- Centene Corporation (Raleigh, NC)
- …contract analysis, or provider relations experience. Must be knowledgeable of network development processes, contract language, principles of negotiation, ... Analyze various data and assist with defining goals and metrics for the network + Identify and develop provider networks through collaboration with various … more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... strategic direction and management of the day to day contracting and network management activities for a...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... strategic direction and management of the day to day contracting and network management activities for a...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- CVS Health (Hartford, CT)
- …and supporting cost saving initiatives and/or settlement activities. + Provides network development , maintenance, and refinement activities and strategies in ... cross-market network management unit. + Assists with the design, development , management, and or implementation of strategic network configurations,… more
- CVS Health (Augusta, ME)
- …group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. Handles dispute ... and collaborates with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of… more
- The Cigna Group (Tampa, FL)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES**...Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of networks… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, ... to support the safety net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible for all aspects of the LA Care… more
- Elderwood (Buffalo, NY)
- …$100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing ... plan with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to… more
- Trinity Health (Columbus, OH)
- …MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations ... every day! **About the job:** The Provider Relations & Network Manager is responsible for a full...onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to… more
- Elevance Health (Atlanta, GA)
- **Provider Network Manager Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The **Provider Network Manager Senior** will be responsible for developing the provider network through… more
- AmeriHealth Caritas (Charleston, SC)
- …achieves annual goals and objectives. **Responsibilities:** + Hospital and physician network development and management. + Develops and recommends policy ... services. Discover more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network … more
- Citigroup (New York, NY)
- …and oral presentation formats. **Job Family Group:** Product Management and Development **Job Family:** Network Capabilities Management **Time Type:** Full ... institutions, public sector, and corporate clients around the world. With a global network spanning 90+ countries, we are uniquely qualified to service clients with… more
- Elevance Health (Manchester, NH)
- …management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... The **Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for… more
- Elevance Health (Las Vegas, NV)
- …the provider network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is contracting ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- The Cigna Group (Scottsdale, AZ)
- … of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND ... several days work at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the...RESPONSIBILITIES** + Directly manages a contracting team or geography, providing leadership and mentoring to… more
- Pearl Interactive Network (Columbus, OH)
- **Pearl Interactive Network is sourcing to hire a Payroll Manager for a remote/hybrid workforce.** The **Payroll Manager ** is responsible for overseeing and ... to support your lifestyle professionally, physically, and financially through our professional development and coaching program. **Operating Hours:** 8 am - 5 pm… more
- Healthfirst (NY)
- …in leading a team through a matrixed environment + Experience in provider network management and development , or project management experience in a managed ... and provider needs + Claims troubleshooting + Leads the strategic planning and contracting process at the provider levels and supports the team in execution at… more
- Criterion Systems (Washington, DC)
- …and serve as an authoritative resource for the DOT agency relative to network operations, network development and production, supporting numerous agency ... maritime industry network best practices. + Experience withmaritime/vessel network operations, network development , security and production.… more
- Elevance Health (Ashburn, VA)
- …of network managers and provider relation account managers responsible for network development and provider reimbursement for Virginia and Ohio. **How you ... will make an impact:** + Oversees contracting and maintenance of all facilities including hospitals, surgery...minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any… more
- Molina Healthcare (CA)
- …Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and ... adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing. **Job Duties** Manages the Plan's… more