- Novo Nordisk Inc. (Dallas, TX)
- …product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market ... 's organizational structure. Relationships This position reports into a Director or Senior . Director within the Area Market Access Team. Internally, this position… more
- Novo Nordisk Inc. (Chicago, IL)
- …product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market ... 's organizational structure. Relationships This position reports into a Director or Senior Director within the Area Market Access Team. Internally, this position has… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market ... 's organizational structure. Relationships This position reports into a Director or Senior Director within the Area or National Market Access Teams. Internally, this… 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
- CVS Health (Augusta, ME)
- …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… 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
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...5 or more years of progressive provider network management experience including provider contracting… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...Bachelor's degree + 5 or more years of progressive network management experience including hospital contracting and… 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
- 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
- Point32Health (Canton, MA)
- …submissions, RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as ... Summary** Working under the direction of the Director or Senior Manager, the Senior Analyst will be...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Knowledge of common/standard Value Based Contracting components and principles. ** Senior Provider Network Performance Analyst** **Education and ... contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers...junior level Analyst. + Performs other duties as assigned. ** Senior Provider Network Performance Analyst**… 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
- Molina Healthcare (Edinburg, TX)
- …Remote and must live in Texas _** **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
- The Cigna Group (Scottsdale, AZ)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- CVS Health (Sacramento, CA)
- …+ This is an individual contributor role **Required Qualifications** + 7+ years of network contracting /management experience + Ability to travel as needed (up to ... Matter Expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems and information contained… more
