- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The ** Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...MBA or MHA preferred.** + **3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician … more
- The Cigna Group (Mclean, VA)
- …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 ... Are you ready to step into an exciting position that combines complex contracting and negotiation skills while working with Hospital systems, Ancillaries,… more
- The Cigna Group (Sunrise, FL)
- The **Provider Contracting Manager ** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting . This ... in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **Duties and… more
- CVS Health (Frankfort, KY)
- …and/or behavioral health experience preferred. + Proven working knowledge of physician reimbursement methodologies and contracting strategies. + Strong ... analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company… more
- Albany Medical Center (Albany, NY)
- …system and/or large, academic, or complex health care setting that included payer contracting - preferred + Hospital, physician group and value-based enterprise ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- St. Luke's University Health Network (Allentown, PA)
- …or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG Contracts ... distributes, returns and maintains finalized contracts. + Under the supervision of the Manager , Provider Services and Contracting , serves as an administrator of… more
- Hartford HealthCare (Hartford, CT)
- …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for ... payer contracting analytics with a focus on hospital and ancillary.... initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst** is responsible for provides analytical support to the Cost of… more
- CVS Health (Lansing, MI)
- …**Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate ... of contracts with larger and more complex, regional based hospital systems, large physician groups, and ancillaries in accordance with company standards. As a Senior… more
- OhioHealth (Marion, OH)
- …by developing, implementing, communicating, managing and monitoring the needs of the physician contracting program. This role is a subject matter expert, ... be maintained to facilitate the success of the compliance initiatives aligned with physician contracting . The purpose of this position is to: (a) lead and manage… more
- Cardinal Health (Houston, TX)
- **_What the Account Manager contributes to Cardinal Health_** The Account Manager for Physician Office and Non-Acute Pharma is responsible for managing the ... supply chain or distribution experience preferred + Medical-surgical, Lab product and contracting knowledge desired + Positive attitude and willingness to learn +… more
- Chenega Corporation (Rockville, MD)
- …**Chenega Professional Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the Department of Health ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...and effective contact and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO),… more
- HCA Healthcare (Savannah, GA)
- …goals, financial performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with other PSG colleagues ... 156,000 hours impacting our communities. As a Director of Physician Services II with Memorial Health, you can be...Services II with Memorial Health, you can be a manager in an organization that is devoted to giving!… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the largest ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Molina Healthcare (Jackson, MS)
- …managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity ... _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Health Care Service Corporation (Philadelphia, PA)
- …implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, physician groups and facilities including large ... independent hospital systems, integrated & non-integrated systems, value based contracting , etc). The individual in this role will develop...of providers, and for ongoing provider service. As a manager , this individual will lead a team of Network… more
- AmeriHealth Caritas (Washington, DC)
- …to reflect changes. Ensures department achieves annual goals and objectives. ** Contracting ** + Responsible for hospital and physician network development ... This position is also responsible for all provider network recruiting and contracting management activities as it relates to the DC Medicaid Plan. Ensures… more
- WMCHealth (Suffern, NY)
- …conflicts. * Acts as a liaison between Legal and Outside Counsel for all physician contracting arrangements. * Oversees physician payment process relating ... Sr Manager , Contract Company: Good Samaritan Hospital City/State: Suffern,...legal department relating to contracts. * Assists with drafting physician agreements and clinical services agreements. * Obtains fair… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Strategic Sourcing Category Manager position is responsible for leading the development and execution of sourcing strategies across ... quality, compliance, and service continuity. The Strategic Sourcing Category Manager works closely with key stakeholders, including clinicians, finance, legal,… more
- Elevance Health (Atlanta, GA)
- …relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex ... You Will Make an Impact:** + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development + Works independently… more