- CVS Health (Lansing, MI)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… 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
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...equivalent experience + 5 or more years of progressive network management experience including hospital contracting and… more
- CareFirst (Baltimore, MD)
- …+ Strong understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... teams within Health Services to identify and address gaps in accessibility and network adequacy through recruitment and contracting . + Ensures a balanced … more
- Corewell Health (Southfield, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership...Provider Contract Specialist to take ownership of affiliated network contracting . In this high-impact role, you… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... provider contracts and agreements for the State of Mississippi. The Senior Provider Contracting Professional work assignments involve moderately complex… 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...dental providers to become a Cigna PPO and/or DHMO network provider . + Explain plans, policies, and… more
- Health Care Service Corporation (Tulsa, OK)
- … / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment models, ... **Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level to enhance… more
- The Cigna Group (Independence, OH)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Toledo, 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
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… 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 ... 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
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… more
- Providence (Irvine, CA)
- …affecting Providence's clinical network . **Key Position Responsibilities:** + Payor Contracting & Reimbursement Support: + Provide legal advice on payor ... will play a critical role in supporting Providence's payor contracting strategy, managing payor disputes and litigation, and advising...guidance for senior leaders. + Providence Clinical Network : + Provide legal support to Providence's… more
- Point32Health (RI)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize ... Summary** Working under the direction of the Director or Senior Manager, the Senior Network ...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network … more
- Molina Healthcare (St. Clair Shores, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... and system requirements of customers as it pertains to contracting and network management. **Job Duties** This...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- CenterWell (Phoenix, AZ)
- …+ Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience. + ... caring community and help us put health first** The Senior Provider Engagement Professional develops and grows...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- Elevance Health (Lake Mary, FL)
- …Analyst Senior ** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... ** Provider Contract Cost of Care Analyst Senior...improving the quality of care, and increasing member and provider network satisfaction. + Typically works with… more