- CVS Health (Oklahoma City, OK)
- …make health care more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, ... cost initiatives. * Recruit providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets. * Support… more
- CVS Health (Princeton, NJ)
- …to make health care more personal, convenient and affordable. **Position Summary** The Behavioral Health Senior Manager of Network Relations is a key role on ... is responsible for the management, oversight, and administration of ABHNJ' s Behavioral Health Network . The Behavioral Health Senior Manager of Network … more
- Humana (Columbus, OH)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role ... meet the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment… more
- CVS Health (Atlanta, GA)
- …**Position Summary** This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, ... role will focus on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments. Will… more
- The Cigna Group (Plano, TX)
- The Military OneSource (MOS) Network Management Senior Manager will have oversight of the Military OneSource network and lead a multi-specialty team in ... network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and...experience with commercial and government products, such as Medicare, Medicaid and or Individual and Family Plans. + Strong… more
- Point32Health (FL)
- …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives ... Working with the Director, Network & Provider Analytics...and mentoring to all members of the team. The Senior Manager will directly support complex analysis… more
- The Cigna Group (Scottsdale, AZ)
- …with large regional and select national systems. In addition, the Senior Manager will contribute to the overall Network Strategy by delivering strategic ... The System Contract Senior Manager will have oversight of...process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Physician Enterprise/ Network Manager - Patient Accounts** is responsible for pre-billing and billing ... functions for all Physicians located across the Hackensack Meridian Health (HMH) network . Processes to be performed in compliance with established goals, revenue… more
- Aveanna (Atlanta, GA)
- Network , Voice and Collaboration Manager - Remote ApplyRefer a FriendBack Job Details Requisition #: 193843 Location: Atlanta, GA 30339 Category: OT Salary: ... voice and collaboration configurations, procedures, and troubleshooting guides. Work closely with senior management to align network and voice strategies with… more
- VHC Health (Arlington, VA)
- Senior Practice Manager - Urgent Care...is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare ... the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet(R) hospital by the… more
- AdventHealth (Lake Wales, FL)
- …serving the community and surrounding areas. + As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new ... Bok Tower Gardens and Bird Sanctuary. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional nurse who has the most direct impact… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …of each Director/ Manager /Department reporting to this position + Assists senior leadership in Network -wide transformation to sustainable healthcare delivery ... Patient Centered Medical Home, Pathways, Food as Medicine, NYS Medicaid 1115, , etc.) the VP will collaborate with...etc.) the VP will collaborate with and engage with senior management, medical and Health Center leadership, providers, and… more
- Elevance Health (Mason, OH)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... OH; St. Louis, MO, Grand Prairie, TX, Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the Cost of Care and/or… more
- DESC (Seattle, WA)
- …substance use disorder treatment as part of the King County Integrated Care Network . These services are principally Medicaid -funded. In addition to targeting ... Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Senior Clinical Data Analyst** is responsible for managing the collection, organization and ... Services (DTS) Team is building across the Hackensack Meridian Health (HMH) network . Responsible for assisting DTS on tool development required for quality measure… more
- ConvaTec (Bridgewater, NJ)
- …the time. We're a business that never stands still. Join the team as the Director/ Senior Director, US Policy and Global Market Access and Reimbursement - AWC and you ... position could be hired at either a Director or Senior Director level depending on the background and experience...Access and Reimbursement Leadership:** + Work with AWC General Manager and leadership team to lead to predict and… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... purpose:** As a member of the Enterprise Project Management Office team, the Senior Business Analyst is responsible for the documentation of Business requirements at… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Planning and Operations Manager - Behavioral Health Exemption Status Exempt Management Level Manager ... listed 9 states. Job Summary The Planning and Operations Manager - Behavioral Health is responsible for monitoring and...Essential Responsibilities Projects and Planning + In partnership with senior leadership and quality team, manage and the CCO… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ This role does not manage people + This role reports to this job: Manager , Medical Coding + Necessary Contacts: In order to effectively fulfill this position, the ... in Provider Reimbursement, Provider Audit, Medical Management, IT, BCBSLA Network physicians, national physician specialty organizations, American Medical Association,… more