- InterDent Service Corp (Oregon City, OR)
- …(including leased networks), and serving as a subject-matter expert on payor contracting and fee schedules. In partnership with senior leadership, the ... capable of demonstrating innovative solutions to move beyond historical Payor- Provider roles to adjust to the dynamics of the...to enhance the model and results. Payor Negotiations & Contracting Understand dynamics of various plan types (PPO, HMO,… more
- Molina Healthcare (Long Beach, CA)
- …Remote 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
- Molina Healthcare (Long Beach, CA)
- …network development of new Molina Markets Job Duties *Develops and implements provider network and contract strategies in new Molina markets, identifying ... Required Experience 10 + years experience in healthcare to include experience in provider network management Preferred Education Master's Degree in related field… more
- PacificSource (Boise, ID)
- …ways that fully develop and utilize each person's talents and strengths. The Provider Network Dental Program Manager serves as PacificSource's Medicaid dental ... action plans with delegates when indicated. Recommend and/or promote out utilization, network , and capacity oversight and improvement activities. Provide support… more
- Entergy (Magnolia, TX)
- Job Title: Senior Manager, Project Management (Capital Projects) Work Place Flexibility: Hybrid Legal Entity: Entergy Services, LLC Job Summary/Purpose Responsible ... technology understanding and experience; and building an effective relationship network with key internal and external individuals. Job Duties/Responsibilities Grows… more
- UnitedHealth Group (Las Vegas, NV)
- …to assist driving aligned performance in largely an independently contracted provider network through the development of meaningful relationships, financial ... patients, physicians, and the community. Optum's Core Business is contracting directly with health insurers to deliver a highly...required to work cross-functionally and will be expected to provide insight and perspective from the network … more
- AECOM (Atlanta, GA)
- …roles of a Project Manager such as maintaining client relationships, contracting , project planning and execution, financial management, technical management, change ... success including the management of resources, budgets and risk. Provide guidance and mentorship to junior staff. Flexibility and...and shaping the future. With cutting-edge technology and a network of experts, you'll have the resources to make… more
- UnitedHealth Group (Chappaqua, NY)
- …delivery systems, utilization management, disease management, analytics quality management, contracting , provider relations and customer service Understanding of ... Optum East (formerly Optum Tri-State NY) is seeking a Associate Medical Director, Network Partnerships to join our team in for NY/NJ Optum is a clinician-led care… more
- AECOM (Franklin, TN)
- …a better world. Join us. Job Description AECOM is seeking a highly talented Senior Geotechnical Dam Safety Engineer to join the East Region Dams Team. This position ... roles of a Project Manager such as maintaining client relationships, contracting , project planning and execution, financial management, technical management, change… more
- Norfolk Southern Corp. (Atlanta, GA)
- …to change management and implementation efforts by managing pricing process changes. Provide insights on industry expertise to guide pricing decisions and assess ... their impact on the bottom line. Supports sales representatives and contracting group in developing negotiation strategy for contracts throughout the sales process… more
- TekCom Resources, Inc. (Baltimore, MD)
- …is a full-service national recruiting firm specializing in telecommunications and network infrastructure contracting and recruiting. TekCom Resources, Inc. has ... a Junior or Assistant Construction Project Manager that is able to assist the Senior Project Manager on ground-up building and turn key building projects. Our client… more
- UnitedHealth Group (Cypress, CA)
- …are expected to apply healthcare economics insights and escalate local issues and trends Network / Provider Engagement - The CMO serves as the local clinical ... Connecting. Growing together. UnitedHealthcare's Market CMOs serve as the local senior clinical executive for their line of business, with accountability for:… more
- Center for Justice Innovation (Bronx, NY)
- …and communications. Comprising 15% of the organization's staff, these teams provide essential infrastructure support and innovative solutions aligned with the ... The Bronx Community Justice Center is seeking a Project Director. Reporting to the Senior Director of Programs, the Project Director will manage all aspects of the… more
- BioSpace (Indianapolis, IN)
- …strategic project management, consultancy, logistics planning and oversight, contracting , administrative and finance support, vendor management, on-site execution ... of Lilly stakeholders from Global and US teams including senior leadership. Additionally, this person will be responsible for...United States on a full-time basis. Lilly will not provide support for or sponsor work authorization and/or visas… more
- BeOne Medicines (San Mateo, CA)
- General Description: The Senior Manager of Provider Contracting is responsible for the development, negotiation, and management of contracts for BeOne solid ... and National Accounts. This role will report to the Senior Director of Channel and GTN Strategy. Essential Functions:...years of direct experience in market access insights, analytics, provider pricing and contracting strategy in the… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work...May assist with identifying and recruiting providers based on network composition and needs. Makes decisions on moderately complex… more
- The Cigna Group (Bloomfield, CT)
- …that supports Dental network growth and retention including all dental provider contracting activities for specified markets. Ability and willingness to ... required **Requirements:** + Bachelor's degree or 3+ years of experience in provider services/relation and/or contracting / network development. + Prior Dental… more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- The Cigna Group (Oklahoma City, OK)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Must live in Oklahoma** This Manager, Provider Contracting serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Richmond, VA)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
