- 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
- Centene Corporation (Lansing, MI)
- …workplace flexibility. **Position Purpose:** Oversee the development and implementation of contracting activities in network development and enhancement. + ... to address process and quality gaps. + Communicate with senior management and other Centene leaders regarding network...and planning + Complete negotiations with complex and major provider contracts as needed to support network … more
- CVS Health (Richardson, TX)
- …record negotiating contracts with large or complex national providers. - Experience with provider contracts, contracting options, system loads as well as ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality, and financial goals… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare** ** Provider Contracting Senior Managers** serves as an integral member of the Network Development ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work...**Required Qualifications** + 3 or more years of progressive network management experience including hospital contracting and… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Provider Contracting Professional assists in negotiation, and execution of ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...experience + A minimum of five years of progressive network management experience including hospital contracting and… more
- The Cigna Group (Glendale, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- The Cigna Group (Springfield, IL)
- …integral member of the Provider Contracting Team and reports to the ** Provider Contracting Senior Manager** . This role assists in developing the ... The ** Provider Contracting Advisor** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. * May provide … more
- The Cigna Group (Houston, TX)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... be based in Houston, Austin or San Antonio, TX** ** PROVIDER CONTRACTING ADVISOR** This position serves as...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- VNS Health (Manhattan, NY)
- … capacity and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done ... Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of… more
- Hartford HealthCare (Hartford, CT)
- …will represent ICP on designated key committees and task forces relating to provider contracting and payer relations within HHC. *_Education:_*Preferred but not ... in health care related field with in depth knowledge of: * Payer/ provider contracting particularly focusing on hospital, physician, behavioral health, skilled… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager, Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies ... practice / hospital), PBM's, and specialty pharmacy. This role reports to the Senior Director of US Pricing, Contracting , and Pipeline Strategy Lead.**… more
- City of New York (New York, NY)
- …development programs across the City. The Workforce Connect division is seeking a Senior Contracting and Fiscal Operations Analyst to join the Workforce Connect ... of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the...programs to alleviate the effects of poverty and to provide opportunities for New Yorkers and communities to flourish.… more
- CVS Health (Richmond, VA)
- …with internal partners. . Evaluate, formulate, and implement the provider network strategic plans to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual...proficient managed care network negotiating skills. . Contracting for large facilities and/or provider groups.… more
- Point32Health (FL)
- …recommend new and innovative financial models and processes. + Actively participates in external provider meetings with Network Contracting staff as needed + ... and other members of the Network & Provider Analytics team, the Senior Manager will...provide support for regulatory requests around access and network adequacy. **Key** **Responsibilities/Duties** **- what you will be… more
- UPMC (Pittsburgh, PA)
- …to Value-Based Contracting + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in ... Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are...and Excel + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Data… more
- Molina Healthcare (Florence, KY)
- …and must live in the United States _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- UPMC (Pittsburgh, PA)
- …Experience following fields: value-based contracting , pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc + FSA or ... exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of mathematics, probability, and… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... policies. Position Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees of managerial… more