- Blue KC (Kansas City, MO)
- …resolution. + Participate in the development of provider strategy to support contracting and network development efforts on behalf of Provider Services ... Product Development , Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to support medical cost… more
- 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 ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- CVS Health (Richmond, VA)
- …and every day. **A Brief Overview** Provides strategic leadership and oversight for network management and contracting . Develops and implements network ... high-quality provider relationships. **What you will do** + Oversees key Network Management contracting activities, including negotiating fee schedules,… 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 ...and coaches the team building on competencies enhancing professional development and retention. The Director must work… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role in… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... a difference, and new people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a key leadership role within Value… more
- Point32Health (Canton, MA)
- …**Job Summary** The Director , Ancillary Contracting leads the development and management of Point32Health's ancillary service network . The Director ... also identifies opportunities to reduce medical and administrative costs by outsourcing network management and contracting for specific service lines when… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Strategic GPO Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61865 ... people to make a difference with. **The opportunity** The Director of Strategic GPO Contracting is responsible...Development : + Lead and mentor a team of contracting professionals, fostering a high-performance culture and continuous … more
- Scripps Health (San Diego, CA)
- … for Scripps Health/Scripps Health Plan Services payer contracting . #LI-DP1 *Required Education/Experience/Specialized Skills:* * Bachelor's degree plus ... group setting. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , Payer Contracting - La Jolla * **Location:**… more
- Molina Healthcare (TX)
- …manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Rush University Medical Center (Chicago, IL)
- …contracts with third party payers as assigned by the Director , FFS Payer Contracting . + Assist in the development and negotiation of value-based care (VBC) ... contracts with third party payers as assigned by the Director , Value Based Payer Contracting . + Negotiate,...of an annual strategic plan for third party payer contracting , including the continued development of VBC… 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 ... National Accounts. This role will report to the Senior Director of Channel and GTN Strategy. Essential Functions: +...Channel and GTN Strategy. Essential Functions: + Lead the development and negotiation of provider contracts to optimize market… 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...includes, but is not limited to, assisting in the development of strategic plans, leading contract negotiations, frequent communications… 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 ... managing an enterprise network strategy function, with a focus on optimizing total network value. The Corporate Director , Network Strategy is tasked with… more
- Molina Healthcare (UT)
- …strategy and planning in the successful development of the provider network , including development , contracting and management of provider relationships ... planning in the successful development of the provider network including development , contracting and management of provider relationships and… more
- Lilly (Pleasant Prairie, WI)
- …Responsibilities:** + Lead the review of requirements, facilitate the sourcing process, development of contracting strategies, and management of the supplier due ... growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role… more
- AmeriHealth Caritas (Manchester, NH)
- …Responsibilities:** - Develop and implement strategic plans for hospital and physician network development and management - Ensure compliance with pricing ... and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all… 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
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director , Provider Network Management, you will be responsible for creating and maintaining ... Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** * Director , Provider Network Management* **Location:** *Central San Diego… more
- Highmark Health (Natrona Heights, PA)
- …evaluation and measurement of value based programs in coordination with Clinical Integrated Network and Managed Care Contracting . (5%) + Provide education and ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job...hospitals, physician organization and Institutes. (20%) + Support the development of an institute growth plan and medical staff… more
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