- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage ... business (Medicare, commercial etc.). + Manages contract performance in support of network quality, availability, and financial goals and strategies for all lines of… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks and contracts, including ... action plans and successfully implement them. + Maintain a comprehensive provider network (hospitals, physicians, ancillary) and ensure efficient standard… more
- CVS Health (Augusta, ME)
- …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… more
- Elevance Health (Overland Park, KS)
- …Identifies network access and deficiencies and develops recruitment and contracting strategies. + Coordinates and conducts provider training including ... ** Network Relations Consultant, LTSS Provider Representative**...experience is very strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge… more
- The Cigna Group (Tampa, FL)
- …- 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 (Manchester, NH)
- Provider Collaboration Manager Sr (Value-Based Contracting ) JR138366 **Location:** Candidates must reside within 50 miles and 1-hour commute each way of our ... visit providers as needed - up to 15%. The ** Provider Collaboration Manager Sr** is responsible for...with provider collaboration activities. + Collaborates with provider contractors and network relations reps to… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations… more
- Elevance Health (Atlanta, GA)
- ** Provider Network Manager Senior**...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager Senior** will...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- AmeriHealth Caritas (Charleston, SC)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring that… more
- Centene Corporation (Mcallen, TX)
- …Bachelor's degree in related field or equivalent experience. 4+ years of network account management or provider contracting experience in ... corporate and state policies, procedures and guidelines + Participate in provider contracting activities to minimize contract implementation issues/errors +… more
- City of New York (New York, NY)
- …ADMINISTRATIVE STAFF ANALYST, ADMINISTRATIVE PROCUREMENT ANALYST, HEALTH SERVICES MANAGER or ADMINISTRATIVE MANAGER . Division/Program Summary Description: ... The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily...implement annual M/WBE outreach plans, to include DOHMH sponsored network events. - Actively participate in networking events sponsored… more
- Elevance Health (Manchester, NH)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 ... the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director** develops the ...projects with significant impact. + May assist management in network development planning. + May provide work… more
- The Cigna Group (Scottsdale, AZ)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- Elevance Health (Las Vegas, NV)
- …**Hybrid role (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship ... + Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education… more
- Molina Healthcare (CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the daily… more
- Point32Health (Canton, MA)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Responsible ... Working under the direction of the Director or Senior Manager , the Senior Analyst will be part of a...as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also… more
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