- CVS Health (Phoenix, AZ)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment… more
- Providence (Renton, WA)
- …as a thought leader with the Provider contracting team on issues related to network development and value creation for the region. + Participate at a senior ... **Description** The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer… more
- Hartford HealthCare (Wethersfield, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual… more
- Highmark Health (Albany, NY)
- …process, and assumes the lead where necessary. Responsible for the development , implementation, maintenance, and updating of the plan's multiple fee schedules ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Martin's Point Health Care (PA)
- …meeting, and other network provider activities. Key Outcomes: Network Development + Handles high level contracting and renegotiations with large and ... is not a remote position. Job Description The Senior Network Representative is responsible for all contracting ,...continually access the composition and performance of the provider network . This includes primary care incentive monitoring… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …goals and objectives. ** Contracting :** + Responsible for hospital and physician network development and management. + Develops and recommends policy changes ... **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're… more
- Elevance Health (Columbus, OH)
- …in three people across all 50 states. **Summary:** We seek a Staff VP of Network Contracting for this exciting opportunity to drive change and impact care ... interaction with all the business leaders and stakeholders. **Team Scope:** As Staff VP of Network Contracting , you will be responsible for a team of 10 FTE's. … more
- Elevance Health (Waukesha, WI)
- …Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is ... high level of negotiation skills. Fee schedules are customized.** PRIMARY DUTIES: + Serves as key resource for other... DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and… more
- Elevance Health (Charleston, WV)
- Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is contracting and ... an impact:** + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and... staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- CVS Health (Harrisburg, PA)
- …include maintaining, reinforcing, and fostering important growth initiative for network improvement. Primary Responsibilities + Strategically identify, recruit, ... in a geographic area within established guidelines to meet network need + Primary recruitment responsibilities will...guidelines while being cognizant of utilization and cost. + Contracting providers by ensuring all data and documentation is… more
- CVS Health (Baton Rouge, LA)
- …health care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned profile of larger and more complex providers (ie, ... internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation… more
- CVS Health (Princeton, NJ)
- …in New Jersey. The primary functions of the BH Senior Manager of Network Relations are: + Involvement in the development and maintenance of a credentialed ... + Provide provider education and develop and deliver provider training + Ensure network adequacy and appointment access, including development of network … more
- Leidos (Boulder, CO)
- …patching, security hardening, troubleshooting, recovery, and decommissioning to the existing network infrastructure equipment and circuits. ** PRIMARY DUTIES:** + ... security and best practices, network system integration, and/or enterprise network management OR the analysis, development , and operational support of… more
- CVS Health (Princeton, NJ)
- …care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned, high profile providers or groups (ie, local, individual ... to ensure service levels are meeting expectations. + Manages the development of agenda, validates materials, and facilitates external provider meetings. +… more
- Elevance Health (Topeka, KS)
- …the provider network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education and experience,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Administration + 15+ years' experience in ambulatory operations leadership, business development , network development , transaction, or strategic planning ... The Vice President of Adult Ambulatory Operations and VUMC Primary Care System oversees the development of...the healthcare service sector + Experience in establishing a primary care network + Experience overseeing … more
- AmeriHealth Caritas (Philadelphia, PA)
- **Provider Network Coordinator** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34226 Your career starts now. We are looking for the ... Department by assisting with root cause analysis and the development of reports, as well as other support activities...of provider issues. + Serves as a resource to Network Management Account Executives for contracting and… more
- HonorHealth (Scottsdale, AZ)
- …practices. Directs operations of practices, assists with physician recruitment, contracting , program development and support physician initiatives. Analyzes ... to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.… more
- Intermountain Health (Las Vegas, NV)
- …**Job Description:** The Medical Director of the Nevada Pediatric Clinically Integrated Network (CIN) provides the clinical leadership for the pediatric CIN with ... with the AVP of Pediatrics, Nevada to prioritize CIN growth and development . * Builds strong and collaborative relationships with the independent community pediatric… more
- CVS Health (Oklahoma City, OK)
- …and apply via the CVS Careers Page. Position Summary: Acts as the primary resource for assigned, high profile providers and/or groups (ie local, individual ... intervals to ensureservice levels are meeting expectations- Manages the development of agenda, validatesmaterials, and facilitates external provider meetings-… more