• Network Development

    CVS Health (Phoenix, AZ)
    …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... 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 (05/25/24)
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  • VP Payer Contracting - North Division

    Providence (Renton, WA)
    …as a thought leader with the Provider contracting team on issues related to network development and value creation for the region. + Participate at a senior ... **Description** The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer… more
    Providence (06/05/24)
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  • Managed Care Database Administ / Managed Care…

    Hartford HealthCare (Wethersfield, 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 ... practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual… more
    Hartford HealthCare (03/30/24)
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  • Director Provider Contracting

    Highmark Health (Albany, NY)
    …process, and assumes the lead where necessary. Responsible for the development , implementation, maintenance, and updating of the plan's multiple fee schedules ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
    Highmark Health (05/25/24)
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  • Senior Network Representative - Pittsburgh,…

    Martin's Point Health Care (PA)
    …meeting, and other network provider activities. Key Outcomes: Network Development + Handles high level contracting and renegotiations with large and ... is not a remote position. Job Description The Senior Network Representative is responsible for all contracting ,...continually access the composition and performance of the provider network . This includes primary care incentive monitoring… more
    Martin's Point Health Care (06/07/24)
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  • Manager Provider Network Management

    AmeriHealth Caritas (Palm Beach Gardens, FL)
    …goals and objectives. ** Contracting :** + Responsible for hospital and physician network development and management. + Develops and recommends policy changes ... **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're… more
    AmeriHealth Caritas (04/25/24)
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  • Staff VP Network Management - Carelon

    Elevance Health (Columbus, OH)
    …in three people across all 50 states. **Summary:** We seek a Staff VP of Network Contracting for this exciting opportunity to drive change and impact care ... interaction with all the business leaders and stakeholders. **Team Scope:** As Staff VP of Network Contracting , you will be responsible for a team of 10 FTE's. … more
    Elevance Health (06/22/24)
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  • Provider Network Manager Sr

    Elevance Health (Waukesha, WI)
    …Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is ... high level of negotiation skills. Fee schedules are customized.** PRIMARY DUTIES: + Serves as key resource for other... DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and… more
    Elevance Health (06/19/24)
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  • Network Performance Advisor

    Centene Corporation (Miami, FL)
    …**Required 5+ years of experience in Network Management/ Network Development , Provider Relations, Risk and/or Value Base Contracting , managed care ... any other field:** **Required or equivalent work experience in Network Management/ Network Development , Provider Relations,...Development , Provider Relations, Risk and /or Value Base Contracting :** **Candidate Experience:**… more
    Centene Corporation (05/30/24)
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  • Provider Network Manager Sr

    Elevance Health (Charleston, WV)
    Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is contracting and ... an impact:** + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and... staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
    Elevance Health (06/06/24)
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  • Provider Network Manager Sr

    Elevance Health (Topeka, KS)
    …**Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is ... an Impact:** + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and... staff and provides mentoring and on-the-job training and development + Works independently and requires high level of… more
    Elevance Health (06/04/24)
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  • Dental Network Recruiter

    CVS Health (Harrisburg, PA)
    …include maintaining, reinforcing, and fostering important growth initiative for network improvement. Primary Responsibilities + Strategically identify, recruit, ... in a geographic area within established guidelines to meet network need + Primary recruitment responsibilities will...guidelines while being cognizant of utilization and cost. + Contracting providers by ensuring all data and documentation is… more
    CVS Health (05/24/24)
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  • Network Relations Manager- Louisiana…

    CVS Health (Baton Rouge, LA)
    …health care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned profile of larger and more complex providers (ie, ... internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation… more
    CVS Health (06/01/24)
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  • Network Engineer V

    Leidos (Boulder, CO)
    …patching, security hardening, troubleshooting, recovery, and decommissioning to the existing network infrastructure equipment and circuits. ** PRIMARY DUTIES:** + ... security and best practices, network system integration, and/or enterprise network management OR the analysis, development , and operational support of… more
    Leidos (05/24/24)
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  • Medicaid Network Relations Manager

    CVS Health (Princeton, NJ)
    …care more personal, convenient and affordable. Position Summary Acts as the primary resource for assigned, high profile providers or groups (ie, local, individual ... to ensure service levels are meeting expectations. + Manages the development of agenda, validates materials, and facilitates external provider meetings. +… more
    CVS Health (05/31/24)
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  • Provider Network Manager

    Elevance Health (Topeka, KS)
    …the provider network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education and experience,… more
    Elevance Health (06/19/24)
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  • Vice President Adult Ambulatory Operations…

    Vanderbilt University Medical Center (Nashville, TN)
    …Administration + 15+ years' experience in ambulatory operations leadership, business development , network development , transaction, or strategic planning ... The Vice President of Adult Ambulatory Operations and VUMC Primary Care System oversees the development of...the healthcare service sector + Experience in establishing a primary care network + Experience overseeing … more
    Vanderbilt University Medical Center (05/22/24)
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  • Director Medical Group - Primary Care

    HonorHealth (Scottsdale, AZ)
    …practices. Directs operations of practices, assists with physician recruitment, contracting , program development and support physician initiatives. Analyzes ... to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.… more
    HonorHealth (06/07/24)
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  • Medical Director - Pediatric Clinically Integrated…

    Intermountain Health (Las Vegas, NV)
    …**Job Description:** The Medical Director of the Nevada Pediatric Clinically Integrated Network (CIN) provides the clinical leadership for the pediatric CIN with ... with the AVP of Pediatrics, Nevada to prioritize CIN growth and development . * Builds strong and collaborative relationships with the independent community pediatric… more
    Intermountain Health (05/23/24)
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  • Senior Analyst, Network Relations

    CVS Health (Carson City, NV)
    …health care more personal, convenient and affordable. Position Summary:Acts as the primary resource for assigned, high profile providers or groups (ie local, ... periodically to ensure service levels are meeting expectations. Manages the development of agenda, validates materials, and facilitates external provider meetings.… more
    CVS Health (05/24/24)
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