- 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
- Molina Healthcare (TN)
- …insight to Molina's culture, Mission and Values. **KNOWLEDGE, SKILLS & ABILITIES ** ** Provider Network - Contract Specialist Associate** + Learn Molina ... the Federal and State requirements for each program - Provider Network Adequacy, Network Capacity...departments and providers to assist with problem-solving and addressing provider contract questions and requests + Assist… 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
- The Cigna Group (Charleston, WV)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... 1 Flex Day) in Pittsburgh office.** **Assistant Vice President, Network Management, Western PA and West Virginia markets** This...This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,… 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 (Norfolk, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Analyst 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 (Mason, OH)
- ** Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... Louis, MO, Grand Prairie, TX or Iselin, NJ. The ** Provider Contract Analyst Senior** is responsible for...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Elevance Health (Columbus, OH)
- ** Provider Contract /Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... 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 (Woburn, MA)
- ** 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 ... KY, Wilmington, DE, Tampa, FL or Nashville, TN. 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
- 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 ... Center:** 682891544 SHP- Provider Network Mgmt **Scheduled Weekly Hours:** 40...(United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with… more
- Robert Half Finance & Accounting (Indianapolis, IN)
- Description The Provider Contract Specialist will be responsible for contracting medical providers and creating customized healthcare networks to meet the ... and follow-up calls, as necessary. + Building a customized provider network with a wide variety of...of bid proposals. + Effectively interacting with and presenting contract information to healthcare administrators, physicians, and… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job...for the initial on-board training of new managed care contract provider partners, and for ensuring their ... Category: Provider Relations 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
- 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: Provider Relations 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 (Indianapolis, IN)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Provider Contract Specialist Manager** is 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 the… 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
- Trinity Health (Boise, ID)
- …and guidelines. Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying ... and PBS colleagues. Responsible for accurately creating and maintaining SAHA Participating Provider contract files and provider file maintenance databases.… more
- Scripps Health (San Diego, CA)
- …Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare . Receive endless appreciation while you build a ... rewarding career with one of the most respected healthcare organizations nationwide. *Why join Scripps Health?* /AWARD-WINNING WORKPLACE:/...with Scripps Health for over 10 years. The Senior Provider Relations / Contract Specialist is the… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Provider Network Development Specialist core responsibility is to assist ... in cultivating the Innovation Care Partners (ICP) provider network by creating growth within the provider membership. This role will also support the ACO… more