- Centene Corporation (Harrisburg, PA)
- …on workplace flexibility. **Position Purpose:** Oversee activities of the provider contracting , network development and/or provider relations functions ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development… more
- Elevance Health (Atlanta, GA)
- **Provider Network Contracting & Development Director ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must ... within 50 miles of a PulsePoint location. The **Provider Network Contracting & Development Director ** develops the provider network through contract… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid/North Carolina is accountable for ... while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory,… more
- The Cigna Group (San Diego, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral member of the ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Plano, TX)
- …, Provider Contracting - Medicare** serves as an integral member of the Network Development and Strategy Team and reports to the Provider Contracting ... accountable for the management of the fee for service and value based contracting and network management activities for multiple local geographies. **DUTIES AND… more
- The Cigna Group (Houston, TX)
- …in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES ... for greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction… more
- Bon Secours Mercy Health (Richmond, VA)
- …care sites and clinicians are recognized for clinical and operational excellence. ** Director , Payer Contracting ** **| Remote** This position is responsible for ... on the standardization of processes, reporting and approaches to payer contracting , payer relationships, network participation and other strategic project… more
- The Cigna Group (St. Louis, MO)
- The Director , Provider Contracting & Strategy is primarily responsible for negotiating, developing and executing strategies for effective management of the ... role will also be responsible for strategic and operational support of our network product team, including collaborating on the development , creation and… more
- Point32Health (Canton, MA)
- …closely with the Director , Contracting and the VP of Contracting on negotiation strategy development and execution. Additionally, this individual will ... This individual is the most senior member of the contracting team reporting into the Director of...of contract provisions, to the extent possible, across the network and 2) that all relevant provisions are included… more
- Hartford HealthCare (Wethersfield, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual… more
- Elevance Health (ID)
- …**Provider Network Management Director ** develops the provider network through contract negotiations, relationship development , and servicing for large ... projects with significant impact. + May assist management in network development planning. + May provide work...degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development… more
- Centene Corporation (Tampa, FL)
- …products. The scope will evolve as the team takes form, inclusive of network development , contracting , reimbursement, analysis, policy development , ... support contract negotiations. + Conduct periodic review of provider contracting rates to ensure strategic focus is on target...equivalent experience. 7+ years of experience in managed care network development . 3+ years of experience in… more
- Pearl Interactive Network (Washington, DC)
- **Pearl Interactive Network is seeking to hire a Federal Business Development Director .** The **Federal Business Development Director ** at Pearl ... to adapt quickly to changing market dynamics. Collaboration, open communication, a strong network within the Federal space, and the ability to manage long sales… more
- Elevance Health (Columbia, SC)
- The ** Director Network Management** is responsible for network development , provider engagement and management, and oversight of value-based payment ... you will make an impact:** + Develops and implements network contracting and network expansion...minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any… more
- CVS Health (Princeton, NJ)
- …more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director , Network Management is accountable for designing conceptual models, ... while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory,… more
- Stanford University (Stanford, CA)
- …and licensing terms is maintained across the organization. + Advise AVP/Executive Director on programmatic and policy development to ensure successful research ... administrative policies, practices and guidelines. + Coordinate with other Stanford contracting units, Office of Development , Risk Management, Privacy Office,… more
- Cedars-Sinai (Los Angeles, CA)
- …specialists, providing guidance and supervision to social work services in the Medical Network , and collaborating with Network Contracting to ensure clear ... health needs of patients cared for across the Medical Network . The Medical Director oversees the full...leadership, including Pharmacy Services, Ambulatory Care Management & ISP, Contracting , and Quality. The MH Medical Director … more
- HCA Healthcare (Nashville, TN)
- …assessment of all purchased services spend and submits category recommendations for IDN contracting plan. Works with IDN in development and management of final ... where diversity and inclusion thrive? Submit your application for our Director Purchased Services Commercial Products opening with HealthTrust today and find… more
- Cadmus (Arlington, VA)
- …Group's International Development Division is seeking qualified candidates for the Director , Business Development role for an opportunity to support the full ... the pipeline of opportunities identified by the company, including supervising multiple business development staff and consultants. The Director will serve in a… more
- Bon Secours Mercy Health (Richmond, VA)
- …on the standardization of processes, reporting and approaches to payer contracting , payer relationships, network participation and other strategic project ... on the standardization of processes, reporting and approaches to payer contracting , payer relationships, network participation and other strategic project… more