• Network Management Manager

    Health Care Service Corporation (Philadelphia, PA)
    …position is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance , recruitment and contracting of ... be responsible for education of providers, and for ongoing provider service. As a manager , this individual...manager , this individual will lead a team of Network Operations Coordinators. This person will guide and educate… more
    Health Care Service Corporation (12/02/25)
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  • Senior Network & Provider Analytics

    Point32Health (RI)
    …. **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part ... as finding improvements) and ad hoc requests. The Senior Network Performance Analyst may also serve as...trend drivers and opportunities for improvement in Point32Health and provider performance . Must demonstrate ability to translate… more
    Point32Health (10/10/25)
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  • Principal Network Engineer

    LTD Global (Livermore, CA)
    …Experience with currently used Network Monitoring Technology + SolarWinds Orion + Network Performance Manager (NPM) - Monitoring and alerting/reporting + ... Network Configuration Manager (NCM) - Configuration/change mgt. + Network ...capture/decode solution (sniffer + Lead root cause analysis for network performance issues and implement solutions to… more
    LTD Global (10/31/25)
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  • Provider Network Quality Strategy…

    Commonwealth Care Alliance (Boston, MA)
    …**Required Experience:** + 5-7 years of experience in healthcare quality improvement, provider network performance and management, population health, or ... Program Manager will work collaboratively with our provider network and Quality teams to identify...Program This role serves as a critical bridge between Provider Engagement, Network Performance , Analytics,… more
    Commonwealth Care Alliance (10/29/25)
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  • Manager Provider Network

    AmeriHealth Caritas (Washington, DC)
    …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... provider contracts. + Responsible for implementation of electronic strategies for provider network to include increasing electronic claims submission and… more
    AmeriHealth Caritas (01/01/26)
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  • Community Provider Network Program…

    Omaha Children's Hospital (Omaha, NE)
    …employer including veterans and people with disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible ... of community providers (the " Network "). The Program Manager (PM) will provide leadership for the...engage key partners. The PM will lead the organization's provider outreach programs and create relationships, structures and processes… more
    Omaha Children's Hospital (12/10/25)
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  • Senior Manager , Provider

    CVS Health (Columbus, OH)
    …alignment, operational success and performance management of assigned provider relationships, network and value-based relationships. Ensures that assigned ... include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) . Drives provider performance and partners with local market to ensure… more
    CVS Health (12/12/25)
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  • BH Provider Engagement Program…

    Commonwealth Care Alliance (Boston, MA)
    …Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, ... account manager , relationship manager , and performance partner - using data, provider feedback,...CCA's behavioral health priorities, programs, and initiatives to the provider network . * Promote provider more
    Commonwealth Care Alliance (10/18/25)
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  • Manager , Provider Contracting…

    The Cigna Group (Mclean, VA)
    …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...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
    The Cigna Group (10/29/25)
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  • Client Manager - Global Service…

    World Wide Technology (Dallas, TX)
    …+ Selling to a Tier 1 Service Provider + **Tier 1 Service Provider network architecture and technology including: Enterprise IT (storage, compute, network ... highly motivated individuals that come together to form high performance team? Come join WWT today! We are looking...Service Providers team. **Why should you join Global Service Provider Sales?** As a Client Manager you… more
    World Wide Technology (11/11/25)
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  • Provider Contracts Manager

    Molina Healthcare (Jackson, MS)
    …candidate lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider more
    Molina Healthcare (01/02/26)
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  • Manager - Provider Analytics

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …data driven solutions with measurable impacts, including targeted financial measures, network performance , and optimization, primarily focusing on supporting ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...across the organization. * Lead the development of strategic provider and network analytics across multiple complex… more
    Blue Cross and Blue Shield of Minnesota (12/30/25)
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  • Provider Relations Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …as appropriate; sets goals for and work closely with the team to drive performance to ensure provider experience metrics are met or exceeded + Provides ... Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality… more
    CareFirst (12/25/25)
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  • Advanced Practice Provider (App/NP/PA)…

    University of Virginia (Charlottesville, VA)
    …Center, a nationally recognized Level 1 Trauma Center, is seeking an Advanced Practice Provider (APP) Manager to lead and support an expanding team of APPs ... as the APP team continues to expand. The APP Manager will oversee APPs staffing a 24/7 ED observation...hiring, and onboarding processes to support program growth. + Provide coaching, mentorship, and performance evaluations for… more
    University of Virginia (10/30/25)
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  • Physician And Provider Relationship…

    Bon Secours Mercy Health (Richmond, VA)
    …Purpose of Position** In collaboration with Market President, the Physician and Provider Relationship Manager (PPRM) is responsible for incremental improvement ... PPRM prioritizes areas of focus for market leadership to optimize product performance and achieve incremental growth. **Essential Job Functions** + Serves as… more
    Bon Secours Mercy Health (11/07/25)
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  • SLPG Contracts Administrator, Provider

    St. Luke's University Health Network (Allentown, PA)
    Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... addition to the services listed above, alongside both the Manager of Provider Services and Contracting and...and resolutions and/or areas for improvement. + Demonstrates/models the Network 's Service Excellence Standards of Performance in… more
    St. Luke's University Health Network (10/31/25)
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  • Network Management Systems (NMS) Operations…

    CACI International (Las Cruces, NM)
    …servers for NMS applications (eg, Riverbed, SolarWinds, Network Node Manager ) + Monitor system performance , identify bottlenecks, and implement improvements ... InfluxDB). + Troubleshoot and resolve system issues, including system failures, performance problems, and network -related issues. + Develop and implement… more
    CACI International (10/23/25)
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  • Zone Manager , Provider Privacy

    Datavant (Augusta, ME)
    …experiences to realize our bold vision for healthcare. **Role Summary:** The Zone Manager , Provider Privacy will provide operational oversight and leadership ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...to maintain alignment on privacy and compliance initiatives. + Provide zone-level performance metrics and updates to… more
    Datavant (11/18/25)
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  • Manager , Ancillary Provider

    Point32Health (Canton, MA)
    …by Point32Health to understand performance , financial or otherwise, of the allied provider network . Work closely with the contract management staff and legal ... 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 team of… more
    Point32Health (12/13/25)
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  • Senior Network Architect/SME in Service…

    GovCIO (Bethesda, MD)
    **Overview** GovCIO is currently hiring for a Senior Network Architect/SME in Service Provider Backbone, LAN/WAN and DW/DM for our NIH-CIT proposal. This ... and services to the Operations and Security Teams + Provide subject matter expertise in Service Provider ...implement, modernize, and enhance the functional capabilities, capacity, and performance of the NIH Network and TIC… more
    GovCIO (12/18/25)
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