- CVS Health (Columbus, OH)
- … Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part ... impact by: Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. Developing relationships… more
- The Cigna Group (New York, NY)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS The Provider Contracting Advisor serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance… more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- Deloitte (St. Louis, MO)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Managers. Both functions are described in detail below. Deal Desk Support, Contracting , and Negotiations Assist with deal desk and contract review activities.… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- … Contracting and is responsible for developing and executing US payer and provider contracting strategies, tactics, and initiatives in partnership with the US ... aspirations. Join Kite and help create more tomorrows. Job Description The Director, US CAR-T Pricing & Contracting reports to the Head of US Trade, Pricing, and… more
- Molina Healthcare (Orlando, FL)
- Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... and system requirements of customers as it pertains to contracting and network management. Job Duties This...by developing and producing as required to engage with provider and facilitate VBC performance. Supports VBC network… more
- Elevance Health (Las Vegas, NV)
- …providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. How you will make an impact: Focuses efforts on ... Provider Contract Cost of Care Consult Senior...improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic… more
- Molina Healthcare (Tucson, AZ)
- JOB DESCRIPTION Job Summary Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...engage as valuable partners. Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Elevance Health (Durham, NC)
- …Analyst Senior provides analytical support to the Cost of Care and/or Provider Contracting organizations. How you will make an impact: Focuses efforts on ... Provider Contract Cost of Care Analyst Senior...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- CVS Health (Frankfort, KY)
- … data operations, including compliance. Three or more years of experience in network management, contracting , or related healthcare network functions. One ... About the Role We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. In this… more
- Commonwealth Care Alliance (Boston, MA)
- …with dual-eligible (DSNP) populations preferred. - 10+ years of experience in provider relations, contracting , or network operations, including 3-5 ... contracting , quality, compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The … more
- Molina Healthcare (Omaha, NE)
- …complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. Responsible for ... subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider ...deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider ... and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide ...+ Six (6) years of experience in payer or provider contracting and managing provider … more
- Molina Healthcare (Chandler, AZ)
- …the health plans on the financial impact. Work independently to support and validate Provider Network contracting and unit cost management activities through ... Job Description Job Summary Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) Coordinates… more
- Commonwealth Care Alliance (Boston, MA)
- … Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions around potential ... 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and… more
- The Cigna Group (Denver, CO)
- …to join our growing team. This role will work collaboratively with Network Analytics, Contracting , Competitive Intelligence, IT, and other matrix partners ... the organization Review tools and reports available to matrix partners ( Network Analytics, Competitive Intelligence, Contracting , Pricing and Market Actuaries),… more
- CVS Health (Columbus, OH)
- …Qualifications Advance working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems ... with heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… more
- Oracle (Phoenix, AZ)
- …to market by managing pipeline intake and ensuring seamless engagement during contracting and estimating of Non-Recurring Costs (NRCs) with lease providers. This ... on its promises with precision and urgency. As a manager, you will provide strategic and operational leadership for a team of Technical Program Managers driving… more
- Cardinal Health (Providence, RI)
- …Pharmacy Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal ... What Network and Payor Relations contributes to Cardinal Health...regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is… more
- Deloitte (Chicago, IL)
- Senior Consultant, Tax Technology Consulting - Legal Managed Services Would you enjoy being part of a team that helps multinational organizations transform their ... client service skills to Deloitte and click "apply" now! Work you'll do As a Senior Consultant in TTC - Legal Managed Services (LMS), you will work with corporate… more
