- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care ( Network Development Specialist) Remote At MultiPlan, we pride ourselves on being a ... discount objectives, and improved contractual terms. Foster and maintain superior provider relationships. Maintain, and preferably exceed, contracting production… more
- Cambia Health Solutions, Inc (Portland, OR)
- …relations, provider contracting , customer service, financial analysis: Provider /payer strategy development or implementation; Provider /payer ... and CCN VA contract management, facilitating coordination between Cambia departments, network leadership, and providers to ensure seamless provider experiences,… more
- MultiPlan (Atlanta, GA)
- …Account Management team in contract negotiations with customers.4. Support MultiPlan Network Development team in contract negotiations with healthcare ... providers.5. Support drafting, distribution and maintenance of all form provider , customer and vendor agreements including the development...procedures for use of and with such agreements. 6. Provide counsel and contracting support to other… more
- MultiPlan (Atlanta, GA)
- JOB ROLES AND RESPONSIBILITIES: 1Oversee Network Development submission of all contract types, exhibits, amendments, addendums, and fee schedules2Act as liaison ... between Network Development and other departmentsAttend weekly ...principles, practices, and procedures related to the implementation of provider network contractsEvaluation, originality, and/or ingenuity are… more
- Service Experts (Farmington Hills, MI)
- …Alaska and Hawaii. We have self-performing HVAC technicians as well as a network of 500+ mechanical contracting service providers delivering nationwide HVAC unit ... believe in doing what is right for our customers and our employees. We provide our employees with the training, support and an opportunity for unlimited professional… more
- Russell Tobin & Associates (Falconer, NY)
- …of IT professionals to manage. Responsibilities: Lead Cybersecurity Strategy Development Acquire and manage the necessary resources, including leadership support, ... the effectiveness of the enterprise's cybersecurity safeguards to ensure they provide the intended level of protection Lead Organizations Cybersecurity Efforts Lead… more
- The George Washington University (Washington, DC)
- …The George Washington University Major responsibilities:1. Programmatic directiona. Provide fiscal, clinical, administrative, IT, and programmatic direction for ... on-call duties.d. Participate in the webPOISONCONTROL project including algorithm development , publication, case auditing, project funding and promotion.e. Analyze… more
- Service Experts (Blue Ash, OH)
- …Alaska and Hawaii. We have self-performing HVAC technicians as well as a network of 500+ mechanical contracting service providers delivering nationwide HVAC unit ... believe in doing what is right for our customers and our employees. We provide our employees with the training, support and an opportunity for unlimited professional… more
- American Honda Motor Co Inc (Torrance, CA)
- …(AHFC) and any related subsidiaries. From time to time, this role also will provide services to directly support AHM's sales operations and Law & IP projects. ... in order to advise AHFC in all areas of contracting . These efforts will be conducted in a timely...to support AHFC's commercial financing concerning a nationwide dealer network . This position will counsel AHFC in furthering these… more
- Elevance Health (St. Louis, MO)
- ** Provider Network Contracting & Development Director** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must ... miles of a PulsePoint location. The ** Provider Network Contracting & Development Director**...projects with significant impact. * May assist management in network development planning. * May provide… more
- Centene Corporation (Pittsburgh, PA)
- …MHA degree preferred. 10+ years of experience in managed care network development and provider relations/ contracting management in a health care and/or ... Management and Contracting . **Position Purpose:** Direct the provider network and contracting activities....implement and maintain production and quality standards for the Contracting department. + Oversee network development… more
- The Cigna Group (Plano, TX)
- …takes to succeed in healthcare network development and provider (ie, physicians and hospitals) contracting . Throughout this multi-week program, ... **The Cigna Group Sales and Contracting Development Program** ** Network ...of provider networks.** Support strategic positioning for provider contracting , assist in the development… more
- CVS Health (Trenton, NJ)
- …State requirements. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve value-based contracting targets and manage ... internal provider relations representatives to ensure successful Provider Relationships, and Network Performance including Clinical...+ Familiar with legal terms in the context of provider contracting + Able to apply system… more
- CVS Health (Oklahoma City, OK)
- …workflow processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement ... for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
- CVS Health (Sacramento, CA)
- … development , pharmacy management, quality improvement, population health, provider network development , provider contracting and management, ... cost, delivering strategic network goals. Ensure all contracting efforts with hospital/ provider systems deliver appropriate...ensure effective development and management of the provider network functions including provider … more
- Trinity Health (Columbus, OH)
- …and onsite visits. . Collaborates with the Director - Provider Contracting and Network Development to develop communication goals, strategies, ... experience with a Health Plan or Health Provider . Prior contracting and network development experience highly preferred . Knowledge of physician claims… more
- The Cigna Group (Anaheim, CA)
- …meetings with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- CVS Health (Harrisburg, PA)
- …contracts with large or complex provider systems. + Medicaid Network Management/LTSS Contracting experience. + Strong communication, critical thinking, ... in support of business strategies. + Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of… more
- CVS Health (Harrisburg, PA)
- …in support of business strategies. + Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of ... in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and… more
- CVS Health (Hartford, CT)
- …cost-saving initiatives and settlement activities. + Assists in the management of network development , maintenance, and refinement activities and strategies in ... and adequacy targets. + Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations… more
