- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Negotiates contract language and reimbursement, for primarily transplant, high- cost drug, and ... Responds to physician, pharmacy, and administrative concerns relative to contract pricing, cost , managed care ,...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… more
- Corewell Health (Grand Rapids, MI)
- …through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- The Cigna Group (Birmingham, AL)
- …Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management** serves as an integral member of ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... the health and well-being of the unique communities we serve. **_Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… more
- The Cigna Group (Charleston, WV)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- The Cigna Group (Phoenix, AZ)
- …as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, ... a matrix organization + Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to develop ... utilized by Point32Health to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager must be well versed in… more
- Commonwealth Care Alliance (Boston, MA)
- …and Safety to improve the care we provide , thereby driving better care at lower cost , and helping members. will be the essential expert on compiling, ... to the Sr Director, **Quality Performance and Value Based Care ,** the Provider and Facility Quality &... deliverables and execute quality payments for the value-based care contract programs. + Review and analyze… more
- Elevance Health (Columbus, OH)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- Point32Health (Canton, MA)
- …Harvard Pilgrim and Tufts Health networks for all lines of business. The Senior Contract Manager is responsible for provider specialties that are more complex in ... Contract Manager will function as point person for provider recruitments; determining network needs and evaluating prospective providers.... care market and the needs/concerns of health care providers + 3+ years of direct contract… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary ... + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform highly complex work for...may involve, as a basis for reimbursement, fee-for-service, actual cost , or negotiated rate. TO APPLY: This is a… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... experience. **Experience** : 4 years experience in contracting, provider recruitment and/or provider relations 1 year Experience as a Contract Manager in the… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... during psychiatric hospitalization, including transfer to a higher level of medical care when needed.** **Summary:** An Advanced Practice Provider (APP)… more
- Molina Healthcare (Georgetown, KY)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- MyFlorida (Tallahassee, FL)
- …subject matter experts to + Negotiate contract terms and conditions, + Conduct cost analyses of provider budgets, and + Ensure ongoing provider delivery ... necessary. + Perform contract renewal, amendment and closeout duties, including contract evaluation and review and documentation of provider performance. +… more
- Molina Healthcare (Spokane, WA)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- The Cigna Group (Atlanta, GA)
- …Travel to in-person meetings with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes conform to department standards, and validates… more
- MyFlorida (Tallahassee, FL)
- …program office liaison, negotiates contract terms and conditions, performing cost analyses of provider budgets. Maintains proper documentation of ... laws, rules, regulations, and guidelines. + Develops and execute provider contracts/competitive solicitations addressing standard contract documents, services… more