- Elderwood (Buffalo, NY)
- …$100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing ... match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview...Participate in negotiation process. + Conduct business review of provider contracts and coordinate with legal and other internal… more
- WESCO (Charlotte, NC)
- As the Senior Manager - Business Development Network Infrastructure, you will manage research, analyze, and develop new business opportunities in conjunction ... You will analyze and monitor business growth and decline, as well as provide possible solutions and new ways to strengthen the Company's competitive position within… more
- Elevance Health (Latham, NY)
- …Cross product line partnerships (Commercial / Medicare), Implementation project management and Network Development support. The Program Manager will assist ... **Program Manager ** **Location:** **New York.** **This position is primarily...value-added solutions for customers. + Manages and coordinates the development , approval, implementation and compliance of on-going external client… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Provider Network Account Manager II...and Strategy; Data Management; and, Operations). Assist in the development and distribution of provider engagement material… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager ...all of the LAC PNM groups; assist in the development and distribution of provider engagement material ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations that… more
- Elevance Health (Atlanta, GA)
- ** Provider Network Manager Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager Senior** will...will be responsible for developing the provider network through contract negotiations, relationship development , and… more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- AmeriHealth Caritas (Charleston, SC)
- …education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. ;Ensures that ... annual goals and objectives. **Contracting:** + Responsible for hospital and physician network development and management. + Develops and recommends policy… more
- Elevance Health (Atlanta, GA)
- … Network Manager ** Sr. develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this ... Provider Network Manager Sr....contracting staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- Trinity Health (Boise, ID)
- …Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying contract terms, ... the work necessary for resolution of questions regarding claims, fee schedules, network contracting, provider credentials verification, payer enrollment, and … more
- Elevance Health (Woodbridge, NJ)
- …of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Woodbridge, NJ)
- …days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Waukesha, WI)
- …1-hour commute each way of the above Elevance Health location. **Develops the provider network through contract negotiations (language and rates), relationship ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- The Cigna Group (Scottsdale, AZ)
- …to in-person meetings with Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... Network Management & Affordability Team and reports to the...Management. This role is a key contributor to the development of the strategic direction and is accountable for… more
- Elevance Health (Manchester, NH)
- …Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for large ... Provider Network Management Director (JR136035) **Location**...projects with significant impact. + May assist management in network development planning. + May provide… more
- EAC Network (Bronx, NY)
- …Hourly Travel Percentage None Job Category Nonprofit - Social Services Case Manager (CTCM) Bilingual Preferred EAC Network , a not-for-profit social service ... (CTCM)to workfull time for its Bronx Community Re-Entry Assistance Network (CRAN) program. The Case Manager (CTCM)...applying for and receiving public and private benefits and provide linkages to the appropriate community providers. + Maintain… more
- Point32Health (Canton, MA)
- …RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as a project ... Working under the direction of the Director or Senior Manager , the Senior Analyst will be part of a...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Avera (Sioux Falls, SD)
- …or Work Experience:** + Master's + Provider Network Management, Provider Network Development , Talent Acquisition and/or Sales and Marketing ... patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member...provider specialty types; and develop and implement a network development plan for the Avera footprint… more
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