- Novo Nordisk Inc. (Plainsboro, NJ)
- …the entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement), Marketing, Commercial Sales, Medical Affairs, Legal & ... in a planful manner Builds Business-relevant Relationships: Builds and leverages a network of relationships with internal and external stakeholders in order to… 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 ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES 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 ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- CVS Health (Hartford, CT)
- …methodologies. + Designs systems to recruit providers in support of network expansion and adequacy targets. + Integrates cross-functional collaboration to contribute ... initiatives and settlement activities. + Assists in the management of network development, maintenance, and refinement activities and strategies in support of… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks and contracts, including hospitals, ... physicians, and ancillary providers. Manage our standard contracts and standard contracting operating processes to ensure efficient operations. Lead a team of … 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
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. +… more
- Elevance Health (Overland Park, KS)
- … network access and deficiencies and develops recruitment and contracting strategies. + Coordinates and conducts provider training including developing and ... ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas....is very strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge plus. + You… more
- The Cigna Group (Richmond, VA)
- …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** + Manages submission process of contracting and negotiations for fee for service with… more
- Elevance Health (Manchester, NH)
- Provider Collaboration Manager Sr (Value-Based Contracting ) JR138366 **Location:** Candidates must reside within 50 miles and 1-hour commute each way of our ... to visit providers as needed - up to 15%. The **Provider Collaboration Manager Sr** is responsible for providing operational and administrative support for the… 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
- 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, 90017 Position ... 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
- Trinity Health (Columbus, OH)
- …You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of provider relations and service ... building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations that ensure network… 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...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- AmeriHealth Caritas (Charleston, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring that the… more
- Centene Corporation (Mcallen, TX)
- …Bachelor's degree in related field or equivalent experience. 4+ years of network account management or provider contracting experience in a managed ... flexibility. **Position Purpose:** Manages the day-to-day operations of the network accounts department + Develop, implement and monitor quality initiatives… more
- Elderwood (Buffalo, NY)
- …/ Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team of ... with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to engage new… more
- Citigroup (New York, NY)
- …institutions, public sector, and corporate clients around the world. With a global network spanning 90+ countries, we are uniquely qualified to service clients with ... and differentiator for TTS and Citi, given the significant depth of the branch network and years of operating experience, many of them exceeding 100+ years. The… more
- Elevance Health (Manchester, NH)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 hour ... in the Manchester, NH office. Monday and Tuesdays preferred. The **Provider Network Management Director** develops the provider network through contract… more
- Elevance Health (Las Vegas, NV)
- …(1-2 days onsite per week)** **Position Overview:** 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. **How You Will Make...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
