- CVS Health (Tallahassee, FL)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... Summary** Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
- VNS Health (Manhattan, NY)
- …networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of all providers, the development of incentives, processes, ... and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done by internal… more
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** + As a Value -Based Contracting Analyst you will support network teams on implementation and ... negotiators and Network managers as well as Value -Based Contracting VBC partners to ensure we...Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs… more
- CVS Health (Raleigh, NC)
- …personal, convenient and affordable. **Position Summary** The Lead Director, Network Management - Medicaid/North Carolina is accountable for designing conceptual ... models, initiative planning, and negotiating Medicaid value based agreements with North Carolina providers, including health systems, clinically integrated networks,… more
- Amgen (Washington, DC)
- …you are meant to be in your chosen field. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **Live** **This could ... to engage with subject matter experts and business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve… more
- Red River (Richmond, VA)
- The Business Development Executive, XaaS / Contracting role is responsible for the development and management of a strategy to enable growth in the XaaS ... business by liasing with and educating government contracting officers and contracting shops. They will...reciprocate in their pursuits. + Work closely with Business Development and Capture to drive XaaS business. + Determine… more
- UPMC (Pittsburgh, PA)
- …department is seeking an Actuarial Analyst II to assist with their Value -Based Contracting work! This position applies knowledge of mathematics, probability ... to learn and expand skillset as it relates to Value -Based Contracting + Experience in pricing, reserving,... + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in… more
- UPMC (Pittsburgh, PA)
- …in SQL and Excel + Experience following fields: value -based contracting , pricing, reserving, trend/health economics, provider network analysis, risk ... has an exciting opportunity for an Actuary Lead on their rockstar Value -Based Contracting Team!** This position applies knowledge of mathematics, probability,… more
- The Cigna Group (Richmond, VA)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more
- The Cigna Group (Glendale, CA)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more
- The Cigna Group (Bloomfield, CT)
- …direction of assigned markets and is accountable for the management of value -based and fee-for-service contracting and network management activities ... Contracting Senior Managers** serves as an integral member of the Network Development and Solutions Team, supporting the Northeast Region. This role… more
- Management Concepts (Tysons Corner, VA)
- Instructor - Acquisition & Contracting Location Tysons Corner, VA Job Category Trainers/Instructors Employment Duration Independent Contractor Apply Now ... (https://phg.tbe.taleo.net/phg03/ats/careers/v2/applyRequisition?org=MANAGEMENTCONCEPTS&cws=38&rid=475) Instructor - Acquisition & Contracting Acquisition & Contracting Instructors Management Concepts,… more
- The Cigna Group (Mclean, VA)
- …identify opportunities for greater value -orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for ... or Market Lead. This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Humana (Columbus, OH)
- …**Required Qualifications** + Bachelor's degree + 8 or more years of progressive network management experience including hospital contracting and network ... consumer experiences **Preferred Qualifications** + Master's Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting … more
- Humana (Sacramento, CA)
- …skills to make an impact** **Required Qualifications** + Experience with progressive network management experience including hospital contracting and network ... **Preferred Qualifications** + Bachelor's degree + Experience with ACO/Risk Contracting + Experience with Value Based ...and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development … more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager, Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies and ... contracting agreements, providing data-driven recommendations for necessary adjustments. The...(GTN), and Average Selling Price (ASP).** **Collaborate cross-functionally with Value , Real World Evidence, and Legal teams to identify,… more
- CenterWell (Columbus, OH)
- …five years equivalent experience + A minimum of five years of progressive network management experience including hospital contracting and network ... May assist with identifying and recruiting providers based on network composition and needs within the IPA/ACO markets. +...administration in a healthcare company + Experience with Value Based Contracting + Managing and implementing… more
- Honeywell (MA)
- …. Support account plan development inclusive of key stakeholder identification, value proposition definition and network expansion strategy . Model sales ... team capacity, periodic orders forecasting, sales training and development . Develop, analyze and present business cases to.... Team leadership experience . Valid driver's license WE VALUE . Performance-based contracting sales experience .… more
- CenterWell (Austin, TX)
- …and exceeding goals, and requires an understanding of value -based agreements and provider contracting . The Network Development MSO Sales Lead will be the ... caring community and help us put health first** The Network Development MSO Sales Lead will develop...of five years experience in provider engagement and/or provider contracting + Must have Extensive Value -based care… more
- Trinity Health (Columbus, OH)
- …with focus on system wide contracting opportunites. . Develop and implement a network development plan for multiple regions. . Work with senior leadership to ... design, develop and implement value based programs (APM) that meet and reward quality...the provider network staff, which may include network development , contracting , credentialing, provider… more