- Cambia Health Solutions, Inc (Portland, OR)
- …healthcare industry with specific focus in provider relations, provider contracting , customer service, financial analysis: Provider/payer strategy development ... CCN VA contract management, facilitating coordination between Cambia departments, network leadership, and providers to ensure seamless provider experiences, resolve… more
- Russell Tobin & Associates (Falconer, NY)
- …the security strategy. Lead and oversee information security budget, staffing, and contracting . Communicate the value of information technology (IT) security ... of IT professionals to manage. Responsibilities: Lead Cybersecurity Strategy Development Acquire and manage the necessary resources, including leadership support,… more
- CVS Health (Trenton, NJ)
- …formulate, and implements the provider network strategic plans to achieve value -based contracting targets and manage medical costs through effective value ... based provider agreements. + In charge of complete value based contracting cycle from planning, creating...Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3… more
- CVS Health (Tallahassee, FL)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... Summary** Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
- The Cigna Group (Plano, TX)
- **The Cigna Group Sales and Contracting Development Program** ** Network Contracting Analyst** **Start Date July 14, 2025** It's fun to work in a company ... Group's Sales and Contracting Development Program provides professional development for the ** Network Contractor** role among early-career employees. Our… 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 ... Management. This role is a key contributor to the development of the strategic direction and is accountable for...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- CVS Health (Harrisburg, PA)
- …integrity and performance. + Manages contract performance and supports the development and implementation of value -based contract relationships in support ... negotiating contracts with large or complex provider systems. + Medicaid Network Management/LTSS Contracting experience. + Strong communication, critical… more
- CVS Health (Harrisburg, PA)
- …integrity and performance. + Manages contract performance and supports the development and implementation of value -based contract relationships in support ... for assisting in the reviewing, building and auditing complex contracts and network data, support recruitment efforts, and collaborate on negotiations as needed.… more
- CVS Health (Raleigh, NC)
- …personal, convenient and affordable. **Position Summary** The Lead Director, Network Management - Medicaid/North Carolina is accountable for designing conceptual ... models, initiative planning, and negotiating Medicaid value based agreements with North Carolina providers, including health systems, clinically integrated networks,… more
- Amgen (Washington, DC)
- …you are meant to be in your chosen field. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **Live** **This could ... to engage with subject matter experts and business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve… more
- UPMC (Pittsburgh, PA)
- …department is seeking an Actuarial Analyst II to assist with their Value -Based Contracting work! This position applies knowledge of mathematics, probability ... to learn and expand skillset as it relates to Value -Based Contracting + Experience in pricing, reserving,... + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in… more
- UPMC (Pittsburgh, PA)
- …in SQL and Excel + Experience following fields: value -based contracting , pricing, reserving, trend/health economics, provider network analysis, risk ... has an exciting opportunity for an Actuary Lead on their rockstar Value -Based Contracting Team!** This position applies knowledge of mathematics, probability,… more
- The Cigna Group (Plano, TX)
- …direction and is accountable for the management of the fee for service and value based contracting and network management activities for multiple local ... for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to… more
- The Cigna Group (Nashville, TN)
- …a key contributor for the development of a national provider and vendor value -based network and is accountable for the management of complex contracting ... Advisor position is an integral member of the National Development and Network Solutions team, reporting directly...the energy to mobilize a matrixed team responsible for contracting national value -based providers and engaging in… more
- The Cigna Group (San Diego, CA)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more
- The Cigna Group (Bloomfield, CT)
- …direction of assigned markets and is accountable for the management of value -based and fee-for-service contracting and network management activities ... Contracting Senior Managers** serves as an integral member of the Network Development and Solutions Team, supporting the Northeast Region. This role… more
- The Cigna Group (Bloomfield, CT)
- …direction and is accountable for the management of the fee for service and value based contracting and network management activities for multiple local ... The **Provider Contracting Senior Advisor** serves as an integral member...value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Bloomfield, CT)
- …healthcare experience + Extensive experience (10 years, preferred) in payor, or provider contracting and network development involving multiple payor lines ... This position has overall accountability for managing the CareAllies' payor contracting business advisory services related to contracting governance and… more
- CareFirst (Fairfax, VA)
- …Work with Reimbursement Department to develop and monitor financial projections, including development of financial modeling tools and network metrics needed for ... Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate… more
- The Cigna Group (Scottsdale, AZ)
- …Medicare, Medicaid and or Individual and Family Plans. + Skills in provider network development and management, value -based care contract execution including ... projects related but not limited to implementation of strategic initiatives regarding Network Solutions and Innovative Contracting to enhance provider supply and… more
