- Molina Healthcare (Cambridge, MA)
- …with new LTSS Coordination Organizations, working with Network and Healthcare Services to establish initial contract terms and operating procedures. ... Coordination Organizations. In conjunction with Quality, Healthcare Services and Network , develop suggested contract terms (financial and quality metrics and… more
- The Cigna Group (Scottsdale, AZ)
- …to in-person meetings with Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of ... the Network Management & Affordability Team and reports to the...projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Manchester, NH)
- …preferred. The ** Provider Network Management Director** develops the provider network through contract negotiations, relationship development, and ... Provider Network Management Director (JR136035) **Location**...projects with significant impact. + May assist management in network development planning. + May provide work… more
- University of Washington (Seattle, WA)
- …natural beauty. **The School of Dentistry has an outstanding opportunity for a Provider and Contract Enrollment Specialist to join their team.** The Department ... Reporting to the Director of Patient Revenue Cycle, the Provider and Contract Enrollment Specialist is responsible...to serve as resource for questions about terms of contract such as fee structure, network participation… more
- Avera (Des Moines, IA)
- …have proper documentation to join and remain in the network . + Maintain provider manual and policies and maintain contract database and associated files. + ... Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) … more
- Elevance Health (Columbus, OH)
- …live within 50 miles one of our Pulse Point locations. The ** Provider Contract /Cost of Care Consultant** will provide analytical support to the Cost of Care ... ** Provider Contract /Cost of Care Consultant** **We...improving the quality of care, and increasing member and provider network satisfaction. * Provides expert advice,… more
- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Consultant Senior**...improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,… more
- The Cigna Group (Jackson, MS)
- …cost initiatives. + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements ... be considered in lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/ Provider /Ancillary** **group… more
- Elevance Health (Norfolk, VA)
- ** Provider Contract /CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The ** Provider Contract /Cost of Care Analyst Sr.** is...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... miles of one of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst Senior**...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and maintains data… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job...for the initial on-board training of new managed care contract provider partners, and for ensuring their ... Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, CA,...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist** **Location:** Seven Hills, OH; Mason, OH & Cincinnati, OH This position will work a hybrid model (remote and office). The Ideal ... within 50 miles of the Elevance Health PulsePoint locations listed above. The ** Provider Contract Specialist** will be responsible for coordinating the process… more
- AmeriHealth Caritas (Charleston, SC)
- …compliance with State and accrediting agencies' network adequacy standards. + Ensures the provider network meets the healthcare needs of Plan members. + ... more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network Management department's… more
- The Cigna Group (Hartford, CT)
- …projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet ... in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Woburn, MA)
- **JR139900 Provider Contract Specialist Manager** Functions with the expertise in managing negotiated pricing loads. Responsible for coordinating the process for ... pricing arrangements involving facilities or large health systems, or high-profile provider groups and/or physician groups tied to large hospital systems joining… more
- AmeriHealth Caritas (Youngstown, OH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is ... now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about... provider issues. Responsible for monitoring and managing provider network by assuring appropriate access to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and Abilities) + Solid understanding of global, hospital and physician contract development; demonstrated negotiation of complex provider payment arrangements; ... Ready to help us transform healthcare ? Bring your true colors to blue. BCBSMA...in implementing innovative payment models like the Alternative Quality Contract and pioneering incentives to reduce racial inequities in… more