonus (JR132819) **Location:**...other key areas or serve on enterprise projects around network management . + May collaborate with sales… 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 ... Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers....other key areas or serve on enterprise projects around network management + May collaborate with sales… more
- Elevance Health (Middletown, NY)
- … Manager Sr** will be responsible for developing the Medicaid provider network through contract negotiations, relationship development , and servicing. ... Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers....other key areas or serve on enterprise projects around network management . + May collaborate with sales… more
- Elevance Health (FL)
- …1-2 days onsite per manager discretion)** **Position Overview:** Develops the provider network through contract negotiations, relationship development , and ... other key areas or serve on enterprise projects around network management + Serves as key resource...negotiation skills, critical thinking, analytical skills, and knowledge of contract language For candidates working in person or remotely… more
- Elevance Health (Wallingford, CT)
- …each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. ... Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers....other key areas or serve on enterprise projects around network management . + May collaborate with sales… more
- Elevance Health (Indianapolis, IN)
- …(1 - 2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. ... Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers....other key areas or serve on enterprise projects around network management + May collaborate with sales… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and Abilities) + Solid understanding of global, hospital and physician contract development ; demonstrated negotiation of complex provider payment arrangements; ... care. The Contract Leader works closely with the Director of Network Contracting to successfully execute these innovative payment models and quality incentive… more
- Molina Healthcare (NY)
- …Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management , or project management ... Network Provider Relations jobs are responsible for network development , network adequacy and...contracted provider network . They are responsible for network management including provider education, communication, satisfaction,… more
- Providence (OR)
- …5 years - Leadership in pharmacy network development and contract negotiation with comprehensive experience with contractual management and retention + 5 ... Manager, Pharmacy Business, Networks and Compliance is responsible for the development , implementation, support, and evaluation of pharmacy business services. This… more
- Marshfield Clinic (Marshfield, WI)
- …Specialist (Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP-Provider Network Mgmt **Scheduled Weekly Hours:** 40 **Employee Type:** Regular ... health care providers. This individual is responsible to assist in the development , implementation and management of contracting activities for hospital,… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- … Contract Management is responsible for all aspects of payer contract negotiations, network management , and strategic partnerships for an integrated ... relationships with managed care organizations (MCOs). The Leader of Contract Management works closely with a wide...+ 7-10 years of experience in managed care contracting, network management , or payer relations within an… more
- Molina Healthcare (Columbus, OH)
- …**REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management , or project management ... Network Provider Relations jobs are responsible for network development , network adequacy and...contracted provider network . They are responsible for network management including provider education, communication, satisfaction,… more
- Magellan Health Services (Hodge, LA)
- …home health, and other services providers. Ensures integration and efficiency of Network strategy and vendor relationships with utilization management and claims ... and monitor ECSS Sites to ensure compliance with best practices and contract requirements. Will participate in Quality Improvement (QI) activities, including data… more
- CareOregon (Portland, OR)
- …or Washington. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title Provider Network Contract ... and procedures based on management direction. + Recommend provider payment and network strategies to the contract management team. + Orient CareOregon… more
- Point32Health (Canton, MA)
- …determination of network needs, evaluation of prospective providers, development of reimbursement strategies, and contract negotiation and administration. ... the direction of the Point32Health Manager, Allied Health Contracting, the Contract Manager, Allied Health Contracting negotiates and manages contracts with… more
- WellSense (Boston, MA)
- …**Job Summary:** The Senior Contract Manager is responsible for the development , implementation and management of a cost-effective provider network , ... the Senior Contract Manager assists in the development of network -wide strategies to improve efficiencies...policies, procedures, workflows, and tools as they relate to network development and provider contracting; . Represents… more
- Medical Mutual of Ohio (OH)
- …internal department; performs data entry and logs correspondence into contract management system. + Assists in spreadsheet/report development for network ... e-mail inquiries. Prioritizes and researches issues affecting providers and maintains contract management files and documentation. Senior Provider Contract… more
- MetroLink (Los Angeles, CA)
- …with department management and Legal Counsel as needed to draft contract language, negotiate terms and conditions, and other contract administration tasks. ... and compliance duties by assisting SCRRA departments with the development of new contracts and providing guidance in the...Under the DeltaCare (HMO) program, you must select a contract dentist within their network to perform… more
- Northrop Grumman (San Diego, CA)
- …Division of Northrop Grumman Mission Systems is looking for a **Principal Contract Administrator** to join the Network Operations, Sustainment, Support, & ... shared mission, we'll support yours of expanding your personal network and developing skills, whether you are new to...at least 5 years relevant experience in US Government contract administration and management or Masters Degree… more