- Northwestern Mutual (Franklin, WI)
- …we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Primary Duties & Responsibilities * Determine applicability ... more
- Avera (Sioux Falls, SD)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) ... more
- The Cigna Group (Austin, TX)
- …Groups. Must have experience working with Commercial/Employer Healthcare Contracting.** **Manager, Provider Contract Network Management** position serves as an ... more
- UNC Health Care (Holly Springs, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within Service Area) ** Cost Center:** 682891544 SHP- ... more
- CVS Health (Columbia, SC)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Minimum 3+ ... more
- UNC Health Care (Fuquay Varina, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within ... more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …understanding of contract language * Strong understanding of professional provider cost structures and reimbursement methodologies * Sound knowledge of ... more
- WellSense (Boston, MA)
- …is responsible for the development, implementation and management of a cost -effective provider network, maintaining complex and geographically diverse contracts. ... more
- Dignity Health (Rancho Cordova, CA)
- …the analytics performed on existing contracts and evaluate the need for a new provider contract within the market. - Identifies existing professional provider ... more
- MVP Health Care (Schenectady, NY)
- …be substituted for a degree. + Seven or more years of experience in health care operation, contracting, contract negotiation or Finance with at least 3 years ... more
- UPMC (Pittsburgh, PA)
- … proposed terms as compared to current contractual terms and other comparable payor contract terms. + Data mine provider and payor financial and operational data ... more
- MyFlorida (Tallahassee, FL)
- …program office liaison, negotiates contract terms and conditions, performing cost analyses of provider budgets. Maintains proper documentation of ... more
- Molina Healthcare (CA)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... more
- HCA Healthcare (Campbell, CA)
- …seeking a(an) Contract Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... more
- University of Utah Health (Murray, UT)
- …contract negotiation analysis. + Prepares market analysis including population demographics, provider cost and quality data, and network configuration for ... more
- Intermountain Health (Las Vegas, NV)
- …health system, hospital and provider group performance, including quality, experience, and total cost of care . + Lead the health plan in network design and ... more
- Molina Healthcare (Fort Worth, TX)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... more
- CVS Health (Lansing, MI)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Critical ... more
- Molina Healthcare (Chesapeake, VA)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... more
