- Centene Corporation (Jefferson City, MO)
- …- Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development… more
- Point32Health (Canton, MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development , negotiation, ... payment policies and methodologies. Utilize this knowledge to refine and advance network development and performance. Contract Negotiation and Management +… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting ...and coaches the team building on competencies enhancing professional development and retention. The Director must work… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …fulfil their aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Director , US CAR-T Pricing & Contracting ** reports to the Head of ... initiatives. Over the next 12-18 months, this position will focus heavily on the development of our US pricing and contracting strategy and drive organizational… more
- The Cigna Group (Columbus, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team ... 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
- WellSpan Health (York, PA)
- …+ Manages the development and maintenance of the System's preferred standard contracting terms to be incorporated into new or revised contracts. + Manages and ... new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill,… more
- Molina Healthcare (Green Bay, WI)
- …manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Hackensack Meridian Health (Wall, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Director of Physician Contracting ** , under the direction of the Vice President ... of Physician Contracting , is responsible for conducting contract due diligence and...and partnership acquisition across the Hackensack Meridian Health (HMH) network . This includes reviewing practice valuations, conducting practice due… more
- Highmark Health (Camp Hill, PA)
- …process, and assumes the lead where necessary. Responsible for the development , implementation, maintenance, and updating of the plan's multiple fee schedules ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Point32Health (Canton, MA)
- …with the negotiations of financial and legal terms. The Manager, Allied Health Contracting will work closely with the Director , Allied Health Contracting ... (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a team of Contract Managers, Associate Contract Managers,… more
- Magellan Health Services (Boise, ID)
- …the successful development of the provider network including network development , contracting , credentialing and provider communications for existing ... adequacy and appointment access, development of network resources in response to unmet needs, contracting.... Knowledge of NCQA requirements. General Job Information Title Director , Network Development Grade 30… more
- Manulife (Boston, MA)
- …affordable long-term care providers to our customers when they need it. The Director , Provider Network Development & Relationship Management, is responsible ... objectives. + Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable… more
- AmeriHealth Caritas (Newtown Square, PA)
- …plan operations and meet regulatory reporting requirements. + Model and drive network development opportunities throughout the contracting lifecycle to ... **Role Overview:** The Director of Network Adequacy leads the...develop strategic action plans related to adequacy, geographic access, network development , and business intelligence. Key partners… more
- Commonwealth Care Alliance (Boston, MA)
- …preferred. * 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. ... the provider relations team. Cross-Functional Collaboration * Work closely with network contracting , credentialing, claims, IT, customer service, compliance, and… more
- UNC Health Care (Morrisville, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting serves as one of the Health Care ... and leading efforts to develop plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract… more
- CVS Health (Hartford, CT)
- …by evaluating market trends, competitive landscape, and patient needs to shape the network development strategy and optimize provider network composition. + ... budgets, quarterly forecasts, and long-term strategic planning. The Executive Director will oversee network management and provider...with the Aetna network team to ensure network maintenance and development is integrated into… more
- Oracle (Reston, VA)
- …**Oracle Government Defense & Intelligence** is seeking a results-driven **Business Development Director ** **with deep financial acumen and extensive experience ... solutions maximize operational and fiscal impact. As the Federal Civilian Business Development Director , you will lead early capture efforts-analyzing program… more
- BrightSpring Health Services (Louisville, KY)
- …have an exciting opportunity for you to join our team as aBusiness Development Director with PharMerica's Behavorial Health and Individuals with Developmental ... needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account...presentations and proposals to meet the customers needs + Director of Business Development is responsible for… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- Description Job Title: Business Development Director Summary The Business Development (BD) Director works as a full-time employee of Zeiders Enterprises, ... responsible for driving the company's growth strategy by leading business development , capture, and proposal operations. The position combines strategic planning,… more
- BrightSpring Health Services (Louisville, KY)
- …IDD and BH presentations and proposals to meet the customers needs + Director of Business Development is responsible for attaining quarterly and annual ... Our Company PharMerica Overview Remote TheDirector of Business Development - Individuals with Development Disabilities...needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
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