- The Cigna Group (Hartford, 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...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… more
- The Cigna Group (Oakland, CA)
- …Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… more
- The Cigna Group (Mclean, VA)
- …systems, Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an ... to step into an exciting position that combines complex contracting and negotiation skills while working with Hospital...integral member of the Provider Contracting Team and report to the… more
- CareFirst (Baltimore, MD)
- …Office programs. + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting . + Knowledge of provider billing and ... day to day activities regarding network development. Responsibilities include provider recruiting/ contracting for commercial business and government programs,… more
- The Cigna Group (Jersey City, NJ)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** ** Hospital / Provider /Ancillary** **group experience ... into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract ... include the Pediatric Clinically Integrated Network, the Professional and Facility contracting needed for Intermountain Health's Nevada Children's Hospital . This… more
- Hartford HealthCare (Hartford, CT)
- … of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors ... Skills and Ability Requirements:* . Advanced knowledge/expertise regarding current and evolving provider payment methodologies with a focus on hospital and… more
- CVS Health (Lansing, MI)
- …cost arrangements within defined groups. + Collaborates cross-functionally to manage Hospital , Ancillary and provider compensation and pricing development ... a plus. + Understanding of Medicaid. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... - our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount… more
- Molina Healthcare (MS)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare ... lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- Health Care Service Corporation (Philadelphia, PA)
- …responsible for the management, mentoring and training of a team responsible for provider contracting and provider support resources, providing subject ... hospital systems, integrated & non-integrated systems, value based contracting , etc). The individual in this role will develop...market **Job Requirements:** + Bachelor Degree and 5 years provider contracting experience OR 9 years managed… more
- AmeriHealth Caritas (Washington, DC)
- …compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains ... dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting /reimbursement experience in healthcare setting. + 3 years of… more
- Molina Healthcare (St. Clair Shores, MI)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- The Cigna Group (Mclean, VA)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital / Provider /Ancillary group experience required** ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- Molina Healthcare (Miami, 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
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... and retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Clinical Category Manager provides on-going oversight and analysis of clinical products and services. Will review usage ... of Nursing or other previous clinical experience required. + Contracting experience is a plus to help lead and...with Sourcing, Value Analysis and engages key stakeholders to provide input and selectively participates in monthly and quarterly… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Manager of Quality and Provider Relations supports the initiatives of ... the Population Health Cabinet and the Clinically Integrated Network (CIN). The Manager of Quality and Provider Relations develops, implements, and evaluates… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health, ... the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead...Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting … more
- OhioHealth (Marion, OH)
- …organizational skills. Advanced computer MS application expertise. 5 years of hospital physician contracting Experience , database management Experience (Access, ... Excel and/or SharePoint). **DESIRED ATTRIBUTES** 5+ years of hospital physician contracting experience, database management expertise (Access, Excel and or… more
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