- The Cigna Group (Bloomfield, CT)
- WORK LOCATION: Hartford, CT The Provider /Hospital Contracting Manager serves as an integral member of the Provider Contracting Team and reports to ... the AVP, Provider Contracting . This role assists in developing the strategic direction...with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION… more
- The Cigna Group (New York, NY)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... MUST RESIDE IN NEW YORK CITY OR MORRISTOWN, NJ AND WILLING TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS The Provider Contracting Advisor serves as an integral… more
- CVS Health (Woonsocket, RI)
- …it all with heart, each and every day. Position Summary The Senior Manager will lead strategic pharmaceutical contracting initiatives, including the negotiation ... and financial data to optimize contract terms and deliver cost savings. Provide strategic direction to account management and manufacturer negotiations to control… more
- Abbott (North Chicago, IL)
- …way patients and professionals measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting , you will be responsible for ... Management, Finance, Forecasting, Contract Operations, and Access Strategies teams to provide strategic contracting partnership and analytical insights to… more
- Seattle Children's (Seattle, WA)
- …field. Minimum five (5) years experience in hospital, public works construction contracting , or other relevant contracting experience with financial analysis. ... we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational… more
- CVS Health (Columbus, OH)
- …impact by: Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. Developing relationships ... day. Position Summary Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business...Qualifications 5+ years of experience in value-based care in contracting , provider relations, provider operations… more
- Molina Healthcare (Orlando, FL)
- Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more
- Molina Healthcare (St. Petersburg, FL)
- …procedures. Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider ... Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Deloitte (St. Louis, MO)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Deloitte Consulting LLP's QRM group is seeking a Risk Manager with extensive experience in supporting complex deals and...functions are described in detail below. Deal Desk Support, Contracting , and Negotiations Assist with deal desk and contract… more
- Deloitte (Houston, TX)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Consulting LLP's Quality and Risk Management group is seeking a Risk Manager with extensive experience in supporting deal and contract structuring, drafting… more
- State of Minnesota (St. Paul, MN)
- Working Title: Managed Care Contracting and Rates (MCCR) Director Job Class: Human Services Manager 4 Agency: Human Services Dept Job ID : 90577 Location : St. ... Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager Division/Unit : Health Care Administration / Managed Care... Division/Unit : Health Care Administration / Managed Care Contracting and Rates Work Shift/Work Hours : Day Shift… more
- General Dynamics Information Technology (Arlington, VA)
- …and appropriateness of requirement Maintain a working relationship with the Program Manager , Contracting Officer and contractor security officers to ensure a ... Description: The Acquisition Security Analyst will assist the Government Program Manager with the development and implementation of comprehensive program protection… more
- Elevance Health (Richmond, VA)
- …internal and external issues related to VBC partnerships, including provider /vendor engagement, performance measurement, and outcomes-based contracting ... Value-Based Contracting Director This role requires associates to be...and external issues on an ad hoc basis, including provider collaboration challenges, performance disputes, and implementation concerns. May… more
- CVS Health (Trenton, NJ)
- …to the Market Preferred Qualifications Familiar with legal terms in the context of provider contracting Able to apply system thinking when managing multiple ... value based provider agreements. In charge of complete value based contracting cycle from planning, creating documents, and negotiation to oversee loading of… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... and Systems (CAHPS), and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams… more
- Molina Healthcare (Omaha, NE)
- …20% travel (mostly daytime) throughout Nebraska, requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully ... complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. Responsible for … more
- Elevance Health (Morristown, NJ)
- …for autism and depression, and insightful analytics to improve the delivery of care. Provider Network Manager - New Jersey * This is an Individual Contributor ... Shift: Monday - Friday, 40 hours a week The Provider Network Manager develops the provider...and a minimum of 3 years of experience in contracting , provider relations, provider servicing… more
- Elevance Health (Grand Prairie, TX)
- …required. Requirements a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of ... as required by law The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Kaiser Permanente (Atlanta, GA)
- …to achieve appropriate solutions. Supports continuous improvement efforts by: utilizing provider , claims, and contracting data to identify and/or consult ... (PMP) or equivalent project/program management certification. COMPANY: KAISER TITLE: Contract Manager IV - Provider Services LOCATION: Atlanta, Georgia… more
- Centene Corporation (New Orleans, LA)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
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