- CVS Health (Hartford, CT)
- …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, ... plan visibility. + Keep abreast of competitor activity, including new reimbursement and marketing strategies. Negotiate favorable/competitive rates with providers… 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....+ May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. + Researches, analyzes… 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...in accordance with the Procurement Policy Board Rules, the New York City Charter, Local Laws and other applicable… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, ... 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 ... The individual will also assist the Director for Provider Contracting and Network Development to develop provider...patients' lives - begins at Mount Carmel. Find a new beginning and advance your career with us. Mount… 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
- 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
- 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 ... match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek...Network Development Overview + Seek opportunities to engage new contracts for Elderwood IPA and partnered health plans,… 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 ... a highly innovative organisation with a strong digital agenda; new products and services are continuously being developed to...and Citi, given the significant depth of the branch network and years of operating experience, many of them… more
- Elevance Health (Manchester, NH)
- …rates with providers strongly preferred. + Travels within the state of New Hampshire as necessary. + Hospital Contracting /negotiations. + Commercial and ... Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1… 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
- Elevance Health (Nashville, TN)
- The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and ... Participates in projects designed to improve all levels of network performance, which may include multiple lines of business....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... and system requirements of customers as it pertains to contracting , network management and credentialing. **Job Duties**...of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management,… more
- Elevance Health (Ashburn, VA)
- **Director Network Management- Carelon Behavioral Health** Location: Alternate locations may be considered. This position will work a hybrid model (remote and ... Networks in the East for Carelon Behavioral Health, this **Director of Network Management** oversees the recruitment and negotiation of providers joining our BH… more
- Point32Health (Canton, MA)
- …of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Responsible for ongoing communication ... Working under the direction of the Director or Senior Manager , the Senior Analyst will be part of a...as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as… more
- WellSense (Boston, MA)
- … Manager of Hospital & Physician Contracting , the Senior Contract Manager assists in the development of network -wide strategies to improve efficiencies ... of departmental policies, procedures, workflows, and tools as they relate to network development and provider contracting ; . Represents the department and… more
- Elevance Health (FL)
- … network access and deficiencies and develops recruitment and contracting strategies. + Coordinates and conducts provider training including developing and ... **LTSS Network Relation** **s Consultant** **Travel -** this position...+ May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. + Researches, analyzes… more
- Molina Healthcare (North Charleston, SC)
- …live in South Carolina _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management,...and experience **PREFERRED EXPERIENCE** : 5+ years in Provider Network contracting To all current Molina employees:… more