- The Cigna Group (Bloomfield, CT)
- …Operations and Cigna-HealthSpring matrix partners. + Contributes to national contracting strategy and collaborates with senior leadership both internally and ... relationships representing over 40% of Cigna's total medical cost savings. The **NANPM Medicare Senior Advisor** is responsible for negotiating Medicare … more
- The Cigna Group (Bloomfield, CT)
- The Provider Contracting Senior Advisor is a key contributor to the development of the strategic direction and is accountable for the management of value based ... plan, or provider system with at least (5) five years of innovative Medicare risk, value-based, and/or fee-for-service contracting experience required** + Strong… more
- The Cigna Group (Bloomfield, CT)
- …an integral member of the Provider Contracting Team and reports to the Medicare West Region Contracting Senior Manager. This role assists in developing ... lieu of a Bachelor degree. MBA or MHA preferred. + 3+ years Medicare Contracting and negotiating experience involving complex delivery systems and organizations… more
- The Cigna Group (Springfield, IL)
- …member of the Provider Contracting Team and reports to the **Provider Contracting Senior Manager** . This role assists in developing the strategic direction ... and management of the day to day contracting and network management activities for a local given...gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information,… more
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where… more
- Humana (Olympia, WA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Healthfirst (NY)
- …delegated vendors and other key procurement needs such as outsourcing and IT contracting . + Provide senior leadership-level oversight and guidance across all ... with Medicare /Medicaid and Commercial Healthcare + Experience communicating to senior leadership and cross-functional groups within an organization + History of… more
- The Cigna Group (Atlanta, GA)
- …Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). Reporting to the ... Network Operations Senior Manager or Director, this individual ensures the effective...the market. Often this includes multi-site health systems and national primary care clinic partners. The Provider Performance Enablement… more
- WellSense (Boston, MA)
- …diverse contracts. Under the direction of the Manager of Hospital & Physician Contracting , the Senior Contract Manager assists in the development of network-wide ... Senior Contract Manager WellSense Health Plan is a...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- CareOregon (Portland, OR)
- …for remote positions must reside in Oregon or Washington. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title ... must reside in Oregon or Washington. Job Summary The Senior Contract Specialist is a key contributor to the... Contract Specialist is a key contributor to the Contracting team. This position negotiates, develops, and maintains Letters… more
- Humana (Clearwater, FL)
- …sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager, MarketPoint Sales will supervise Medicare Sales Field Agents ... caring community and help us put health first** Our Senior Manager, MarketPoint Sales motivates and drives a team...Manager, MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. ** Senior Director of Payor Relations** **Monte Nido & Affiliates** **Nashville, TN/Remote** ... and strategic leader to join our team as the Senior Director of Payor Relations. The Senior ...The ideal candidate will have extensive experience in healthcare contracting , a deep understanding of managed care operations, and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires significant ... to questions and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct… more
- CVS Health (Annapolis, MD)
- …role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will negotiate with, execute ... formulate, and implement the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Market Finance Analyst collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Analyst work assignments involve moderately complex to complex issues where the analysis… more
- Mount Sinai Health System (New York, NY)
- …is responsible for evaluating and driving performance for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is ... Sinai's population health organization, working closely with both Managed Care Contracting and Population Health clinical and operational teams providing leadership,… more
- MetLife (New York, NY)
- …strategic advice on regulatory and transactional matters for Versant Health, a national managed vision care company. The successful attorney will advise on how ... the company may meet its business needs while complying with applicable Medicare Advantage, Medicaid Managed Care, and state health insurance laws. The attorney will… more
- Elderwood (Buffalo, NY)
- …from internal stakeholders. Using this information, present sound recommendations to senior leadership related to contracting and negotiating with providers. ... $100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team of… more