- CVS Health (Lansing, MI)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... all with heart, each and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment models and quality ... process of developing proposals, negotiating terms, and accurately drafting and finalizing contracting language and financial rates. A successful Senior Contract… more
- Centene Corporation (Springfield, IL)
- …one who changes everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects ... degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous… more
- The Cigna Group (Cleveland, OH)
- …Providers. Must reside in the Cleveland or Independence, OH area.** The **Director, Provider Contracting Network Management** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager. This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (St. Louis, MO)
- …is responsible for consulting with cross-functional partners and clients on pharmacy network contracting initiatives in order to drive contract negotiations and ... and Finance and external Independent Providers. + Manages strategic positioning for provider contracting and assists with development of networks. + Contributes… more
- The Cigna Group (San Diego, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... the provider network and to meet accessibility, quality...department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting … more
- VNS Health (Manhattan, NY)
- … capacity and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done ... Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of… more
- Greater Lynn Senior Services (Lynn, MA)
- …requirements as an AGE-designated ASAP. Additionally, they will ensure that the provider network meets other contractual requirements with organizations such as ... is responsible for building, managing, and monitoring a comprehensive network of quality direct care providers capable of meeting...(ASAP) with knowledge of home care policy, procedure, and provider contracting preferred. Hours: Full Time 40… more
- CVS Health (Columbus, OH)
- …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... Internal Aetna system knowledge a plus + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- City of New York (New York, NY)
- …development programs across the City. The Workforce Connect division is seeking a Senior Contracting and Fiscal Operations Analyst to join the Workforce Connect ... of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the...programs to alleviate the effects of poverty and to provide opportunities for New Yorkers and communities to flourish.… more
- Covenant Health (Lubbock, TX)
- …opportunity tailored just for you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this ... pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, execution, and organizational… more
- Providence (Irvine, CA)
- …services and programs and serve as a thought leader with the Provider contracting team on issues related to network development and value creation for the ... with senior leadership at the System and division levels, and with senior leaders in the Contracting Department, Population Health Division, and Operational… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Oversee provider network performance and communications across the company to ... inform and educate providers and improve quality of care. + Oversee provider network performance and communications to improve quality at lower costs and to… more
- UPMC (Pittsburgh, PA)
- …Experience following fields: value-based contracting , pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc + FSA or ... exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of mathematics, probability, and… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... policies. Position Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees of managerial… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Strategic development is completed in cooperation and agreement with the enterprise Provider Network vision, policies, and technologies. + Lead the market in ... ensure high performance.; + Be a thought leader with the Corporate Provider Network Management team in developing new, operationally administrable,… more
- Molina Healthcare (MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …contact with: Provider Network Operations Systems, Benefits Operations, Provider Contracting , HQM, Marketing, Legal, IT, Provider Reimbursement, ... accountable for the strategic direction and management of the Provider Network Operations staff, which supports all...and use discretion in obtaining services or escalating to senior management as needed + Possess a can-do attitude… more