- Centene Corporation (Pittsburgh, PA)
- …MHA degree preferred. 10+ years of experience in managed care network development and provider relations/ contracting management in a health care and/or ... Management and Contracting . **Position Purpose:** Direct the provider network and contracting activities....implement and maintain production and quality standards for the Contracting department. + Oversee network development… more
- Molina Healthcare (UT)
- …teams including but not limited too Contract Templates, Contract Management Process, National Contracting and the network development of new Molina Markets ... **Job Duties** * Develops and implements provider network and contract strategies in new...the development and implementation of activities for network development and contracting projects… more
- VNS Health (Manhattan, NY)
- … capacity and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done ... This includes the development and execution of plans for expansion of provider network opportunities as well as maintaining existing networks. Works under… more
- CVS Health (Tallahassee, FL)
- …workflow processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement ... for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
- Trinity Health (Columbus, OH)
- …daily activities of the provider network staff, which may include network development , contracting , credentialing, provider relations, and ... at www.experiencecolumbus.com ! **About the job:** Market Manager - Provider Relations and Network Development ... contracting opportunites. . Develop and implement a network development plan for multiple regions. .… 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 ... to meet you! **Key Responsibilities** The ** Network Development MSO Sales Lead** recruits local provider ...**Requirements** + A minimum of five years experience in provider engagement and/or provider contracting … more
- VNS Health (Manhattan, NY)
- …program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting and Service Operations ... departments to administer demographic changes and renewals to provider contracts. + Monitors contract performance of network providers and serves as a liaison… more
- CVS Health (Columbus, OH)
- …service issues. **Required Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- The Cigna Group (Glendale, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the Glendale, CA market._** The **Director,** ** Provider Contracting ** serves as an integral member of the ... Provider Contracting Team and reports to the ...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Little Rock, AR)
- …The **Manager, Network Management** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- The Cigna Group (Mclean, VA)
- …Economics, Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of networks and ... - will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider … more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or ... agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of...Bachelor's degree + 8 or more years of progressive network management experience including hospital contracting 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 ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional assists in negotiation, and execution of provider ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to… more
- CVS Health (Raleigh, NC)
- …with large or complex national vendors/providers. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, ... personal, convenient and affordable. **Position Summary** The Lead Director, Network Management - Medicaid/North Carolina is accountable for designing conceptual… more
- Management Concepts (Tysons Corner, VA)
- …Inc . is currently recruiting for Instructors to join our Acquisition & Contracting Division. In this role, you will provide student-focused, competency-based, ... Instructor - Acquisition & Contracting Location Tysons Corner, VA Job Category Trainers/Instructors...published course descriptions. + Adhere to course schedules. + Provide feedback on materials to curriculum development … more
- National Reconnaissance Office (NRO) (Las Cruces, NM)
- …NRO and the IC. Participates in cross-functional activities, and builds professional network + Provide guidance and summation documentation, which enables ADF-SW ... purpose of this position is to serve as a Contracting Officer (CO) for a Contracting Team...Community (IC) requirements; or complex, long term research and development studies. The Mission Operations Directorate (MOD) leads innovative,… more
- WellSense (Boston, MA)
- …efficiency. . Contribute your expertise to the design and development of network development projects and other provider -related initiatives as assigned. ... works for our members, no matter their circumstances. **Job Summary:** Supports the Provider Network Management Department by assuming the pivotal role of the… more
- Lancaster General Health (Lancaster, PA)
- …Penn Medicine. Our approach provides full claims administration, medical management, network development / contracting , wellness, and insurance agency ... or without reasonable accommodation) to perform the following duties: + Provide strategic direction and operational oversight including P&L management, financial… 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...with cross-functional teams to inform bottom-up forecast models and provide strategic financial inputs for budget planning.** **Maintain and… more