- The Cigna Group (Richmond, VA)
- …to be in the Office or Visiting Providers 3 days per week ** Manager , Physician & Ancillary Contracting ** serves as an integral member of the Provider ... of a Bachelor degree. MBA or MHA preferred.** + **3+ years Healthcare Physician / Ancillary contracting and negotiating experience involving complex delivery… more
- The Cigna Group (Bloomfield, CT)
- …systems and organizations required. Medicare Advantage experience required. + Experience with Physician , Hospital and Ancillary group contracting and ... This job posting encompasses two **Regional Medicare** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and Solutions… more
- Dignity Health (Bakersfield, CA)
- …Network Operations/ Contracting . Key areas of oversight include negotiation of physician and ancillary provider agreements, oversee the implementation of all ... vast and this is a rare opportunity to gain experience from multiple healthcare lenses. **Position Summary:** The Manager Contracting reports to the Director of… more
- CenterWell (Columbus, OH)
- …Based Contracting + Managing and implementing care contracts with large physician groups, ancillary providers and hospital systems. + Proficiency in ... caring community and help us put health first** The Senior Provider Contracting Professional assists in negotiation, and execution of provider contracts and… more
- HCA Healthcare (Idaho Falls, ID)
- …goals, financial performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with other PSG colleagues ... 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you...with East Falls Primary Care, you can be a manager in an organization that is devoted to giving!… more
- HCA Healthcare (Davie, FL)
- …market/division goals, financial performance and practice key indicators. + Oversees physician recruiting and contracting in collaboration with PSG colleagues. ... **Description** This position is incentive eligible. **Introduction** The Director of Physician Services II with Anesthesia Services is a strategic leader who… more
- Molina Healthcare (NV)
- …and professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Assists in analysis ... Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- WellSense (Boston, MA)
- …network, maintaining complex and geographically diverse contracts. Under the direction of the Manager of Hospital & Physician Contracting , the Senior ... staff. **Supervision Received:** . General supervision is received weekly from the Manager of Hospital & Physician Contracting . **Qualifications:**… more
- Molina Healthcare (Michigan Center, MI)
- …professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Participates with the ... managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity… more
- Molina Healthcare (MS)
- …managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working experience with ... _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including Commercial, Senior ... Products and Public Plans. The Senior Contract Manager will serve as the primary point of contact to manage contract negotiations with integrated health delivery… more
- Sutter Health (Berkeley, CA)
- …**Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... is accomplished through close collaboration with the patient, family, physician , treatment team, external case managers, referring therapists, outpatient clinic,… more
- Molina Healthcare (Port Arthur, TX)
- …lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Centene Corporation (Raleigh, NC)
- …determine the financial impact of contract negotiations for health plans, national contracting opportunities (hospital, physician , and ancillary ) and ... transform data in order to support a complete business need around contracting analytics and modeling applications. Provide analytic support for network performance,… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager is develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary ... focus of this role is contracting and negotiating contract terms. Typically works with less-complex...providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of… more
- Elevance Health (Lakewood, WA)
- **JR129851 Provider Network Manager ** Develops the provider network through contract negotiations (language and rates), relationship development, and servicing. ... **How will you make an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Provider contracts are amended twice a year. +… more
- Surgery Care Affiliates (Seattle, WA)
- …11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates ... a complex healthcare environment, Only SCA Health has a dynamic group of physician -driven, specialty care businesses that allows us to customize solutions, no matter… more
- CVS Health (Northbrook, IL)
- …**Required Qualifications** + 3+ years of experience negotiating contracts with ancillary providers, physician groups, and IPAs, including contract language, ... favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract setup.… more
- CommonSpirit Health (Englewood, CO)
- … guidelines. Contracting accountability for negotiation support include hospital, physician , and ancillary services. 12. May participate in negotiations as ... in Utah or Utah Payer work experience. Works closely with the Contract Manager and other Payer Strategy Relationship leadership, to support the negotiation of terms… more
- Sharp HealthCare (San Diego, CA)
- …meetings at plan medical group office sites or virtually, and conducts physician , hospital and/or ancillary meetings, as necessary.Ensures provider network meets ... requirements and who are recommended for acceptance by the Network/UM/ Contracting Committee. The orientation should include a complete education regarding:… more