- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The **Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Los Angeles, CA)
- …our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...implementation and maintenance. + Individual contributor role but may provide guidance or expertise to less experienced specialists. **POSITION… more
- The Cigna Group (Jersey City, NJ)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** **Hospital/ Provider / Ancillary ** **group experience ... into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for...the contract negotiation process. + Can work with multiple provider types, eg physician, ancillary , medical groups,… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst Senior** is responsible... provider network satisfaction. Typically works with one provider type, eg physician, ancillary , or medical… more
- Henry Ford Health System (Grand Rapids, MI)
- …Assist and assume responsibility for focused projects within the department relating to provider contracting . + Perform other related duties as assigned. HAP Pay ... providers, and track contracts through approval process. + Prepare Provider Reimbursement Worksheets (PRW's) and or Ancillary ...experience required. + Minimum of two (2) years of Provider Relations/ Provider Contracting experience. +… more
- Molina Healthcare (Saginaw, MI)
- …It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully ... complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible for … more
- Centene Corporation (Carson City, NV)
- …negotiate, and manage multiple large hospitals and medical groups, physician, and/or ancillary contracting activities in accordance with Corporate, health plan, ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- Hartford HealthCare (Hartford, CT)
- …payer contracting analytics with a focus on hospital and ancillary . Reviews and monitors contract/payer performance including payer parity. Compares expected ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Bristol Myers Squibb (Princeton, NJ)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... across the CDP organization, maintaining performance summaries and dashboards that provide visibility to progress and outcomes. + Develop and maintain standard… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …lab section or one of the non-section specific assignments (including, Ancillary Testing Coordinator, Education Coordinator, Laboratory Information Manager , ... incumbent develops and recommends new policies, procedures and direct oversight regarding ancillary testing performed at the Manchester VAMC. Ancillary testing… more
- Molina Healthcare (Seattle, WA)
- …must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts… more
- Elevance Health (Indianapolis, IN)
- …considered for employment, unless an accommodation is granted as required by law. The ** Provider Network Manager Sr.** develops the provider network through ... **Requirements:** BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include… more
- Elevance Health (FL)
- …for autism and depression, and insightful analytics to improve the delivery of care. ** Provider Network Manager - New York** This is an Individual Contributor ... Shift: **Monday - Friday, 40 hours a week** The ** Provider Network Manager ** develops the provider...and **a minimum of 3 years of experience in contracting , provider relations, provider servicing**… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team of analytical professionals specializing in network optimization, value-based analytics, ancillary services analytics, provider contracting analytics, ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...the development and growth of these teams. * Lead provider analytics to support network development and contracting… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Elevance Health (Los Angeles, CA)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more