- VNS Health (Manhattan, NY)
- …networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of all providers, the development of incentives, processes, ... and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done by internal… more
- Trinity Health (Columbus, OH)
- …brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations that ... onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to develop communication goals, strategies, and plans. +… more
- The Cigna Group (Scottsdale, AZ)
- …Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- 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 ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- Point32Health (Canton, MA)
- …**Job Summary** The Director , Ancillary Contracting leads the development and management of Point32Health's ancillary service network . The Director ... also identifies opportunities to reduce medical and administrative costs by outsourcing network management and contracting for specific service lines when… more
- Dignity Health (Bakersfield, CA)
- …onsite meetings.** **Position Summary:** Assess and develop networks to support Network and contract performance. Provider contracting including data gathering ... in implementing contract changes. Responsibilities may include: - Supervise all contracting staff including performance, development , recruiting talent and all… more
- Molina Healthcare (Columbus, OH)
- …Under the leadership of the AVP, Value Based Contracting , oversees development and implementation of provider network and contract strategies, identifying ... _** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards and resources… more
- 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. ... and AI capabilities external to and within the CLM system to streamline contracting processes and enhance user experience. + Contribute as the main point of… more
- 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 ... with health plan operations, policies and procedures. + Contribute to the development of creative contracting strategies, reimbursement structures, networks, and… more
- Rush University Medical Center (Chicago, IL)
- …contracts with third party payers as assigned by the Director , FFS Payer Contracting . * Assist in the development and negotiation of value-based care (VBC) ... contracts with third party payers as assigned by the Director , Value Based Payer Contracting . * Negotiate,...of an annual strategic plan for third party payer contracting , including the continued development of VBC… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …work remotely from a New England state (ME, VT, NH, MA, CT, RI).** The Associate Director of Network Development & Growth is responsible for strategic growth ... growth initiatives. The Associate Director will support the Vice President of Network Development & Clinical Growth on business development and… more
- Elevance Health (Everett, MA)
- …**Provider Network Management Director ** develops the provider network through contract negotiations, relationship development , and servicing for large ... Provider Network Director (Contract Negotiations) (JR143437) **Location**...degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development… more
- Elevance Health (Seattle, WA)
- …**Provider Network Management Director ** develops the provider network through contract negotiations, relationship development , and servicing for large ... **Provider Network Management Director ** **Location:** This position...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Lilly (Pleasant Prairie, WI)
- …Responsibilities:** + Lead the review of requirements, facilitate the sourcing process, development of contracting strategies, and management of the supplier due ... growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role… more
- Dignity Health (Bakersfield, CA)
- …will be responsible for developing and executing strategies for network development and adequacy, designing provider contracting processes and templates to ... ensure standard contracting processes across Value Hubs, establishing network participation standards, and setting the strategy and standards for network … more
- The Cigna Group (New York, NY)
- …establishing a comprehensive business case, assumptions, and various options for Alternative Network & Product development . Components to address include, but ... are not limited to, the following: + Market targets and staging + Network , contracting , and operational needs + Technology and associated claim/benefit… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …fulfill this position, the incumbent must be in contact with: Provider Network Operations Systems, Benefits Operations, Provider Contracting , HQM, Marketing, ... is accountable for the strategic direction and management of the Provider Network Operations staff, which supports all provider network operational activities… more
- CVS Health (Chicago, IL)
- …and the amount of risk associated with various financial adjustments to support the development of new models and to communicate the potential value and risk to ... and recommendations to inform business strategies, pricing strategies, product development initiatives, risk management approaches, and market expansion opportunities.… more
- Intermountain Health (Las Vegas, NV)
- …to ensure integration. This position provides direction and oversight to all provider network development and maintenance as well as coordination and deployment ... **Job Description:** This position directs and implements the planning, development , relations, and management of Select Health networks, including providers,… more
- Molina Healthcare (Fort Worth, TX)
- …Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and ... federal, NCQA, HEDIS initiatives and regulations. * Manages and provides coaching to Network Contracting Staff. * Manages and evaluates team member performance;… more
Related Job Searches:
Contracting,
Development,
Director,
Director Contracting,
Director Network Contracting,
Director Network Development,
Network,
Network Development,
Network Director