- Trinity Health (Boise, ID)
- …Models/Strategy + Partner with the Director of Physician Contracting in the development and implementation of provider compensation strategies and ... for primary care, specialists, and advanced practice providers. + Provide analysis and monitoring of provider productivity...junior level business partners on the Physician Contracting team. + Support the Provider Financial… 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 Provider Contracting Team and reports to the ...and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + May lead a team with direct… more
- The Cigna Group (Atlanta, GA)
- **LOCATION:** **Must live in Atlanta, GA area** The ** Director , Provider Contracting ** serves as an integral member of the Provider Contracting Team ... or MHA preferred. + **3+ years Healthcare Provider Contracting and Negotiating experience involving complex Hospital/Health systems/ Physician … more
- Dignity Health (Bakersfield, CA)
- …- Serve as a content resource for all Dignity Health MSO clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health ... Assess and develop networks to support Network and contract performance. Provider contracting including data gathering and analysis, contract preparation,… more
- VNS Health (Manhattan, NY)
- …implementation of VNS Health's Health Plan Physician , Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and ... general supervision. Compensation Range:$137,800.00 - $183,800.00 Annual What We Provide + Referral bonus opportunities + Generous paid time...care, with a minimum eight years in managed care provider contracting and a minimum of two… more
- Molina Healthcare (Columbus, OH)
- …United States _** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards ... Network Management & Operations with an emphasis on value based provider contracting . **Required License, Certification, Association** N/A **Preferred… more
- 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, execution, and organizational… more
- University of Utah Health (Murray, UT)
- …related to the establishment and maintenance of contractual arrangements. + Represents provider relations and contracting department at meetings. **Knowledge / ... use in Health Plans Departments only. + This position negotiates provider contracts, conducts reimbursement analysis, evaluates potential network providers, develops… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment ... Skills and Abilities) + Enhanced understanding of global, hospital and physician contract development; demonstrated negotiation of complex provider payment… more
- Elevance Health (Everett, MA)
- Provider Network Director (Contract Negotiations) (JR143437) **Location** **:** This position supports New Hampshire providers. Must reside within commuting ... 2 days per week in the local office. The ** Provider Network Management Director ** develops the ...contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include… more
- Molina Healthcare (Fort Worth, TX)
- …including in negotiating different provider contract types and VBP models, ie physician , group and hospital contracting , etc. * Working experience with, and ... contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily… more
- HCA Healthcare (Idaho Falls, ID)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you ... vary by location._** Come join our team as a Director of Physician Services I. We care...performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with… more
- 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 ...contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include… more
- LogixHealth (Bedford, MA)
- …Team Lead, and other members of management in the Audit & Contracting department. You'll contribute to our fast-paced, collaborative environment and will bring ... new processes and reinforcement of existing processes with the Senior Manager and Director + Work with LogixHealth India team to ensure Carrier Payment Audits are… more
- Mount Sinai Health System (New York, NY)
- …and send CV with Cover Letter to:** **Alex Cano** **Executive Director Physician Recruitment** **Mount Sinai Health System** **###@mountsinai.org** ... and research/education. We have ~40,000 employees working together to provide billions of dollars in high-quality care each year...the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who… more
- Intermountain Health (Las Vegas, NV)
- …and financial objectives through effective primary care, specialty, hospital and ancillary provider contracting and contract management. + Directs team to ... negotiate, re-negotiate and execute physician , ancillary, facility provider contracts in accordance...the administration of managed care products with emphasis on provider contracting , credentialing, compliance, benefit design, systems… more
- Sutter Health (Burlingame, CA)
- …Center **Position Overview:** Responsible for network strategy, the development of the provider network and its community partners, & creation and maintenance of ... Develops and implements programs, services and business strategies related to physician ( physician foundation and community) network development and relations.… more
- Molina Healthcare (Fresno, CA)
- …organization. * Develops and deploys strategic network planning tools to drive provider services and contracting strategy across the organization. Facilitates ... in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (eg, physician , groups and hospitals). + **Experience with… more
- Endo International (Malvern, PA)
- …looking for talented individuals to join our team. **Job Description Summary** The Director , Trade & Specialty Pricing & Contracts has responsibility for the people, ... and specialty trade segments (GPO, wholesaler, specialty distributors, specialty pharmacy, physician , physician group practices, IDNs, mail order, specialty… more
- University of Miami (Medley, FL)
- …Contracting and Negotiations Management, Operations and Contract Implementation, Provider Data Management & Credentialing Downstream Payer Relations, Contract ... care. + Leads and manages care staff, including network contracting , contract implementation/operations, non-participation agreements, provider roster data… more