• Senior Manager , Medicaid

    CVS Health (Austin, TX)
    …to make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager , network management: * Negotiates, ... cost initiatives. * Recruit providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets. * Support… more
    CVS Health (10/01/24)
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  • Senior Project Manager

    CVS Health (Columbus, OH)
    …position will oversee and manage complex projects in support of Government Programs Network team's process, operations, and strategy as it relates to alignment with ... CVS Care Delivery assets and resides within the Network Value Based Solutions and Analytics Organization. This individual will manage multiple projects and ensure… more
    CVS Health (09/20/24)
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  • Network Development and Contracting (Value…

    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 (09/22/24)
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  • Senior Manager , Medicaid

    CVS Health (New Albany, OH)
    …and monitors reporting for operational trends related to credentialing, provider network adequacy, provider reimbursement. * Optimizes service operations and enhance ... customer support efforts through innovative technologies and systems. * Monitors key performance indicators (KPIs) to measure service performance, ensuring that the services provided meet the established quality standards and customer expectations. * Fosters a… more
    CVS Health (09/29/24)
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  • Senior Manager , Network

    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
    Point32Health (09/11/24)
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  • Senior Manager of Network

    Elderwood (Buffalo, NY)
    …- $100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing ... with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to engage new… more
    Elderwood (09/28/24)
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  • Senior Manager , Behavior Provider…

    CVS Health (Annapolis, MD)
    …impact in your next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual contributor role, you ... role include: + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. + Collaborate cross-functionally to manage provider… more
    CVS Health (09/22/24)
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  • Senior Contract Manager

    WellSense (Boston, MA)
    Manager of Hospital & Physician Contracting, the Senior Contract Manager assists in the development of network -wide strategies to improve efficiencies ... Senior Contract Manager WellSense Health Plan...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
    WellSense (09/21/24)
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  • Network , Voice and Collaboration…

    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
    Aveanna (07/13/24)
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  • Market Manager - Provider Relations…

    Trinity Health (Columbus, OH)
    …own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** Market Manager - Provider Relations and Network Development is responsible for the ... area or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will... development plan for multiple regions. . Work with senior leadership to design, develop and implement value based… more
    Trinity Health (09/18/24)
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  • Senior Practice Manager - Urgent…

    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
    VHC Health (07/18/24)
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  • Senior Nurse Manager PCU

    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
    AdventHealth (09/10/24)
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  • Vice President, Population Health Management…

    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
    Hudson Headwaters Health Network (09/14/24)
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  • Senior Contract Specialist

    CareOregon (Portland, OR)
    …Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title Provider Network Contract Manager Direct Reports ... remote role but you must reside in Oregon or Washington. Job Summary The Senior Contract Specialist is a key contributor to the Contracting team. This position… more
    CareOregon (10/01/24)
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  • Senior Director of Clinical Programs

    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
    DESC (09/24/24)
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  • Senior Clinical Data Analyst

    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
    Hackensack Meridian Health (07/08/24)
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  • Director/ Senior Director, US Policy…

    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
    ConvaTec (08/28/24)
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  • Senior Business Analyst- Growing Health…

    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
    Fallon Health (08/28/24)
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  • Planning and Operations Manager

    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
    CareOregon (09/27/24)
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  • Senior Coding System Configuration…

    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
    Blue Cross and Blue Shield of Louisiana (09/15/24)
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