- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Corewell Health (Grand Rapids, MI)
- …and advancement while maintaining seniority and benefits. About the RoleAs Manager of Provider Network Contracting , you will partner with the Director to ... providers to ensure annual goals are achieved. + Provide advice/guidance/recommendations to corporate and regional executives and business...E Beltline Ave NE - Grand Rapids Department Name Provider Network Contracting - PH… more
- The Cigna Group (Richmond, 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 ... integral member of the Provider Contracting Team and report to the...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- CareFirst (Baltimore, MD)
- …Responsible for planning and managing day to day activities regarding network development. Responsibilities include provider recruiting/ contracting for ... Office programs. + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting . + Knowledge of provider billing and… more
- Point32Health (Canton, MA)
- …utilized by Point32Health to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a… more
- The Cigna Group (Columbus, OH)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … 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 ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service + Supports strategic positioning for provider contracting , assists in the development of… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for...improving the quality of care, and increasing member and provider network satisfaction. **How you will make… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for ... to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract ... Contracting in Nevada to include the Pediatric Clinically Integrated Network , the Professional and Facility contracting needed for Intermountain Health's… more
- CVS Health (Lansing, MI)
- …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- MVP Health Care (Rochester, NY)
- …based on type, provider /health system name, effective dates, renewal terms, contract manager , and key clauses using metadata tagging. + Set up access controls to ... limit who can view, edit, or manage specific contracts. **Where you'll be:** Location: On-site, Rochester NY \#CS **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range… more
- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains… 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 ... manager , this individual will lead a team of Network Operations Coordinators. This person will guide and educate...market **Job Requirements:** + Bachelor Degree and 5 years provider contracting experience OR 9 years managed… more
- Commonwealth Care Alliance (Boston, MA)
- …of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align ... Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation...Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. Responsible ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring that… more
- Elevance Health (Atlanta, GA)
- …a commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Elevance Health (Houston, TX)
- **JR177058 Provider Network Manager ** The...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... Network Manager develops the provider network through contract negotiations (language and...an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Typically works with… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager ** The...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... Network Manager develops the provider network through contract negotiations (language and...an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Typically works with… more