- The Cigna Group (Scottsdale, AZ)
- …Medicaid and or Individual and Family Plans. + Skills in provider network development and management, value-based care contract execution including risk ... projects related but not limited to implementation of strategic initiatives regarding Network Solutions and Innovative Contracting to enhance provider supply and… more
- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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
- HealthEdge Software Inc (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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
- CVS Health (Phoenix, AZ)
- …is essential to achieve our goals. This includes, but not limited to, network , contracting , member service, and business leaders across the enterprise with ... of quality performance and leadership of Aetna's quality government programs (Medicare, Medicaid , IFP, Duals). This leader will focus on HEDIS Hybrid, STARS,… more
- Humana (Phoenix, AZ)
- …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
- HonorHealth (Scottsdale, AZ)
- …to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. ... million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary,… more