- 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 ... by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? This role is a… more
- Merck & Co. (Bozeman, MT)
- Job DescriptionVence, a subsidiary of our Company's Animal Health is a leading virtual fencing company with an exceptional brand and reputation in the ranching and ... colleagues.Coordinate with the Rancher Success Team to successfully transition new customers. Provide feedback and content to the Marketing organization Background &… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... amendments, etc. + Acts as subject matter expert for provider contracting operations and technical areas using Contract...and the State of Michigan Office of Financial and Insurance Services. + Effectively communicates contract terms… more
- Elevance Health (Indianapolis, IN)
- …office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult ... ** Provider Contract Cost of Care Consult...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Corewell Health (Grand Rapids, MI)
- …contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider contracts at ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- Corewell Health (Grand Rapids, MI)
- …skilled negotiator with an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ... guidance in others. Essential Functions + Contributes to the contract development and negotiation process for provider ...contracts and contract information in the system contract database. + Provide effective oversight of… more
- Elevance Health (Louisville, KY)
- ** Provider Contract /Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and ... not eligible for current or future VISA sponsorship._ The ** Provider Contract /Cost of Care Consultant** provides analytical...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Elevance Health (Woodbridge, NJ)
- ** Provider Contract /Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract /Cost of Care Consultant** provides analytical...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Medical Mutual of Ohio (Dublin, OH)
- …Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 ... the health care industry and current events. Provider Contract Manager II **Education and Experience:**... Contract Manager or equivalent experience in health insurance or a health … more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Elevance Health (South Portland, ME)
- Provider Network Manager Sr. / Contract Negotiations (JR151123) **Sign-On Bonus: $3,000** **Hybrid 1:** This role requires associates to be in-office **1 - 2** ... ** Provider Network Manager Sr** . develops the provider network through contract negotiations, relationship development,...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... billing staff to ensure understanding of and compliance with proper guidelines. + Provide control and processing support for final provider settlements and… more
- New York State Civil Service (Albany, NY)
- … health and substance use disorder treatment parity laws and MHPAEA;* Analyzes health insurance contract forms submitted for approval to the Department ... the handling of special projects or the operations of health insurance programs; * Researches and prepares...(ADA), the Department of Financial Services is required to provide reasonable accommodation for known physical or mental limitations… more
- Avera (Minneapolis, MN)
- … Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans ... to join and remain in the network. + Maintain provider manual and policies and maintain contract ...PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage… more
- The Cigna Group (Independence, OH)
- …+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" agreements ... Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the … more
- BrightSpring Health Services (Charlotte, NC)
- …home, transportation, shopping and more. Responsibilities + Receive the Individual into the Provider 's home and to provide the Individual with appropriate daily ... Our Company ResCare Community Living Overview A Host Home provider is an independent contractor who opens their home and heart to an adult with a development… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... 9. Assist in the development and revision of department policies and processes. 10. Provide guidance and assist other Contract Administrators. 11. Provide … more
- Henry Ford Health System (Detroit, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting, provider relations and/or provider… more
- The Cigna Group (Bloomfield, CT)
- …+ **Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data, ... + **3+ years of Healthcare experience, required.** + **Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed… more
- Sharp HealthCare (San Diego, CA)
- … provider orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally ... and provider communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and… more
