- Jazz Pharmaceuticals (Seattle, WA)
- …plans from having a strong understanding of group purchasing organizations, contracting , health economics, reimbursement/access, and an in-depth understanding of buy ... plans and insights with Channel leadership and cross-functional partners to inform contracting and access strategy for all Channel segments by brand. Ensure critical… more
- The Cigna Group (Franklin, TN)
- …in the Franklin, TN office several days per week** **Medicare Advantage position** The ** Provider Contracting Lead Analyst** serves as an integral member of the ... Provider Contracting Team and reports to the ..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Baptist Memorial (Memphis, TN)
- Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth ... understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market… more
- The Cigna Group (Charlotte, NC)
- …**Manager, Provider Network Contracting ** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- The Cigna Group (Morris Plains, NJ)
- …trends in these contracts are critical for Cigna to achieve Affordability goals. The ** Provider Contracting Senior Advisor** is a key role in supporting the ... quality of care. This role will report to the Provider Contracting Director - LifeSOURCE and is..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Humana (Bismarck, ND)
- …our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or ... and agreements for an organization that provides health insurance. The Provider Contracting Executive communicates and strategizes internally and externally… more
- Humana (Lincoln, NE)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... to in-person meetings with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the Network… more
- The Cigna Group (St. Louis, MO)
- …of working 3 days per week onsite and 2 days per week remote._** The Provider Contracting Advisor (PCA) is responsible for the overall management of the ... consists of identified large, high-volume, multi-state or national practices that provide virtual and digital resources. These regional and/or national outpatient… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or ... other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Provider Contracting Coordinator initiates physician and/or other provider contracts and ... administrative/operational/customer support duties that require independent initiative and judgment.The Provider Contracting Coordinator manages provider … more
- The Cigna Group (Glendale, CA)
- …Lead Analyst. In this role, you will conduct hospital and professional provider contract underwriting/analysis, partnering with Contracting to deliver unit cost ... fashion and offer meaningful options during negotiations with a provider + Provide ad hoc analysis and...dives into data as appropriate to support negotiation and provide value to our contracting partners +… more
- McLaren Health Care (Grand Blanc, MI)
- …Summary:** Supports the day-to day functions and operations of the provider contracting team. Facilitates consistency, efficiency, compliance with applicable ... adherence to McLaren health system policies and procedures throughout the provider contracting process. **Essential Functions and Responsibilities As Assigned:**… more
- Humana (Miami, FL)
- …part of our caring community and help us put health first** The Provider Contracting Professional 2 communicates contract terms, payment structures, and ... matching program Network Resource Groups (NRGs) Career development opportunities The Provider Contracting Professional 2 communicates contract terms, payment… more
- Humana (Charleston, WV)
- …part of our caring community and help us put health first** The Provider Contracting Professional initiates, negotiates, and executes behavioral health ... provider contracts for Virginia Medicaid. The Provider Contracting Professional communicates contract terms, payment...used only if approved by leadership + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Highmark Health (Charleston, WV)
- …appropriate. Develop and manage the design and implementation of provider network strategies and reimbursement methodologies, including alternative payment ... costs and evaluate the impact on providers. + Review provider network regulatory reports relating to among other things,...or requested. **EXPERIENCE** **Required** + 5 years in Healthcare Contracting or related field + 5 years in a… more
- Sedgwick (Nashville, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Manager, PPO Provider Network Contracting **POSITION OVERVIEW:** Manages the daily operations ... of the medical network development/PPO contracting team. Develop and lead a team of PPO...certified networks through providing focus and oversight of the provider network development team. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Highmark Health (Albany, NY)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... PA.** **ESSENTIAL RESPONSIBILITIES** + Direct and oversee hospital and institutional provider contract negotiations, taking the lead in complex or high-dollar… more
- Merck (North Wales, PA)
- …one or more of the following: + Brand and/or Payer Marketing + Payer & Provider Contracting in Pharmacy and Medical Benefit spaces + Significant people and team ... Analysis support. Accountabilities will include efforts to help assess, evaluate, and provide integrated insights on contracting and contract performance at the… more
