- 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 (Frankfort, KY)
- …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
- Molina Healthcare (Lexington, KY)
- **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 (Lexington, KY)
- **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
- Molina Healthcare (Lexington, KY)
- …start date for this position is February.** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...to successfully engage high volume, high visibility providers (including senior leaders and physicians) to ensure provider … more
- Molina Healthcare (Lexington, KY)
- …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) *… more
- Molina Healthcare (Lexington, KY)
- …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...to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) +… more
- Oracle (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Molina Healthcare (Lexington, KY)
- …complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents ... methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows… more
- Molina Healthcare (Lexington, KY)
- …from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational ... analytical work experience within the health care industry (ie, hospital, network , ancillary, medical facility, health care vendor, commercial health insurance,… more