- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Director , Provider Contracting , leads and manages the provider networks for ... with provider groups and integrated systems. The Director , Provider Contracting requires an...Medicare and other reimbursement methodologies + Value based contracting experience + Strong financial acumen with proficiency in… more
- Arvinas (New Haven, CT)
- …Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and ... executing the pricing and contracting strategies to support the launch of Arvinas's portfolio....and delivery of market insights that inform payer and provider customer strategies, tactics and product forecasts. + Lead… more
- CVS Health (Bloomington, MN)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role, you will have the opportunity to have a significant impact ... a proud member of the CVS Health family of companies. In this non-supervisory Director level position, you will assume a highly visible role and responsibility to… more
- Molina Healthcare (Phoenix, AZ)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- The Cigna Group (Atlanta, GA)
- …Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). Reporting ... work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of...to the Network Operations Senior Manager or Director , this individual ensures the effective performance management of… more
- Aspen Dental (Springfield, IL)
- …current needs, we have an exciting opportunity to join our team as Manager, Contracting . The Manager, Contracting plays a vital role within our Payor Strategy ... compliance, identify problem areas, and resolve disputes. + The Director engages with a wide variety of internal and...with operational and revenue cycle teams at the various provider entities. + Other duties as assigned. **Experience** +… more
- Molina Healthcare (Starkville, MS)
- … contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily ... departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of… more
- Elevance Health (Tampa, FL)
- ** Provider Collaboration Director - Cost of Care** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of our Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director -Cost of Care** is responsible for local management of all… more
- Elevance Health (Tampa, FL)
- ** Provider Collaboration Director -Value Based Care** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of our Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director -Value Based Care** is responsible for local management of… more
- Molina Healthcare (MS)
- …with Director , Provider Contracts, develops health plan-specific provider contracting strategies including VBP. This includes identifying specialties and ... contracting , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the… more
- Cedars-Sinai (Los Angeles, CA)
- …Population Health leadership, including Pharmacy Services, Ambulatory Care Management & ISP, Contracting , and Quality. The MH Medical Director provides direct ... as a provider for e-consultation. + Supervises the Assistant Medical Director for Mental Health + Develops and provides in-service training and educational… more
- CVS Health (Carson City, NV)
- …an individual contributor role. **Required Qualifications** A minimum of ten years provider contracting experience required including all forms especially value ... health care more personal, convenient and affordable. **Position Summary** The Lead Director of value based contracting and business development is responsible… more
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Director , Pricing **Location:** Bridgewater, NJ **About the Job** We are an innovative global healthcare company with one purpose: to chase the ... Responsibilities:** **Provides strategic advice & counsel to the V&A team on Pricing/ Contracting strategy development** + Develop and recommend US launch & in-line… more
- CVS Health (New York, NY)
- …convenient and affordable. **Position Summary** Aetna is recruiting for a Lead Director , National VBS Development who will develop innovative and strategic ... provider relationships as part of the National VBS Business...a focus on executing enterprise wide initiatives. + Leads contracting efforts including negotiating contract deal terms and support… more
- Molina Healthcare (Port Arthur, TX)
- …Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider ... Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Conviva (Tallahassee, FL)
- …+ Bachelor's degree + A minimum of eight years of progressive experience in provider network management, provider contracting , quality + A minimum of ... of our caring community and help us put health first** The Director , Partner Practice develops and grows positive, long-term relationships with physicians, providers… more
- Molina Healthcare (ID)
- …and must live in Idaho _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts… more
- AbbVie (Mettawa, IL)
- …price/ volume dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government ... to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the...(MABI) organization will lead the financial assessment of payer contracting via data driven payer level analysis across AbbVie's… more
- CenterWell (Carson City, NV)
- …+ Bachelor's Degree + 6 or more years of healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience. + 2 or ... community and help us put health first** The Associate Director of MSO Operations supports the Las Vegas market....MSO Operations will work along with a team of Provider Engagement Specialist and clinical partners, will deploy necessary… more
- LA Care Health Plan (Los Angeles, CA)
- …plans, with an emphasis on California law. Provides substantive counseling on complex provider contracting and other legal matters. Manages outside counsel in ... Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive...knowledge of health care law. Experience in supporting complex provider contracting activities including drafting and reviewing… more