- CVS Health (Washington, DC)
- …National VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support ... processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in… more
- Humana (Washington, DC)
- …will be accountable for leading the development of Humana Healthy Horizon's ( Medicaid ) network development market entry strategy for its Medicaid ... discovery research conducted to support the network development strategic plan of assigned Medicaid pipeline...+ Bachelor's degree + 5+ years of experience in network development , contracting , and/or … more
- Prime Therapeutics (Washington, DC)
- …drives every decision we make. **Job Posting Title** Contract Manager - NC Medicaid **Job Description Summary** Responsible for the implementation and support of all ... with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution… more
- Prime Therapeutics (Washington, DC)
- …we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** Responsible for the implementation and support ... with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution… more
- Prime Therapeutics (Washington, DC)
- …strategies and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and ... or Network Client Services initiatives + Perform network development , network analysis and...years of managed care experience in medical or pharmacy network contracting + Must be eligible to… more
- Point32Health (Washington, DC)
- …financial models and processes. + Actively participates in external provider meetings with Network Contracting staff as needed + Oversees analytics around ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Working with the Director, Network & Provider Analytics and other members of the Network… more
- HealthEdge Software Inc (Washington, DC)
- …integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting , payment/policy configuration, provider relations, medical ... + Healthcare plan operations (eg, claim adjudication life cycle/workflows, network contracting , payment/policy related configuration, provider relations, medical… more
- Cardinal Health (Washington, DC)
- …and operations. This position is responsible for administrative, strategic, business development , and contracting activities related to the Managed Care ... Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject… more
- Humana (Washington, DC)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality metrics linked to… more