- The Cigna Group (Scottsdale, AZ)
- …Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- Centene Corporation (Phoenix, AZ)
- …on workplace flexibility. **Position Purpose:** Oversee activities of the provider contracting , network development and/or provider relations functions and aid ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development of… more
- Trinity Health (Columbus, OH)
- …of complex issues, and MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop ... via telephone/email and onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to develop communication goals,… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level,… more
- The Cigna Group (San Diego, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral member of the ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- Scripps Health (San Diego, CA)
- …group setting. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , Payer Contracting - La Jolla * **Location:** ... * Director position is eligible for new hire incentives...outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized… more
- Covenant Health (Lubbock, TX)
- …tailored just for you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this pivotal ... role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation,...caring for the whole person through our integrated health network in West Texas/eastern New Mexico. As an expression… more
- Molina Healthcare (Columbus, OH)
- …United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources ... **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of provider… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... provider incentives with quality outcomes, health equity, and cost-effective care. The Director will serve as the enterprise lead for VBC program design, working… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Director , Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals, outpatient and specialty services, and...benefit plans and to oversee all aspects of the contracting process and third-party audits per established guidelines. This… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees...Processes. - Lead a staff consisting of an M/WBE Director and M/WBE Analysts in the full array of… more
- Elevance Health (Wallingford, CT)
- **Provider Network Management Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). Must ... Elevance Health location. Join our team as a **Provider Network Management Director ** , where you'll play...and federal regulatory requirements are met by the constructed network . Works collaboratively with local contracting teams… more
- Elevance Health (Columbus, OH)
- **Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ... miles of one of our Elevance Health PulsePoint locations._ The **Provider Network Management Director ** is responsible developing provider networks through… more
- Elevance Health (Washington, DC)
- **Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office) with the expectation of 4 days a week in ... commute of Washington, DC Elevance Health location. The **Provider Network Management Director ** develops the provider ...owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . The **Corporate Director , Network Strategy i** s responsible for developing and ... strategy function, with a focus on optimizing total network value. The Corporate Director , Network... strategies and build plan, and support existing market contracting and re- contracting strategies with standardized enterprise… more
- Molina Healthcare (Columbus, OH)
- …market's strategy and planning in the successful development of the provider network , including development, contracting and management of provider relationships ... market's strategy and planning in the successful development of the provider network including development, contracting and management of provider relationships… more
- Lilly (Pleasant Prairie, WI)
- …growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role ... will support our Global Facilities Delivery organization to develop contracting strategies to design, construct and qualify new Lilly...qualify new Lilly manufacturing facilities for the Drug Products network of site in the Midwest The role will… more
- AmeriHealth Caritas (Manchester, NH)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all ... responsible for implementing strategies to improve provider satisfaction and manage network costs.; This position will interact with Hospital and Physician Practice… more
- CVS Health (Harrisburg, PA)
- …in new and exciting ways every day. Aetna is recruiting for an Executive Director , Network Management who provides strategic leadership and oversight for ... provider relationships. You'll make an impact by: + Overseeing key network management contracting activities, including negotiating fee schedules, reimbursement… more
- Lumeris (MA)
- …values its people and empowers you to make an impact. **Position:** Sr. Director , Product - Referral & Network Optimization **Position Summary:** Join Lumeris, ... involved in referral processes (eg, leakage, delays, communication gaps) and network management (eg, credentialing, contracting , adequacy). + Experience with… more
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