- 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
- 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …racial inequities in care. The Contract Leader works closely with the Associate 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 highly… more
- 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
- The Cigna Group (San Diego, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** 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 a local given territory. **DUTIES AND… more
- PeaceHealth (Vancouver, WA)
- …Department, MediTract contract administration, and System Director of Physician Contracting . Prepares agenda for weekly and monthly network non-employed ... seniority, etc. Serves as the primary liaison representing non-employed physician contracting to PeaceHealth network for contracts and contract revisions,… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …a related field required. + 7-10 years of experience in managed care contracting , network management, or payer relations within an integrated healthcare setting ... + GENERAL SUMMARY + The Leader, Managed Care Contracting , is responsible for all aspects of payer...is responsible for all aspects of payer contract negotiations, network management, and strategic partnerships for an integrated pediatric… 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
- Elevance Health (Manchester, NH)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 ... week in the Manchester, NH office. Monday and Tuesdays preferred. The **Provider Network Management Director ** develops the provider network through contract… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Director , BH Provider Contracting initiates, negotiates, and executes physician, hospital, and/or ... other provider contracts and agreements with behavioral health providers. The Director , BH Provider Contracting requires an in-depth understanding of how… more
- CVS Health (Plantation, FL)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Florida market for our Commercial, Medicare, ... for given market or geographical area. You will oversee all network management functions including provider contracting , service, strategic relationships,… more
- 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
- Elevance Health (Ashburn, VA)
- ** Director Network Management- Carelon Behavioral Health** Location: Alternate locations may be considered. This position will work a hybrid model (remote and ... Networks in the East for Carelon Behavioral Health, this ** Director of Network Management** oversees the recruitment...Ohio. **How you will make an impact:** + Oversees contracting and maintenance of all facilities including hospitals, surgery… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. The Senior Director , Drug Substance Capital Procurement in the Development & Manufacturing Procurement organization ... new facilities and modify existing facilities for the Drug Substance network in the Manufacturing organization by providing strategic sourcing, supplier relationship… more
- 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
- CVS Health (Albany, NY)
- …high-quality provider relationships. **WHAT YOU WILL DO:** . Oversees key Network Management contracting activities, including negotiating fee schedules, ... and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements network … more
- Community Health Network (IN)
- …such as contracting , medical economics, clinical, CDI, and analytics. The Director will work closely and partner effectively with a variety of stakeholders, ... Director Population Health Ops IHCI Job Ref 2500581...Mon-Fri Based on Business Needs **Join Community** Community Health Network was created by our neighbors, for our neighbors.… more
- Penn Medicine (Bala Cynwyd, PA)
- …Departmental Needs** Summary: This position will be responsible to lead the Network Telemedicine Strategy for the Penn Medicine enterprise. This role will include ... * Develop an enterprise-wide Telemedicine program to support Penn Medicine network including Lancaster General Hospital, patients, providers and the workforce *… 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
- Molina Healthcare (NV)
- …must live in Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... HEDIS initiatives and regulations. * Manages and provides coaching to Network Contracting Staff. * Manages and evaluates team member performance; provides… more
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