- The Cigna Group (Los Angeles, CA)
- …supports 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...strategic direction and management of the day to day contracting and network management activities for a… more
- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- The Cigna Group (Tampa, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member ... of the Provider Contracting Team and reports to the...of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Oakland, CA)
- …Creek, Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as ... an integral member of the Provider Contracting Team and reports to the VP, Network...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Mclean, VA)
- …systems, Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an ... integral member of the Provider Contracting Team and report to the...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Under the supervision of the Manager , Provider Services and Contracting , serves as an administrator of the Network provider contract database ... or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG… more
- CVS Health (Columbus, OH)
- …Manager , Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- The Cigna Group (St. Louis, MO)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... The ** Provider Contracting Director** serves as...strategic direction and management of the day to day contracting and network management activities for a… more
- The Cigna Group (Bloomfield, CT)
- …of work plan initiatives including but not limited to network development, provider contracting /re- contracting . + Provide direction and supervision ... and operations. Manage retail provider client-specific custom initiatives related to network contracting and solicitations, often in a condensed time frame.… more
- The Cigna Group (Jersey City, NJ)
- …area. Will be required to go into the NYC office 3 days per week._** 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...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… 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...improving the quality of care, and increasing member and provider network satisfaction. **How you will make… 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...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… 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 ... new contracts, terminations and modifications, and configuration of Contract Manager , Facets or its successor systems. As a team...experience required. + Minimum of two (2) years of Provider Relations/ Provider Contracting experience. +… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for ... to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- CVS Health (Harrisburg, PA)
- …Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- and post-signature ... contracting process to ensure timely participation in our network . The position requires a high volume of cold...+ Attend JOC meetings with assigned health systems. + Provide technical expertise for questions related to contracting… more
- Deloitte (Tampa, FL)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Deloitte Consulting LLP's QRM group is seeking a Risk Manager with extensive experience in supporting complex deals and...are described in detail below. + Deal Desk Support, Contracting , and Negotiations + Assist with deal desk and… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- CVS Health (Trenton, NJ)
- …State requirements. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve value-based contracting targets and manage ... and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance...+ Familiar with legal terms in the context of provider contracting + Able to apply system… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more