- CVS Health (Columbus, OH)
- …affordable. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. + Proven working knowledge of… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment… more
- Elevance Health (Topeka, KS)
- ** Senior Investigator (Investigator Sr)** _Location: This position will work a hybrid model (1-2 days/week in office) with the ideal candidate living within 50 miles ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Senior Investigator** is responsible for the independent identification, investigation… more
- Elderwood (Buffalo, NY)
- …- $100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing ... with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to engage new… more
- CVS Health (Richmond, VA)
- …impact in your next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual contributor role, you ... role include: . Recruit providers as needed to ensure attainment of network expansion and adequacy targets. . Collaborate cross-functionally to manage provider… more
- CVS Health (Salt Lake City, UT)
- …or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and ... coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal **Education** Bachelor's Degree or equivalent combination of… more
- WellSense (Boston, MA)
- … Manager of Hospital & Physician Contracting, the Senior Contract Manager assists in the development of network -wide strategies to improve efficiencies ... Senior Contract Manager WellSense Health Plan...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Citrix Systems Engineer - Network /Virtualization is a member of a High-Performing ... virtual access to ~20K concurrent users + Partners with Network , Security, and Offshore business partners to develop resilient...with VMWare ESX Hypervisor + Familiarity with Citrix Profile Manager + Ability to work independently as well as… more
- Aveanna (Atlanta, GA)
- Network , Voice and Collaboration Manager - Remote ApplyRefer a FriendBack Job Details Requisition #: 193843 Location: Atlanta, GA 30339 Category: OT Salary: ... voice and collaboration configurations, procedures, and troubleshooting guides. Work closely with senior management to align network and voice strategies with… more
- Trinity Health (Columbus, OH)
- …own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** Market Manager - Provider Relations and Network Development is responsible for the ... area or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will... development plan for multiple regions. . Work with senior leadership to design, develop and implement value based… more
- Elevance Health (Atlanta, GA)
- **Provider Network Manager Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The **Provider Network Manager Senior ** will be responsible for developing the provider network … more
- State of Massachusetts (Boston, MA)
- MassHealth is seeking qualified applicants for the position of* Senior Manager of Behavioral Health Policy*.The Senior Manager will drive behavioral ... and implementation across the behavioral health service, age, and diagnostic continuums. The Senior Manager of Behavioral Health Policy willreport to the Deputy… more
- VHC Health (Arlington, VA)
- Senior Practice Manager - Urgent Care...is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare ... the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet(R) hospital by the… more
- Healthfirst (NY)
- …trusting and long-term relationships with all key decision makers/influencers, including senior leaders and physicians + Local provider market knowledge and ... into provider specific plans and activities. + Understand emerging trends, network /market opportunities and competitive threats + Understand Healthfirst products and… more
- AdventHealth (Lake Wales, FL)
- …serving the community and surrounding areas. + As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new ... Bok Tower Gardens and Bird Sanctuary. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional nurse who has the most direct impact… more
- The Cigna Group (St. Louis, MO)
- …analyzing data to support business process enhancements and build/manage Medicare and Medicaid network product solutions, and to resolve issues. Responsible for ... minimal direction + Work collaboratively with cross-functional partners to manage Medicare and Medicaid network products and other projects as assigned + Manage… more
- Elevance Health (St. Louis, MO)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the...the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg… more
- CareOregon (Portland, OR)
- …Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title Provider Network Contract Manager Direct Reports ... remote role but you must reside in Oregon or Washington. Job Summary The Senior Contract Specialist is a key contributor to the Contracting team. This position… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …of each Director/ Manager /Department reporting to this position + Assists senior leadership in Network -wide transformation to sustainable healthcare delivery ... Patient Centered Medical Home, Pathways, Food as Medicine, NYS Medicaid 1115, , etc.) the VP will collaborate with...etc.) the VP will collaborate with and engage with senior management, medical and Health Center leadership, providers, and… more
- Molina Healthcare (Seattle, WA)
- …quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality Improvement programs in accordance ... key performance measurement activities. Manages assigned provider relationships across the network - address issues, develop and provide education and facilitate… more