• Regional Medicare Provider Contracting…

    The Cigna Group (Springfield, IL)
    The **Regional Medicare ** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team ... and reports to the Medicare Provider Contracting Regional Vice President. This role is...for the management of value-based and fee-for-service contracting and network management activities for multiple local geographies. **DUTIES AND… more
    The Cigna Group (08/14/24)
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  • Medicare Provider Contracting Senior

    The Cigna Group (Bloomfield, CT)
    …of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of the ... management of the fee for service and value based contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** +… more
    The Cigna Group (08/28/24)
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  • Medicare Advantage Provider Performance…

    The Cigna Group (Bloomfield, CT)
    Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
    The Cigna Group (07/27/24)
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  • Medicare Provider Network

    The Cigna Group (Bloomfield, CT)
    …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... management of the day to day contracting and network management activities for a local given territory. **DUTIES...risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to develop … more
    The Cigna Group (09/17/24)
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  • Medicare Provider Performance…

    The Cigna Group (Maitland, FL)
    …ensures the effective management of the performance outcomes of the provider network . The Provider Performance Manager 's responsibilities include: + Developing ... travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, collaborative organization… more
    The Cigna Group (08/15/24)
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  • Data Governance & Ownership Sr. Manager

    The Cigna Group (Nashville, TN)
    **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network operations,… more
    The Cigna Group (09/12/24)
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  • Director, Provider Contracting - Medicare

    The Cigna Group (Plano, TX)
    …of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of the ... management of the fee for service and value based contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** +… more
    The Cigna Group (09/10/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Denver, CO)
    …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... assists in the growth and development of the provider network . The External Representative is the primary conduit to...development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial… more
    The Cigna Group (08/24/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Atlanta, GA)
    …Provider Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director, this individual ensures ... the effective performance management of the provider network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor with the Provider… more
    The Cigna Group (08/27/24)
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  • Senior Manager , Network

    Point32Health (FL)
    …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives ... Working with the Director, Network & Provider Analytics...and mentoring to all members of the team. The Senior Manager will directly support complex analysis… more
    Point32Health (09/11/24)
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  • Senior Manager , Project Management…

    MetroLink (Los Angeles, CA)
    Senior Manager , Project Management (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4663705) Apply  Senior Manager , ... of the METROLINK Commuter Rail System, is seeking a Senior Manager , Project Management who will provide...program, you must select a contract dentist within their network to perform your dental services. If you require… more
    MetroLink (09/19/24)
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  • Network , Voice and Collaboration…

    Aveanna (Atlanta, GA)
    Network , Voice and Collaboration Manager - Remote ApplyRefer a FriendBack Job Details Requisition #: 193843 Location: Atlanta, GA 30339 Category: OT Salary: ... voice and collaboration configurations, procedures, and troubleshooting guides. Work closely with senior management to align network and voice strategies with… more
    Aveanna (07/13/24)
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  • Network Development Manager

    WelbeHealth (San Jose, CA)
    …for our seniors to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this by obtaining and developing ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...provider partnership contracts ( Medicare & Medi-Cal) in our existing and future markets… more
    WelbeHealth (09/07/24)
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  • Administrative Manager of Network

    HCA Healthcare (Austin, TX)
    …reservations or limits? Our St Davids Care Partners team is looking for a(an) Manager of Network Operations. HCA Healthcare is an advanced healthcare network ... save lives across the country? Apply today to our Manager of Network Operations and be a...assist in facilitating Board, Committee, and sub-group meetings, internal senior leadership meetings, and other related operations activities. +… more
    HCA Healthcare (09/14/24)
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  • Manager of Physician Billing Network

    Hackensack Meridian Health (Hackensack, NJ)
    …healthcare and serve as a leader of positive change. The **Physician Enterprise/ Network Manager - Patient Accounts** is responsible for pre-billing and billing ... functions for all Physicians located across the Hackensack Meridian Health (HMH) network . Processes to be performed in compliance with established goals, revenue… more
    Hackensack Meridian Health (07/23/24)
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  • Medicaid Senior Insurance Product…

    Humana (Columbus, OH)
    …of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in developing and ... needs of Humana's customers while aligning with its business objectives. The **Medicaid Senior Insurance Product Manager ** plays a critical role in developing… more
    Humana (09/06/24)
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  • Senior Contract & Compliance Administrator

    MetroLink (Los Angeles, CA)
    …worker or supervisor duties. SUPERVISION EXERCISED AND RECEIVED + Receives supervision from Director, Senior Manager , and Manager II roles. + The position ... Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply...program, you must select a contract dentist within their network to perform your dental services. If you require… more
    MetroLink (09/20/24)
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  • Senior Practice Manager - Urgent…

    VHC Health (Arlington, VA)
    Senior Practice Manager - Urgent Care...is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare ... is the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet(R) hospital… more
    VHC Health (07/18/24)
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  • Business Project Senior Analyst - Northeast…

    The Cigna Group (Bloomfield, CT)
    …termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, ... the Northeast and Central USA market._** The **Business Project Senior Analyst** serves as an integral member of the... Analyst** serves as an integral member of the Network Development and Competitive Insights Team within Network more
    The Cigna Group (08/14/24)
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  • Senior Nurse Manager PCU

    AdventHealth (Lake Wales, FL)
    …serving the community and surrounding areas. + As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new ... and Bird Sanctuary. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional nurse who has...of patient care services, including but not limited to Medicare , Managed care, Medicaid, third party providers, challenges to… more
    AdventHealth (09/10/24)
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