- Novo Nordisk Inc. (Little Rock, AR)
- …product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market ... the entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement), Marketing, Area Commercial Sales Team, Medical Affairs,… more
- CVS Health (Columbus, OH)
- …service issues. **Required Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… 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
- The Cigna Group (Little Rock, AR)
- …The ** Manager , Network Management** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare** ** Provider Contracting Senior Managers** serves as an integral member of the Network Development and ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Manager , Provider Contracting initiates, negotiates, and executes physician, hospital, ... agreements for an organization that provides health insurance. The Manager , Provider Contracting works within...May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to… more
- The Cigna Group (Glendale, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… 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
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional assists in negotiation, and execution of provider ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to… more
- CVS Health (Tallahassee, FL)
- …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager , Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies ... and contracting agreements, providing data-driven recommendations for necessary adjustments. The...with cross-functional teams to inform bottom-up forecast models and provide strategic financial inputs for budget planning.** **Maintain and… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Provider Network Account Manager II...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los ... 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
- TQI Solutions, Inc. (Norfolk, VA)
- TQI is seeking an experienced and detail-oriented Program Manager to lead IT transformation projects for our Client. Reporting to VP of Operations, the Program ... Manager will be responsible for overseeing all aspects of...The ideal candidate will have a strong background in Network Operations (NetOps) and a proven track record of… more
- The Cigna Group (Bloomfield, CT)
- …years Managed Healthcare experience** + **5+ years' experience within Provider Contracting , Product, Compliance or Provider Network Management, including ... position partners closely with Regional and National Leaders in Contracting , Provider Services, Product, Legal, Network..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Amgen (Washington, DC)
- …be in your chosen field. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **Live** **This could be your everyday** Let's do ... business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve and maintain payer coverage and provider … more
- Elevance Health (Middletown, NY)
- ** Provider Network Manager Sr**...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... of the Elevance Health PulsePoint location listed above. The ** Provider Network Manager Sr** will...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Indianapolis, IN)
- …+ Drives the value-based contracting initiatives in IN, ensuring the provider network aligns with the competitive landscape and advancing managed care ... time per week **Schedule:** Monday- Friday, 8:00am-5:00pm EST. **Develops the provider network through contract negotiations, relationship development, and… more
- Elevance Health (FL)
- …onsite per manager discretion)** **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
- Trinity Health (Columbus, OH)
- …of a geographic area or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will maintain a portfolio of ... Learn more at www.experiencecolumbus.com ! **About the job:** Market Manager - Provider Relations and Network...provider network staff, which may include network development, contracting , credentialing, provider … more
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