- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other ... and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth understanding of how organization… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, 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 Provider Contracting Team and report to the...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- The Cigna Group (Toledo, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Jersey City, NJ)
- …area. Will be required to go into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- CareFirst (Baltimore, MD)
- …+ Strong understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... contracting negotiations and 2 years experience in healthcare, provider recruitment or provider relations. **Preferred Qualifications:** + Master's… more
- St. Luke's University Health Network (Allentown, PA)
- …Implements and/or revises processes to improve department functionality related to provider contracting . + Demonstrates responsibilities in ensuring department ... the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG Contracts Administrator, the Contracts Administrator… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... healthcare, business or related field. 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… 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 . ... 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
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues… 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 ... unless an accommodation is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for provides analytical support to… more
- Humana (Salt Lake City, UT)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or ... other provider contracts and agreements. The Provider Contracting Executive works on problems of...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- CareFirst (Baltimore, MD)
- …Office programs. + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting . + Knowledge of provider billing and ... day to day activities regarding network development. Responsibilities include provider recruiting/ contracting for commercial business and government programs,… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + Provides… more
- Humana (Montgomery, AL)
- …our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or ... contracts and agreements for the State of Mississippi. The Senior Provider Contracting Professional work assignments involve moderately complex to complex… more
- Sanford Health (Sioux Falls, SD)
- …needs of Sanford Health Plan membership. Oversees development and execution of provider contracting strategies. Identifies and creates processes to establish ... **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a… more
- Point32Health (Canton, MA)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the… more
- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
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