- Christus Health (Irving, TX)
- … services. The Program Director nurtures collaborative pharmacist-physician relationships to provide safe, effective, and efficient patient care while ensuring ... Description Summary: The Program Director of Acute Care Pharmacy Operations is a leader responsible for coaching, guiding, leading, and mentoring Ministry Directors… more
- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- ** Cost of Care / Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- …Senior** provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Cerritos, CA)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- Health Care Service Corporation (Richardson, TX)
- …improve efficiencies and results. **JOB REQUIREMENTS** + Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting ... experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting Team and reports to the ... Provider Contracting Senior Manager or VP of Contracting ....cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the ...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... and code data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement...business or related field. + 1 year experience in contracting , provider recruitment or provider … more
- The Cigna Group (Jersey City, NJ)
- …area. Will be required to go into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with… more
- The Cigna Group (Cleveland, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- The Cigna Group (Hartford, CT)
- …** Provider /Hospital Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider ... of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the...of a bachelor's degree.** + **3+ years of Managed Care contracting and negotiating experience involving complex… more
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting . This role is a key ... Compliance, Sales and Marketing and Service + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- CVS Health (Columbus, OH)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally,...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...visited offices via phone at home + Identifying, recruiting, contracting , and retaining qualified health care professionals… more
- Health Care Service Corporation (Tulsa, OK)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
