• VP Operations - Specialty Medical Group Practices

    Ascension Health (Warren, MI)
    …staffing, leading and controlling of all clinical ancillary and support departments. Strong physician relations , physician contracting and working in ... join a diverse team united by our mission; to provide compassionate, personalized care to all - especially to...of business plans and clinical programs. + Advises on physician employment candidates and practice acquisition candidates for fit… more
    Ascension Health (06/27/24)
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  • Physician Contracting Specialist

    HCA Healthcare (Dallas, TX)
    …environment where diversity and inclusion thrive? Submit your application for our Physician Relations Coordinator opening with Medical City Healthcare today and ... benefits may vary by location._** We are seeking a(an) Physician Relations Coordinator for our team to...you to apply! **Job Summary and Qualifications** Seeking a ** Physician Contracting Specialist** for our North Texas… more
    HCA Healthcare (06/19/24)
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  • Senior Provider Contracting

    Humana (Tallahassee, FL)
    …+ Experienced working with large physician groups in provider relations or operations + Experience with Risk Contracting + Experience with Value ... community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician and/or other provider more
    Humana (07/02/24)
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  • Provider Relations Manager

    Molina Healthcare (Seattle, WA)
    …contracts. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to ... Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy...Medicare and Medicaid managed healthcare setting, ideally with different provider types (eg, physician , groups and hospitals).… more
    Molina Healthcare (05/24/24)
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  • Director - Payor Contracting

    Providence (Irvine, CA)
    …results in total. The leader will be responsible for helping to lead our Acute, physician group, and ancillary entity relations with respect to managed care, and ... **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for...to staff contract negotiation teams on behalf of Acute, Physician Group, and applicable ancillary services to ensure performance… more
    Providence (07/04/24)
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  • Provider Relations Manager

    Molina Healthcare (Troy, MI)
    …contracts. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to ... Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy...Medicare and Medicaid managed healthcare setting, ideally with different provider types (eg, physician , groups and hospitals).… more
    Molina Healthcare (06/21/24)
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  • Manager, Provider Relations

    Molina Healthcare (Chicago, IL)
    …in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina… more
    Molina Healthcare (06/25/24)
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  • Managed Care Database Administ / Managed Care…

    Hartford HealthCare (Wethersfield, CT)
    …practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual ... . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations ** . *# Workers Responsible For* o In-Direct Reports: 1 . *Nature of… more
    Hartford HealthCare (06/29/24)
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  • Senior Provider Relations

    Molina Healthcare (Nebraska City, NE)
    …Providers. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to ... _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network...in a managed healthcare setting ideally in negotiating different provider contract types, ie physician , groups and… more
    Molina Healthcare (06/25/24)
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  • VP, Payer Relations

    Scripps Health (San Diego, CA)
    …and medical group-specific payer contract needs, such as Center of Excellence contracting for tertiary programs, physician relations for program ... Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and...the development and execution of all types of payer contracting programs and provider partnership strategies for… more
    Scripps Health (06/26/24)
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  • Director, Professional Relations

    Pfizer (New York, NY)
    …RWE, and label indications are anticipated throughout 2024 and 2025. The Professional Relations Director will report directly to the US PAXLOVID HCP and Market ... content with agency in new and engaging formats + Contracting and partnering with DOLs to ensure content remains...implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health… more
    Pfizer (06/30/24)
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  • Director ASC Operations (Ambulatory Surgical…

    Virtua Health (Marlton, NJ)
    …financial reporting, supply chain management, vendor relationships; service and supply contracting , physician relations , clinical care, customer satisfaction ... than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies,… more
    Virtua Health (07/04/24)
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  • Provider Network Manager

    Elevance Health (Topeka, KS)
    …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations , provider servicing; or any combination ... onsite per week) as well as potential travel to provider sites as needed **Position Overview:** Develops the ...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
    Elevance Health (06/19/24)
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  • Provider Relation Specialist I

    Centene Corporation (Little Rock, AR)
    …equivalent. Bachelor's degree in healthcare related field preferred. 3+ years of sales, provider relations , or contracting experience. Knowledge of health ... providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance… more
    Centene Corporation (07/04/24)
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  • Administrative Director Cancer Center

    Vanderbilt University Medical Center (Cookeville, TN)
    …* Ensure adequate resources are available to implement strategies/decisions, strengthens physician relations , participates in pricing, contracting and ... leaders in techniques and methods that drive business growth, enhance employee and physician relationships, and provide excellent clinical outcomes. * Ensure the… more
    Vanderbilt University Medical Center (07/02/24)
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  • Provider Recruiter

    AdventHealth (Ormond Beach, FL)
    …years' experience in health care required. **Preferred qualifications:** + Experience in physician relations and/or physician network development is ... ** Provider Recruiter- AdventHealth Medical Group-North** **All the benefits...service line Vice Presidents, Directors, Assistant Directors, and/or the Physician Strategy team with the development of a specific… more
    AdventHealth (05/02/24)
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  • Delaware Valley ACO Fellowship/ Provider

    Humana (Columbus, OH)
    …projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations ... Develops a health equity strategy to update existing value-based contracting principles + Designs a social determinant of health...EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a new… more
    Humana (06/24/24)
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  • Senior Network Representative - Pittsburgh, PA

    Martin's Point Health Care (PA)
    …in department provider relations and health care including provider contracting involving physician , facility, and ancillary contracts experience ... to ensure delegated agreements are executed + Senior Network Rep/Partnership with Provider Relations Rep and Network Rep- Performs training, coaching, and… more
    Martin's Point Health Care (07/05/24)
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  • Staff VP Network Management - Carelon

    Elevance Health (Columbus, OH)
    …all regulatory and accreditation standards. + Oversees provider services to include provider education and general provider relations support. + Hires, ... responsible related experience in contract negotiation, network development and provider relations strongly preferred. + Preferred Skills, Capabilities… more
    Elevance Health (06/22/24)
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  • Chief Medical Officer

    HCA Healthcare (Denver, CO)
    … medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues + You will ... provide medical consultation on contracting , pricing, and analysis of managed care issues. Offers...management, patient safety, case management, medical staff affairs, and physician relations activities + You will promote… more
    HCA Healthcare (06/13/24)
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