- The Cigna Group (Raleigh, NC)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... be based in Charlotte or Raleigh, NC office** The ** Manager , Provider Network Contracting ** serves...provider partners + Intimate understanding and experience with hospital , managed care, and provider business models… more
- The Cigna Group (Franklin, TN)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital / Provider..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... involving complex delivery systems and organizations required + Experience with Physician, Hospital and Ancillary group contracting and negotiations + Experience… more
- CVS Health (Lansing, MI)
- …cost arrangements within defined groups. + Collaborates cross-functionally to manage Hospital , Ancillary and provider compensation and pricing development ... a plus. + Understanding of Medicaid. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them._** **Providence is calling a Payor Contracting Data Analytics, Finance Manager who will:** + Support the local ... with detailed financial impacts + Collaborate with both the hospital and medical group finance teams to build financial...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- HCA Healthcare (Dallas, TX)
- …related contracting experience preferred. This position reports to the Manager of Contracting /Development and Director of Development Physician Services ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- Hartford HealthCare (Wethersfield, CT)
- …Recommends contract provisions and protections to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops ... *Knowledge, Skills and Ability Requirements:* . Knowledge regarding current and evolving provider payment methodologies with a focus on hospital . Knowledge… more
- Molina Healthcare (Spokane, WA)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on ... must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... changes. + Ensures department achieves annual goals and objectives. ** Contracting :** + Responsible for hospital and physician...pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment… more
- Molina Healthcare (Nicholasville, KY)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider… more
- Centene Corporation (Jefferson City, MO)
- … contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations in foreign state markets through ... area (MO/KS) **Position Purpose:** Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities + Manage… more
- Molina Healthcare (NY)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... must live in New York _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Intermountain Health (Columbus, OH)
- …the development and execution of contracts under the supervision of the Provider Development Operations Manager . These responsibilities include the drafting, ... provider service agreement contracts. Coordinates and manages the contracting process for all participating providers including the development, amendment, and… more
- Commonwealth Care Alliance (Boston, MA)
- …Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing ... into other CCA contracts, health equity, and social determinants of health (SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the… more
- Molina Healthcare (Chicago, IL)
- … Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting , education, outreach… more
- AdventHealth (Altamonte Springs, FL)
- …Hospitalists and Hospital Medicine leaders. The Manager of Hospital Medicine and Clinical Performance will provide consultative services to providers ... **Job Location** : Onsite; Altamonte Springs, FL **The role you'll contribute:** The Manager of Hospital Medicine and Clinical Performance under the direction of… more
- The Cigna Group (Anaheim, CA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... complex delivery systems and organizations required** + **Experience with Physician, Hospital and Ancillary group contracting and negotiations** + **Experience… more
- HCA Healthcare (Nashville, TN)
- …of knowledge in building development, budget creation & control, hospital operations, contracting methods, schedule management, constructability resolution, ... Authorizations for conformity. Ensure project compliance within approved funding and scope. Provide ultimate oversight of quality. The Construction Manager will… more
- Children's Hospital Boston (Boston, MA)
- …Integrity function for the Physician's Organization (PO) at Boston Children's Hospital . This Physician Reimbursement Integrity Manager will: + Analyze ... recommendations. + Monitor and value impact of Payer's payment policies and provide guidance to adjust contracting reimbursement to preserve revenue neutrality… more
- Brockton Hospital (Brockton, MA)
- Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning ... not-for-profit Signature Healthcare Brockton Hospital ; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18… more