- VNS Health (Manhattan, NY)
- …networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of all providers, the development of incentives, processes, ... and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done by internal… more
- 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
- Centene Corporation (Lansing, MI)
- …flexibility. **Position Purpose:** Oversee the development and implementation of contracting activities in network development and enhancement. + ... provider community, budgeting constraints and available resources + Lead the network development specialists during the implementation and development… 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 (Glendale, CA)
- …**_L_** **_OCATION:_** **_HYBRID_** **_position aligned to the Glendale, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral member of ... 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 (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
- BeiGene (Emeryville, CA)
- …/ hospital), PBM's, and specialty pharmacy. This role reports to the Senior Director of US Pricing, Contracting , and Pipeline Strategy Lead.** **Essential ... **General** **Description:** **The Senior Manager, Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies and… more
- American Express (New York, NY)
- …partnerships including strategy, pipeline, prioritization, pitches and contracting . The Director of New Business Development will be responsible for ... brands and fintechs interested in launching card programs on the American Express Network . The New Business Development team has end-to-end responsibility for… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. **Position Summary** The Lead Director will manage the development of contracts and agreements with ... cost saving initiatives and/or settlement activities. Assists with the design, development , management, and or implementation of strategic network configurations… more
- Elevance Health (Nashville, TN)
- …**Provider Network Management Director ** develops the provider network through contract negotiations, relationship development , and servicing for large ... **Provider Network Management Director ** **Location:** This position...projects with significant impact. + May assist management in network development planning. + May provide work… 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
- Prime Therapeutics (Columbus, OH)
- …quality-based networks. Accountabilities include team development and supervision, contracting and communication of network portfolio composition and value ... drives every decision we make. **Job Posting Title** Sr. Director , Pharmacy Network Management - Remote **Job... network objectives. + Supervise core and supplemental network contracting teams to ensure clarity of… more
- CVS Health (Salt Lake City, UT)
- …and affordable. **Position Summary** The Lead Director of value based contracting and business development is responsible for managing the portfolio of ... mountain and Arizona markets. The position reports directly to the market Chief Network Officer, however has a matrix reporting relationship into the Mountain and… more
- CVS Health (Hartford, CT)
- …to operating, optimizing, and modernizing the technology and capabilities that power network contracting and pricing functions. The leader will work closely ... We are recruiting to fill a critical leadership position on a newly formed Network Platform Solutions team. The role will have responsibility for a team dedicated… more
- Mount Sinai Health System (Brooklyn, NY)
- **Job Description** _The Director of Oncology Services exercises management responsibility over the business and operational activities of the Service Line. They ... support in building the Oncology Service Line including recruitment, contracting , budgeting and organizational planning._ **Qualifications** + Must complete… 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
- Molina Healthcare (Starkville, MS)
- …Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance, and ... federal, NCQA, HEDIS initiatives and regulations. * Manages and provides coaching to Network Contracting Staff. * Manages and evaluates team member performance;… 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