- RWJBarnabas Health (Somerset, NJ)
- Manager of Clinically Integrated Network Growth - Somerset, NJReq #:0000157539 Category:Professional / Management Status:Full-Time Shift:Day ... NJ 08873 Job Overview: We are looking for a Manager of Clinically Integrated Network Growth...Provide value proposition to the prospective Clinically Integrated Network Providers; including but not limited to the value-based… more
- Medical Mutual of Ohio (OH)
- …status and track and report major issues. + This role will serve as a project manager to the Provider Network Informatics team which has numerous projects ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...arise. + This role will serve as a project manager to the Provider Network … more
- Zelis (Boston, MA)
- …results it has achieved, and the highly strategic role it plays in our go-forward growth plans. The GM, Provider Network is responsible for maximizing the ... growth and retention of the provider network while overseeing the refinement and...C-Suite and Board of Directors. Role Overview: The Senior Manager , Provider Network will report… more
- AmeriHealth Caritas (Charleston, SC)
- ** Manager , Provider Network Management...+ Leads team in a manner conducive to ongoing growth and expanded knowledge of associates. + Coach team ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. Ensures that… more
- Elevance Health (Manchester, NH)
- …at a minimum. There will be up to 15% travel within the state of New Hampshire. The ** Provider Network Manager Sr** . develops the provider network ... Provider Network Contracting Manager ...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 3 years… more
- Elevance Health (Las Vegas, NV)
- ** Provider Network Manager Sr** **Location:** Las Vegas, NV This position will work a hybrid model (remote and office). The Ideal candidate will live within ... 50 miles of the Elevance Health PulsePoint location listed above. The ** Provider Network Manager Sr** will be responsible for developing the provider … more
- CVS Health (Hartford, CT)
- …initiatives. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth , and efficiency ... as research and analysis to inform solutions, close gaps and maximize the provider network . Lead a team of Network Development Auditors responsible for… more
- Elevance Health (Wichita, KS)
- ** Manager , Provider Network Management LTSS** **Location: Kansas** **Hours:** M - F Standard Working hours **Travel:** Hybrid (1-2 days onsite) 20% Travel ... resolution strategies between providers, members, and the public + Ensures the LTSS provider network has the resources, tools, and supports necessary to deliver… more
- Elevance Health (Grand Prairie, TX)
- …1 day per week and work 4 days virtually .** **Develops the provider network through contract negotiations (language and rates), relationship development, and ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- The Cigna Group (Anaheim, CA)
- …meetings with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of ... the Network Management & Affordability Team and reports to the...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- Zelis (St. Petersburg, FL)
- …results it has achieved, and the highly strategic role it plays in our go-forward growth plans. The GM, Provider Network is responsible for maximizing the ... growth and retention of the provider network while overseeing the refinement and...long-term strategy. Role Overview: The Analyst, Provider Network will report to the General Manager ,… more
- Elevance Health (Olathe, KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal ... miles of one of our Kansas Elevance Health PulsePoint locations. The ** Network Relations Consultant, LTSS Provider Representative** develops and maintains… more
- Elevance Health (Palo Alto, CA)
- ** Provider Network Management Director-CA** **L** **ocation:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... Walnut Creek, Woodland Hills, or Palo Alto, CA. The ** Provider Network Management Director-CA** develops the ...projects with significant impact. + May assist management in network development planning. + May provide work… more
- The Cigna Group (Maitland, FL)
- …the effective management of the performance outcomes of the provider network . The Provider Performance Manager 's responsibilities include: + Developing ... to driving growth , performance and affordability in provider network . + Developing and executing strategic...the MA Business + The Provider Performance Manager is accountable for the growth of… more
- The Cigna Group (Scottsdale, AZ)
- …as Medicare, Medicaid and or Individual and Family Plans. + Skills in provider network development and management, value-based care contract execution including ... partner with large regional and select national systems. In addition, the Senior Manager will contribute to the overall Network Strategy by delivering strategic… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare** ** Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is a...for the management of value-based and fee-for-service contracting and network management activities for multiple local geographies. **DUTIES AND… more
- Elevance Health (Charleston, WV)
- …Pulse Point location. **Shift:** Monday - Friday; 8am - 5pm The **Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) ... + Acts as a liaison between strategic providers and Beacon clinical, quality, provider strategy, network departments, operations, claims, and provider … more
- CVS Health (Princeton, NJ)
- …CMO, CFO, and all matrixed growth partners to expand the ABHNJ provider network to effectively manage behavioral health benefits and care. Successful ... Involvement in the development and maintenance of a credentialed Provider network that is geographically proportionate for... provider services requirements under this Agreement + Provide provider education and develop and deliver… more
- The Cigna Group (Plano, TX)
- …and policies, contract solutions, provider relations, data load/management and network performance. The Manager will supervise a multi-specialty team who ... The Military OneSource (MOS) Network Management Senior Manager will have...impact participant quality of care, access as well as provider experience. This Senior Manager will collaborate… more
- VNS Health (Manhattan, NY)
- …and Service Operations departments to administer demographic changes and renewals to provider contracts. + Monitors contract performance of network providers and ... OverviewManages all aspects of provider relations within a specified geographic region. Regularly...general supervision. Compensation Range:$30.71 - $38.41 Hourly What We Provide + Referral bonus opportunities + Generous paid time… more