• New Jersey Medicaid Lead Director

    CVS Health (New York, NY)
    …care more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director , Network Management is accountable for designing conceptual ... accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
    CVS Health (09/12/24)
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  • Lead Director , Network

    CVS Health (Raleigh, NC)
    …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid/North Carolina is accountable ... accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
    CVS Health (09/22/24)
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  • Program Director , Product Marketing,…

    IBM (New York, NY)
    …product marketing champion to join our Software Marketing & Communications team. As Program Director of Product Marketing, Network Management , you will drive ... of products within the Automation platform of software products, Network Management . The portfolio has PLG and...transform themselves and our company. They are trusted to provide on-going feedback to help other IBMers grow, as… more
    IBM (09/13/24)
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  • Provider Network Management

    Elevance Health (Columbus, OH)
    ** Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of an Elevance Health location. The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
    Elevance Health (09/18/24)
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  • Provider Network Management

    Elevance Health (Nashville, TN)
    ** Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of our Nashville, TN office. The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
    Elevance Health (09/19/24)
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  • Provider Network Management

    Elevance Health (FL)
    ** Provider Network Management Director Senior** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live ... Indianapolis, IN, Richmond, VA, Atlanta, GA or Tampa, FL Elevance Health locations. The ** Provider Network Management Director Senior** is responsible… more
    Elevance Health (09/20/24)
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  • Provider Network Management

    Elevance Health (Wilmington, DE)
    ** Provider Network Management Director Sr** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within ... 50 miles of a PulsePoint location. The ** Provider Network Management ...or any combination of education and experience, that would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
    Elevance Health (09/17/24)
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  • NJ Medicaid - Behavioral Health Senior Manager…

    CVS Health (Princeton, NJ)
    …Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network Management and will work in close partnership with ... provider services requirements under this Agreement + Provide provider education and develop and deliver...management with demonstrated experience managing a behavioral health provider network + Strong analytical skills and… more
    CVS Health (09/13/24)
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  • Administrative Manager of Network

    HCA Healthcare (Austin, TX)
    provider communication, and governance coordination.) + You will collaborate with the Director of Network Management and Vice President to manage ... Care Partners team is looking for a(an) Manager of Network Operations. HCA Healthcare is an advanced healthcare ...+ Master's degree preferred + Experience with Medicare program management , health plan leadership or development, or provider more
    HCA Healthcare (09/14/24)
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  • Network Economic Financial Consultant

    Prime Therapeutics (Columbus, OH)
    …ability to adjust focus **Reporting Structure** + Reports to Director or Senior Director in the Network Management or Pricing Planning & Analysis ... our passion and drives every decision we make. **Job Posting Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads… more
    Prime Therapeutics (09/15/24)
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  • Manager, Provider Relations

    Molina Healthcare (NY)
    …education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health ... primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director..., corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job… more
    Molina Healthcare (09/18/24)
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  • Sr Provider Relations Spec

    University of Rochester (Rochester, NY)
    …providers when needed_ + _Liaise with external partners and vendors to assist the Director , Provider Network Management & Payer Relations with ... initiatives in provider practices. Assists with the management of the provider network by developing and maintaining professional relationships… more
    University of Rochester (09/06/24)
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  • Provider Network Contracting…

    Elevance Health (St. Louis, MO)
    ** Provider Network Contracting & Development Director ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live ... within 50 miles of a PulsePoint location. The ** Provider Network Contracting & Development Director...significant impact. * May assist management in network development planning. * May provide work… more
    Elevance Health (09/19/24)
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  • Director , Network Value Analysis

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Director of Network Value Analysis will lead the Value Analysis Committee (VAC) ... purchased Services initiatives utilizing the value analysis process. The Director will provide direction to all Value... direction to all Value Analysis teams across the Network , including acute care, physician group, ambulatory sites, and… more
    St. Luke's University Health Network (09/06/24)
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  • Director , Provider Relations…

    CVS Health (Irving, TX)
    …* The State Network Director will manage and direct the internal Network Provider Relations staff to ensure "best in class" Provider Relationships. * ... Director will manage and deploy the Medicaid National Provider Engagement Program through the Local Market Network...years recent managed care Network experience in Provider Relations * Minimum of 3 years management more
    CVS Health (09/22/24)
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  • Director , Provider Contracting…

    The Cigna Group (Plano, TX)
    … of the fee for service and value based contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** ... live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare** serves as...- Medicare** serves as an integral member of the Network Development and Strategy Team and reports to the… more
    The Cigna Group (09/10/24)
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  • Senior Director - Provider

    Essentia Health (Duluth, MN)
    …strategic initiatives **Licensure/Certification Qualifications:** N/A **Job Summary:** The Senior Director of Provider Compensation is responsible for providing ... administer provider compensation strategies, models, and programs. The Sr. Director will develop compensation plans and incentives, direct the preparation of… more
    Essentia Health (09/12/24)
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  • Director , Provider Contracting…

    The Cigna Group (San Diego, CA)
    …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** ** Provider Contracting** serves as an integral member of the… more
    The Cigna Group (08/29/24)
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  • Director , Provider Payment…

    LifePoint Health (Brentwood, TN)
    * Director , Provider Payment Analytics and Processing* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued ... create environments where employees find purpose and fulfillment. *What you'll do:* As a* Director , Provider Payment Analytics and Processing*, youwill play a key… more
    LifePoint Health (08/23/24)
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  • Director , Strategic Provider

    Point32Health (Canton, MA)
    …and the Provider Partnerships leadership team, the Director of Provider Partnerships Strategy leads provider network strategic initiatives and their ... change management , and organizational/operational analysis and support to the Provider Partnerships leadership team + Provide on-going leadership and… more
    Point32Health (08/22/24)
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