- MedStar Health (Washington, DC)
- …efficient comprehensive provider network . Oversight and monitoring of network development and provider contracting . Ensures that cost containment ... Summary of Position Responsible for the overall direction and management of the contracting value-based care (VBC) and network development strategies for the… more
- MedStar Health (Washington, DC)
- …efficient, comprehensive provider network . Oversight and monitoring of network development and provider contracting . Ensures that cost containment ... Position Director of Network Contract & Provider Strategy at...Responsible for the overall direction and management of the contracting value-based care (VBC) and network development… more
- Dompe farmaceutici SpA (San Mateo, CA)
- …(Commercial Operations). Job Summary Under the direction of General Counsel, the US Legal Director will provide a broad range of legal services and guidance to ... years. With a rare disease product, the US Legal Director will need to provide advice and...legal liability. Providing advice, education, and legal direction on contracting and pricing, FDA labeling and promotional matters, patient… more
- Monks (San Diego, CA)
- Join to apply for the AI Solution Director role at Monks . We will never request payment or bank account information at any stage of the recruitment process. As we ... our official website (monks.com/careers). About the Role The AI Creative Solution Director is accountable for direction, motivation, and financial impact of a newly… more
- Expedia Group (San Francisco, CA)
- Join to apply for the Director , Enterprise Alliances role at Expedia Group . This role is available only in Seattle or San Francisco and follows a flexible work ... to fuel your passion for travel. Role Overview The Director , Enterprise Alliances will acquire and expand national and...as a technical resource to less experienced staff on contracting principles. Collaborate with legal resources to explain and… more
- Develop for Good (San Francisco, CA)
- …and set priorities to ensure timely delivery of features. Troubleshoot issues and provide technical guidance to resolve roadblocks as they arise. Provide ... website development). Execute such other duties as designated by the Executive Director . Qualifications A postsecondary degree in computer science, engineering, or a… more
- Point32Health (Canton, MA)
- …**Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider networks ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- Centene Corporation (Jefferson City, MO)
- …Purpose:** This role will be a leader on the team responsible for building, contracting , and managing the provider network for Ambetter Health Solutions ... - Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint -… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Director , Provider Contracting serves as a strategic leader overseeing ... to drive successful outcomes and support the organization's overall objectives. The Director , Provider Contracting communicates contract terms, payment… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- … Contracting and is responsible for developing and executing US payer and provider contracting strategies, tactics, and initiatives in partnership with the US ... fulfil their aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Director , US CAR-T Pricing & Contracting ** reports to the Head of… more
- Molina Healthcare (Green Bay, WI)
- **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina ... caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- Point32Health (Canton, MA)
- …utilized by Point32Health to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...of financial and legal terms. The Manager, Allied Health Contracting will work closely with the Director ,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as applicable. Will support CHLA Medical Group leadership ... Will also be responsible for collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical… more
- Beth Israel Lahey Health (Wakefield, MA)
- …a difference in people's lives.** Position Summary: Partner with the Executive Director , Contracting to manage key divisional initiatives that support Managed ... Care Contracting . The Contracting Program Manager will be...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Corewell Health (Grand Rapids, MI)
- …Master's Degree (MBA, MHA, MHP) + 5 years of relevant experience within provider network management, health care insurance or other health care delivery ... costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. + Support market specific… more
- Highmark Health (Pittsburgh, PA)
- …field **EXPERIENCE** **_Minimum:_** + 7 - 10 years' experience in managed care network development and provider relations/ contracting management in a ... business network strategy (government, commercial, etc.). Leads all aspects of provider network strategy including, but not limited to: discounts analysis,… more
- Humana (Indianapolis, IN)
- …+ 5+ years of experience in healthcare operations, finance, medical economics and/or provider network management + 3+ years of experience HEDIS/Stars experience, ... improving consumer experiences **Preferred Qualifications** + Master's Degree + Provider Contracting experience **Additional Information** At minimum, a… more
