- The Cigna Group (Scottsdale, AZ)
- …Local Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...strategic direction and management of the day to day contracting and network management activities for a… more
- The Cigna Group (Seattle, WA)
- The ** Director , Provider Contracting ** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative ... years demonstrated health care finance or policy experience, with 5+ years provider or payer contracting and negotiation experience preferred; demonstrated… more
- VNS Health (Manhattan, NY)
- … capacity and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done ... Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of… more
- Trinity Health (Columbus, OH)
- …and MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider ... and onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to develop communication goals, strategies, and… more
- Point32Health (Canton, MA)
- …service to our members, partners, colleagues and communities. **Job Summary** The Director , Ancillary Contracting leads the development and management of ... Point32Health's ancillary service network . The Director manages a team of...opportunities to reduce medical and administrative costs by outsourcing network management and contracting for specific service… more
- Molina Healthcare (Columbus, OH)
- …AVP, Value Based Contracting , oversees development and implementation of provider network and contract strategies, identifying those specialties and ... United States _** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards… more
- Covenant Health (Lubbock, TX)
- …tailored just for you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this pivotal ... role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, execution, and organizational… more
- University of Utah Health (Murray, UT)
- …for use in Health Plans Departments only. + This position negotiates provider contracts, conducts reimbursement analysis, evaluates potential network providers, ... related to the establishment and maintenance of contractual arrangements. + Represents provider relations and contracting department at meetings. **Knowledge /… more
- Elevance Health (Everett, MA)
- Provider Network Director (Contract...projects with significant impact. + May assist management in network development planning. + May provide work ... 2 days per week in the local office. The ** Provider Network Management Director ** develops...contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include… more
- Elevance Health (Seattle, WA)
- ** Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute ... of the Seattle, WA Elevance Health location. The ** Provider Network Management Director ** develops...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Elevance Health (Columbus, OH)
- ** Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). ... of one of our Elevance Health PulsePoint locations._ The ** Provider Network Management Director ** is...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …contact with: Provider Network Operations Systems, Benefits Operations, Provider Contracting , HQM, Marketing, Legal, IT, Provider Reimbursement, ... This position is accountable for the strategic direction and management of the Provider Network Operations staff, which supports all provider network … more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Oversee provider network performance and communications across the company to ... inform and educate providers and improve quality of care. + Oversee provider network performance and communications to improve quality at lower costs and to… more
- AmeriHealth Caritas (Newtown Square, PA)
- …strategies that align with business objectives. + Strong foundation in Provider Network Management, Provider Contracting , and Training Provider ... & Planning, this role oversees, defines, plans, and executes the enterprise-wide Provider Network Management Training and Communication strategy. ;This role will… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees...Processes. - Lead a staff consisting of an M/WBE Director and M/WBE Analysts in the full array of… more
- Intermountain Health (Las Vegas, NV)
- …entities to ensure integration. This position provides direction and oversight to all provider network development and maintenance as well as coordination and ... delivery of superior service. Key Partnerships and Relationships: + Evaluate the provider network and implement strategic plans to achieve organizational targets… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …from a New England state (ME, VT, NH, MA, CT, RI).** The Associate Director of Network Development & Growth is responsible for strategic growth activities ... on healthcare transactions, healthcare strategy, and healthcare growth initiatives. The Associate Director will support the Vice President of Network Development… more
- Dignity Health (Bakersfield, CA)
- …and executing strategies for network development and adequacy, designing provider contracting processes and templates to ensure standard contracting ... data platforms such as Quest Enterprise Solutions, Optum Market Advantage, or similar provider network analysis and claims data analysis systems - Knowledge of… more