- Molina Healthcare (AZ)
- … Management and Operations jobs are responsible for dental network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- CVS Health (Cary, NC)
- …a Senior Manager, Business Development who will partner with business development leaders to build innovative and strategic provider relationships as part ... Care (VBC) Business Development team. You will work collaboratively across the Network organization to ensure speed to market and to support segment leaders with… more
- The Cigna Group (Bloomfield, CT)
- …and external customers + Effectively manage team of resources to assist in Network Development , Network Adequacy, Termination Management and Reporting ... work team meetings as deemed appropriate. + Leads the development of annual targeted Network Development...experience within Provider Contracting, Product, Compliance or Provider Network Management, including management of any… 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 is responsible...and Strategy; Data Management; and, Operations). Assist in the development and distribution of provider engagement material… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job...all of the LAC PNM groups; assist in the development and distribution of provider engagement material ... Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA,...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- CVS Health (Trenton, NJ)
- …conditions. . Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating contracts, ... and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements … more
- The Cigna Group (Hartford, CT)
- …+ 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Woburn, MA)
- …Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for large ... Provider Network Management Director (JR136035) **Location**...projects with significant impact. + May assist management in network development planning. + May provide… more
- Elevance Health (Middletown, NY)
- …Sr** will be responsible for developing the Medicaid provider network through contract negotiations, relationship development , and servicing. Primary focus ... ** Provider Network Manager Sr** **Location:** Latham,...contracting staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- Elevance Health (Indianapolis, IN)
- …**Schedule:** Monday- Friday, 8:00am-5:00pm EST. **Develops the provider network through contract negotiations, relationship development , and servicing.** + ... Specifically focuses on developing and managing the provider network within the IN region through effective contract negotiations and relationship development… more
- Elevance Health (Indianapolis, IN)
- …Provider Network Manager Sr.** develops the provider network through contract negotiations, relationship development , and servicing. Typically works ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- System One (Dayton, OH)
- Provider Network Coordinator (2 roles) ALTA is supporting a contract opportunity working remote located anywhere in the United States The Provider Network ... Coordinator I is responsible for the integrity of the data in the provider database system. ALTA IT Services is a wholly owned subsidiary of System One, a leading … more
- Elevance Health (Denver, CO)
- …per manager discretion)** **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Sacramento, CA)
- **JR134950 Provider Network Manager** Develops the provider network through contract negotiations (language and rates), relationship development , and ... + Primary focus of this role is contracting and negotiating contract terms. + Provider contracts are amended twice a year. + Typically works with less-complex to… more
- Point32Health (Canton, MA)
- …RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as a project manager ... and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Responsible for ongoing… more
- Elevance Health (Grand Prairie, TX)
- …1 day per week and work 4 days virtually .** **Develops the provider network through contract negotiations (language and rates), relationship development ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- CVS Health (Columbus, OH)
- …cross-functional data driven solutions to address business problems, while reporting our Provider Network position throughout the country. This work results in ... to make health care more personal, convenient and affordable. **Overview:** The Network Analytics team helps our business units, our contracted healthcare providers,… more
- Vatica Health (Indianapolis, IN)
- …design, and develop networks through ongoing evaluation of both current and potential network participants. + Participate in the development of program marketing ... practices and primary care providers. Responsibilities include securing commitment from provider groups and identifying initial scope of Vatica program deployment… more
- CVS Health (Columbus, OH)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
- St. Luke's University Health Network (Easton, PA)
- …our PCA's to provide top quality care to our patients. The Network Float (Central Staffing) PCA is an experienced professional motivated by the challenge of ... every situation. The St. Luke's Central Staffing Department provides support to the Network Campuses as necessary to ensure appropriate staffing levels which allow… more
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