• Director , Provider Network

    The Cigna Group (Cleveland, OH)
    …to Market Providers. Must reside in the Cleveland or Independence, OH area.** The ** Director , Provider Contracting Network Management** serves as an integral ... 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 (02/19/25)
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  • Director , Network

    The Cigna Group (Seattle, WA)
    The ** Director , Provider Contracting ** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior ... 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 (03/08/25)
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  • Director , Network Development…

    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
    VNS Health (01/09/25)
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  • Senior Manager, Network Contracting

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …reduce racial inequities in care. The Senior Contract Manager 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 Senior Contract Manager is… more
    Blue Cross Blue Shield of Massachusetts (01/30/25)
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  • Provider Relations Network Manager - Ohio…

    Trinity Health (Columbus, OH)
    …of complex issues, and MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop ... via telephone/email and onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to develop communication goals,… more
    Trinity Health (12/19/24)
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  • Director , Ancillary Contracting

    Point32Health (Canton, MA)
    …service to our members, partners, colleagues and communities. **Job Summary** The Director , Ancillary Contracting leads the development and management of ... Point32Health's ancillary service network . The Director manages a team of...opportunities to reduce medical and administrative costs by outsourcing network management and contracting for specific service… more
    Point32Health (03/04/25)
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  • Senior Director , Contracting

    Covenant Health (Lubbock, TX)
    …tailored just for you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this pivotal ... role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation,...caring for the whole person through our integrated health network in West Texas/eastern New Mexico. As an expression… more
    Covenant Health (02/05/25)
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  • Director Provider Contracting

    Dignity Health (Bakersfield, CA)
    …onsite meetings.** **Position Summary:** Assess and develop networks to support Network and contract performance. Provider contracting including data gathering ... regulatory requirements. Analyze and assess participating provider networks and projected network needs to ensure network adequacy. Organizes contract… more
    Dignity Health (02/16/25)
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  • Associate Director - Contracting

    Lilly (IN)
    …a part of Lilly. We are seeking a highly skilled and experienced **Associate Director of Contracting Technology** to join our Legal Operations Technology team. ... external to and within the CLM system to streamline contracting processes and enhance user experience. + Contribute as...Our current groups include: Africa, Middle East, Central Asia Network , African American Network , Chinese Culture … more
    Lilly (02/07/25)
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  • National Contracting Director (Value…

    Molina Healthcare (Columbus, OH)
    …**Knowledge/Skills/Abilities** * Under the leadership of the AVP, Value Based Contracting , oversees development and implementation of provider network and ... _** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards and resources… more
    Molina Healthcare (03/04/25)
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  • Payer Contracting Manager

    Rush University Medical Center (Chicago, IL)
    …maintain fee-for-service (FFS) contracts with third party payers as assigned by the Director , FFS Payer Contracting . * Assist in the development and negotiation ... each case. **Summary:** Rush Health is a clinically integrated network of physicians and hospitals working together to improve...contracts with third party payers as assigned by the Director , Value Based Payer Contracting . * Negotiate,… more
    Rush University Medical Center (02/04/25)
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  • Provider Contracting Executive

    University of Utah Health (Murray, UT)
    …negotiates provider contracts, conducts reimbursement analysis, evaluates potential network providers, develops and maintains contracted physician fee schedules ... and provides assistance on ad hoc contracting projects. + This position is not responsible for...determine financial impact. + Conducts an analysis of potential network providers to assess potential business compatibility. + Audits… more
    University of Utah Health (03/12/25)
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  • Assistant Agency Chief Contracting Officer…

    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
    City of New York (02/12/25)
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  • Provider Network Director (Contract…

    Elevance Health (Everett, MA)
    Provider Network Director (Contract Negotiations) (JR143437) **Location** **:** This position supports New Hampshire providers. Must reside within commuting ... days per week in the local office. The **Provider Network Management Director ** develops the provider ...owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the… more
    Elevance Health (02/22/25)
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  • Provider Network Management Director

    Elevance Health (Seattle, WA)
    **Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of ... the Seattle, WA Elevance Health location. The **Provider Network Management Director ** develops the provider ...owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the… more
    Elevance Health (03/14/25)
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  • Associate Director of Network

    Dana-Farber Cancer Institute (Brookline, MA)
    …from a New England state (ME, VT, NH, MA, CT, RI).** The Associate Director of Network Development & Growth is responsible for strategic growth activities ... on healthcare transactions, healthcare strategy, and healthcare growth initiatives. The Associate Director will support the Vice President of Network Development… more
    Dana-Farber Cancer Institute (01/24/25)
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  • Associate Director - Drug Products…

    Lilly (Pleasant Prairie, WI)
    …growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role ... will support our Global Facilities Delivery organization to develop contracting strategies to design, construct and qualify new Lilly...qualify new Lilly manufacturing facilities for the Drug Products network of site in the Midwest The role will… more
    Lilly (01/14/25)
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  • Director Network Strategy

    Dignity Health (Bakersfield, CA)
    …**Responsibilities** This position is remote.** **Position Summary:** The Network Strategy Director will be responsible for ... developing and executing strategies for network development and adequacy, designing provider contracting ...for network development and adequacy, designing provider contracting processes and templates to ensure standard contracting more
    Dignity Health (03/04/25)
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  • Alternative Network Strategy Lead- Managing…

    The Cigna Group (New York, NY)
    …are not limited to, the following: + Market targets and staging + Network , contracting , and operational needs + Technology and associated claim/benefit ... markets and establishing network /product needs + USE Network Governance who is responsible for Contracting /...USE Network Governance who is responsible for Contracting / Network ops capacity management + USE Platform… more
    The Cigna Group (03/07/25)
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  • Senior Director , Provider Network

    Centene Corporation (Queens, NY)
    …a fresh perspective on workplace flexibility. **Position Purpose:** Oversee provider network performance and communications across the company to inform and educate ... providers and improve quality of care. + Oversee provider network performance and communications to improve quality at lower costs and to maintain compliance with… more
    Centene Corporation (03/08/25)
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