- Elevance Health (Topeka, KS)
- **LTSS Provider Network Manager , Contracting ** **Location:** Kansas, Candidates must reside in the state of Kansas. Ideal candidates will live within 50 ... miles of an Elevance Health PulsePoint office location. The **LTSS Provider Network Manager , Contracting ** develops the provider network through… more
- The Cigna Group (Pittsburgh, PA)
- **WORK LOCATION: Hybrid covering the Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment models and quality ... as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio...health care finance or policy experience, with 5+ years provider or payer contracting and negotiation experience… more
- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage ... business (Medicare, commercial etc.). + Manages contract performance in support of network quality, availability, and financial goals and strategies for all lines of… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… more
- Elevance Health (Columbus, GA)
- Provider Network Manager Sr - Value-Based Contracting (JR142923) **Location:** Candidates must reside within 50 miles and 1-hour commute each way of one ... role being 1 day in office per week. The ** Provider Network Manager Sr.** is...duties may include, but are not limited to: + Provider recruitment and contracting to support successful… more
- CVS Health (Lansing, MI)
- …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... all with heart, each and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level… more
- The Cigna Group (Glendale, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the Glendale/Los Angeles, CA market._** The ** Manager , Provider Contracting ** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager . This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Greater Lynn Senior Services (Lynn, MA)
- …life challenges + Employee referral bonuses of up to $1,000 Position Overview: The Manager of Provider Relations and Contracting is responsible for building, ... with GLSS for access to community-based social services. Position Responsibilities: The Manager of Provider Relations and Contracting must collaborate… more
- The Cigna Group (Providence, RI)
- …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** The ** Provider Contracting Lead Analyst** serves 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 … more
- CVS Health (Columbus, OH)
- …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... Internal Aetna system knowledge a plus + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- BioFire Diagnostics, LLC. (Salt Lake City, UT)
- The Sr. Manager is responsible for overseeing and leading the Contract Leads and their reports. This role supports the Corporate Accounts and National Accounts sales ... by managing the Contract Leads and ensuring that all quotations and contracting documents are processed efficiently through internal procedures. This includes IDN… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations… more
- Elevance Health (Nashville, TN)
- The Provider Network Manager Sr...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- City of New York (New York, NY)
- …ADMINISTRATIVE STAFF ANALYST, ADMINISTRATIVE PROCUREMENT ANALYST, HEALTH SERVICES MANAGER or ADMINISTRATIVE MANAGER . Division/Program Summary Description: ... The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily...implement annual M/WBE outreach plans, to include DOHMH sponsored network events. - Actively participate in networking events sponsored… more
- Elevance Health (Everett, MA)
- Provider Network Director (Contract Negotiations) (JR143437) **Location** **:** This position supports New Hampshire providers. Must reside within commuting ... 2 days per week in the local office. The ** Provider Network Management Director** develops the ...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Elevance Health (Los Angeles, CA)
- …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Willing to… 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 the ...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). The ... of one of our Elevance Health PulsePoint locations._ The ** Provider Network Management Director** is responsible developing...projects with significant impact. + May assist management in network development planning. + May provide work… more