- Trinity Health (Boise, ID)
- …of experience in contract administration and compensation modeling + Experience in the health care industry with physician contracting and compensation ... Lead the SAMG Provider Services Team, overseeing contracting , compensation, onboarding, and offboarding. + Provide ...**Qualifications:** + BA/BS with emphasis in Business, Finance, or Health Care Management. MBA preferred + Minimum… more
- Mount Sinai Health System (New York, NY)
- …and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting , Population Health leadership, Clinical Documentation ... research. We have over 38,000 employees working together to provide billions of dollars in high-quality care ...will be a liaison between Contracting , Population Health , Clinical Documentation and Quality Improvement, Care … more
- CVS Health (Hartford, CT)
- …+ Minimum 5 years work experience with health care contracting . + Experience working with payer and/or provider systems. + In-depth understanding ... of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with… more
- Community Hospital Corporation (Plano, TX)
- …, privacy laws and medical staff relations. + Extensive experience in health care contracting , including professional services, equipment leases, ... knowledge of tax-exempt matters. + Working knowledge of reimbursement and managed care contracting , including CMS Conditions of Participation. + Working… more
- The Cigna Group (St. Louis, MO)
- … care laws and regulations + Experience with legal issues relating to health care technology + Commercial contracting experience, including with ... progressively responsible legal experience with law firms and/or companies operating in the health care industry + **Experience with Telehealth is needed.** +… more
- Corewell Health (Grand Rapids, MI)
- …clinical or health and human services + 3 years of relevant experience within provider network management, health care insurance or other health ... Job Summary Responsible for leading and managing the provider contracting team to develop and...years of strong contextual knowledge (managed care , provider reimbursement models, national health care… more
- McLaren Health Care (Grand Blanc, MI)
- …to McLaren health system policies and procedures throughout the provider contracting process. **Essential Functions and Responsibilities As Assigned:** + ... Summary:** Supports the day-to day functions and operations of the provider contracting team. Facilitates consistency, efficiency, compliance with applicable… 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 ...stage of life. We guide our customers through the health care system, empowering them with the… more
- Trinity Health (Boise, ID)
- …compensation modeling, consulting, or healthcare operations leadership. + Experience in the health care industry with physician contracting and compensation ... care , specialists, and advanced practice providers. + Provide analysis and monitoring of provider productivity...**:** + BA/BS with emphasis in Business, Finance, or Health Care Management. Master's degree preferred. +… more
- The Cigna Group (Scottsdale, AZ)
- …in-person meetings with Providers AND several days work at Home_** The **Director, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the...stage of life. We guide our customers through the health care system, empowering them with the… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... and Network initiatives. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree, Business, Finance, Health Care Administration or related discipline OR in… more
- Northern Light Health (Brewer, ME)
- …40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The NLH Medical Group Provider Contracting Specialist Primary responsibility for providing direct support to NLH ... Northern Light Health Department: Medical Group Administration Position is located:...Medical Group Administration in the area of provider contracting . Support includes, but not limited… more
- The Cigna Group (Mclean, VA)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...stage of life. We guide our customers through the health care system, empowering them with the… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting ...millions of people we serve to achieve their best health - delivering the care and service… more
- Elevance Health (KS)
- …Experiences:** + Previous LTSS experience is very strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge plus. + You must ... + Identifies network access and deficiencies and develops recruitment and contracting strategies. + Coordinates and conducts provider training including… more
- Boehringer Ingelheim (Ridgefield, CT)
- …reporting requirements, including AMP, Best Price, ASP, and 340B, as well as federal health care program contracting (eg Medicaid, VA, etc.). **Eligibility ... organization's Value & Access department, focusing on government pricing and contracting , trade, specialty pharmacies and communications with Payers. May also… more
- Elevance Health (Woburn, MA)
- …BA/BS degree a minimum of 5 years' experience in data base maintenance related to health care ; or any combination of education and experience, which would ... Provider Collaboration Manager Sr (Value-Based Contracting )...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- UT Health (Houston, TX)
- …hospital in the country, serving the region with an 500+ bed facility. Our dedicated health care employees will have the opportunity to be exposed to a variety ... facility credentialing, recredentialing, and enrollment. + Oversees completion of managed care provider enrollment applications (new, changes, revalidations) for… more
- Executive Office for US Attorneys and the Office of the US… (Burlington, VT)
- …examinations; knowledge of relevant state, local, and/or federal laws or regulations regarding health care fraud, contracting fraud, or other fraud; using ... relevant state, local, and/or federal laws or regulations regarding health care fraud, contracting fraud,...85 or better on established ranking criteria. You must provide proof of eligibility to receive selection priority. Such… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting , this position is responsible for managing the payor contracting functions for the ... Henry Ford Health . This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
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