- VNS Health (Manhattan, NY)
- …and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done by internal ... of VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid/North Carolina is accountable for ... while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to reduce racial inequities in care. The Contract Leader works closely with the Director of Network Contracting to successfully execute these innovative ... of developing proposals, negotiating terms, and accurately drafting and finalizing contracting language and financial rates. A successful Contract Leader is… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Director , Provider Contracting , leads and manages the provider networks for all of ... Humana's various lines of business through the NC Contracting team. The Director also initiates, analyzes,...with other key Humana areas such as Provider Engagement, Network Operations for contract loads, National Contracting ,… more
- The Cigna Group (Glendale, CA)
- …**_L_** **_OCATION:_** **_HYBRID_** **_position aligned to the Glendale, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral member of ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- The Cigna Group (Chattanooga, TN)
- …the East Tennessee market. Must reside within Chattanooga, Knoxville or TriCities.** The ** Director , Provider Contracting ** serves as an integral member of the ... the strategic direction and management of the day to day contracting and network management activities for Chattanooga, Knoxville and TriCities. **DUTIES AND… more
- Dignity Health (Bakersfield, CA)
- …Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of Physician Network Contracting . The Provider Relations ... Medicare guidelines and healthcare regulations. + One (1) year experience in contracting negotiations, provider fees schedules, and data analysis + Bachelor's degree… more
- Point32Health (Canton, MA)
- …. **Job Summary** Under the direction of the Vice President, Pharmacy, the Director , Pharmacy Strategy & Contracting is responsible for managing a team ... contract management across the enterprise; b) pharmacy plan design, formulary and network strategy development and execution for all lines of business; c) vendor… more
- BeiGene (Emeryville, CA)
- …/ hospital), PBM's, and specialty pharmacy. This role reports to the Senior Director of US Pricing, Contracting , and Pipeline Strategy Lead.** **Essential ... **General** **Description:** **The Senior Manager, Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies and… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees...Processes. - Lead a staff consisting of an M/WBE Director and M/WBE Analysts in the full array of… more
- CVS Health (Springfield, IL)
- …collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... issues and competitor strategies, complex contracting options, financial/ contracting arrangements, and regulatory requirements including network adequacy… more
- CVS Health (Carson City, NV)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of value based contracting and business development is responsible ... mountain and Arizona markets. The position reports directly to the market Chief Network Officer, however has a matrix reporting relationship into the Mountain and… more
- Molina Healthcare (UT)
- …oversees provider data governance processes critical to effective payer functions such as network contracting , network credentialing, network adequacy, ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider… more
- CVS Health (Chicago, IL)
- …to operating, optimizing, and modernizing the technology and capabilities that power network contracting and pricing functions. The leader will work closely ... We are recruiting to fill a critical leadership position on a newly formed Network Platform Solutions team. The role will have responsibility for a team dedicated… more
- Pearl Interactive Network (Washington, DC)
- …hire a Federal Business Development Director .** The **Federal Business Development Director ** at Pearl Interactive Network is a key leadership position ... to adapt quickly to changing market dynamics. Collaboration, open communication, a strong network within the Federal space, and the ability to manage long sales… more
- Mount Sinai Health System (Brooklyn, NY)
- **Job Description** _The Director of Oncology Services exercises management responsibility over the business and operational activities of the Service Line. They ... support in building the Oncology Service Line including recruitment, contracting , budgeting and organizational planning._ **Qualifications** + Must complete… more
- Cedars-Sinai (Los Angeles, CA)
- …specialists, providing guidance and supervision to social work services in the Medical Network , and collaborating with Network Contracting to ensure clear ... health needs of patients cared for across the Medical Network . The Medical Director oversees the full...leadership, including Pharmacy Services, Ambulatory Care Management & ISP, Contracting , and Quality. The MH Medical Director … more
- HCA Healthcare (Nashville, TN)
- …where diversity and inclusion thrive? Submit your application for our Director Purchased Services Commercial Products opening with HealthTrust today and find ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Director Purchased Services Commercial Products for our team to ensure that we continue… more
- Sanofi Group (Columbus, OH)
- **Job title** : Strategic Accounts Director - Vaccines, Mid Atlantic **Location:** Remote/Field **About the Job** The Strategic Accounts Director will lead a team ... systems, state awardees, and PBG's across the US. The Strategic Accounts Director will be responsible for achieving and driving sales and marketing imperatives… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director Medicaid - Remote Date: Oct 30, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we are** ... a difference, and new people to make a difference with. **The opportunity** The Director will lead the development and execution of Teva's Medicaid strategy for the… more
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