- Dana-Farber Cancer Institute (Brookline, MA)
- The Associate Contract Manager is responsible for providing contracting , analytic, and operations support on a variety of departmental and administrative ... activities. The role will support the Payor Contracting & Performance team by assisting with the management...Performance team by assisting with the management of health insurance contracts as well as maintenance of various administrative… more
- ERP International (San Antonio, TX)
- …and privileging documentation for new contractors and working with appropriate Program Manager to ensure all credentialing and privileging documents are ... **Overview** ERP International has an exciting opportunity for a ** Credentialing Specialist supporting the ERP's Corporate Office in San Antonio, TX.** This position… more
- The Cigna Group (San Diego, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role assists in ... The **Director,** **Provider Contracting ** serves as...including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and… more
- The Cigna Group (Denver, CO)
- …member of the Provider Contracting Team and reports to the **Provider Contracting Senior Manager ** . This role assists in developing the strategic direction ... and management of the day to day contracting and network management activities for a local given...including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and… more
- The Cigna Group (Anaheim, CA)
- …with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of the Network ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND… more
- CVS Health (Trenton, NJ)
- …and affordable. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided ... for value based provider agreements. + In charge of complete value based contracting cycle from planning, creating documents, and negotiation to oversee loading of… more
- Roper St. Francis (Ladson, SC)
- …of Position Responsible for managed care initiatives & performance, including contracting , reporting, and operations, related to hospitals, physicians (employed and ... and other hospital/physician joint ventures. Manages the functions of the Credentialing /Provider Enrollment Team. Works with RSFH Managed Care leadership to develop… more
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …and Governmental Agencies that may have questions with their credentialing and/or contracting requirements. **QUALIFICATIONS** **Education** + Bachelor's ... be a part of BCBSLA's Provider Data Management transformation by leading Credentialing and Provider Data Management functions and key improvement activities, such as… more
- CVS Health (Hartford, CT)
- …of Network Development Auditors responsible for reviewing and assessing provider contracting and credentialing documents. **Required Qualifications** + Strong ... satisfaction, cost targets, network growth, and efficiency targets. Manages provider contracting intake process which includes audit and oversight of audit resources… more
- Teva Pharmaceuticals (Columbus, OH)
- Biosimilar Regional Account Manager - Columbus, OH Date: Sep 20, 2024 Location: Columbus, United States, Ohio, 43004 Company: Teva Pharmaceuticals Job Id: 58220 ... to make a difference with. **The opportunity** The Biosimilar Regional Account Manager (BRAM) will manage targeted customer accounts in the institutional, clinic,… more
- Horizon Services, Inc. (Hayward, CA)
- …TB testing and health screening, CPR and First Aid Certification, staff identification, insurance , and all other credentialing and personnel file requirements as ... JOB TITLE: Compliance and Outcomes Manager LOCATION: East Bay Who are we? Horizon...other regulatory oversight agencies and stakeholders. Provide copies of credentialing documents to Human Resources. Coordinates with Program Managers… more
- Trinity Health (Columbus, OH)
- …of the provider network staff, which may include network development, contracting , credentialing , provider relations, and provider services **What we're ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… more
- Baystate Health (Springfield, MA)
- …law practitioner as in house counsel with experience with physician contracting and healthcare acquisitions.** **The Deputy General Counsel & Managing Attorney ... of health law generalists** **High-quality, low-cost medical, dental and vision Insurance ** **Competitive 403b retirement match** **Free money coach advice from a… more
- VNS Health (Manhattan, NY)
- …ongoing contact with existing/potential providers for relationship building, recruitment, credentialing , re- credentialing and assisting with provider issues and ... starting at 20 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability +… more
- VNS Health (Manhattan, NY)
- …ongoing contact with existing/potential providers for relationship building, recruitment, credentialing , re- credentialing and assisting with provider issues and ... starting at 30 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability +… more
- New York State Civil Service (Menands, NY)
- NY HELP Yes Agency Health, Department of Title Project Manager 2 (NY HELPS) - 00485 Occupational Category IT Engineering, Sciences Salary Grade 23 Bargaining Unit ... No Telecommuting allowed? Yes County Albany Street Address Office of Health Insurance Programs/Division of Operations and Systems Division of Operations and Systems… more
- Northwell Health (Lake Success, NY)
- …patient data acquisition and management; appointment scheduling, patient registration, insurance verification, data entry, charge and diagnosis assignment and charge ... for new or special services. + Oversees managed care contracting and related activities for the division; analyzes current...as liaison to central FPP office and monitors the credentialing process and plan participation status with third party… more
- CVS Health (Princeton, NJ)
- …care more personal, convenient and affordable. **Position Summary** The Behavioral Health Senior Manager of Network Relations is a key role on the Aetna Better ... and administration of ABHNJ' s Behavioral Health Network. The Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network… more
- Medtronic (Atlanta, GA)
- …in a more connected, compassionate world. **A Day in the Life** The Associate Territory Manager (ATM) will partner with the field sales and clinical teams and act as ... growth within our business. The ATM will report directly to the District Manager and support specific territories and business initiatives in tandem with Territory… more
- Central Maine Medical Center (Lewiston, ME)
- …to standards supporting IP and Materials management policy. + Collaborates with the contracting , credentialing and medical affairs offices. + Interact daily with ... "I" approach. + Works with other key individuals, including the Manager Provider in identifying, developing, implementing and monitoring initiatives that support… more