- Children's Hospital Los Angeles (Los Angeles, CA)
- …CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here ... will turn health care into health transformation. Join a hospital where the work you do will matter-to you,...on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as applicable. Will support CHLA… more
- Commonwealth Care Alliance (Boston, MA)
- …with dual-eligible (DSNP) populations preferred. - 10+ years of experience in provider relations, contracting , or network operations, including 3-5 ... contracting , quality, compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The … more
- Commonwealth Care Alliance (Boston, MA)
- …management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations, Facilities and/or ... 011150 CCA- Network Contracting **Position Summary:** Under the...Summary:** Under the direction of the Senior Contract Manager, Provider Contracting , the Senior Provider … more
- Commonwealth Care Alliance (Boston, MA)
- … Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions around potential ... and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health,… more
- embecta (Parsippany, NJ)
- …diversifying revenue streams and expanding patient access. . Secure multi-year provider network partnerships generating significant annual revenue and expanding ... health platforms to expand distribution and access. . Contribute a robust network of external relationships and demonstrate the ability to activate those connections… more
- Luke Staffing (Yigo, GU)
- …experience may be qualifying if approved by the requesting location and the Contracting Officer. If education or experience is used to meet the specialized ... and authorized surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations to analyze medical referrals/appointments. Proactively… more
- Stony Brook University (Ronkonkoma, NY)
- …and ideally corporate purchasing experience including contracting preferably in a hospital setting at an Integrated Delivery Network (IDN), or healthcare ... **Position Summary** Under the supervision of the Director of Hospital Purchasing, the incumbent will assume responsibilities as an...+ Meet Regulatory Requirements for pre employment screenings. + Provide a copy of any required New York State… more
- Sandoz Group AG (Princeton, NJ)
- …and P&L management required. Strong understanding of Institutional, Clinics and Hospital market dynamics. Established network of relationship with key ... through an exciting and transformative period as a global leader and pioneering provider of sustainable Biosimilar and Generic medicines. As we continue down this… more
- Terumo Medical Corporation (Somerset, NJ)
- …the area of therapeutic focus. + Responsible for execution of events, contracting of new speakers, maintenance of compliance standards, preparation of speaker ... meet those needs. **Job Responsibilities (continued)** + Maintain records of training, contracting and payments of HCPs in accordance with internal and external… more
- The Cigna Group (Scottsdale, AZ)
- **WORK LOCATION: Scottsdale, AZ** **Director Hospital / Provider Network Management Contracting ** serves as an integral member of the Provider ... Contracting Team and reports to the AVP, Network Management. This role is a key contributor to...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- Humana (Olympia, WA)
- …+ 2+ years of network management experience including but not limited to: provider and hospital contracting , network administration in a healthcare ... community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other … more
- Humana (Austin, TX)
- …community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other ... 10% required travel** **Required Qualifications** + 5 or more years of progressive network management experience including hospital contracting and … more
- Humana (Nashville, TN)
- …community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other ... skills to make an impact** **Required Qualifications** + 3-5 years of progressive network management experience including hospital contracting and network… more
- Molina Healthcare (Syracuse, NY)
- …Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs...contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * Assists in analysis and… more
- The Cigna Group (Atlanta, GA)
- **WORK LOCATION: Atlanta, GA** The **Director** ** Provider Contracting Network Management** serves as an integral member of the Provider Contracting ... Team and reports to the AVP, Provider Contracting . This role assists in developing the strategic direction...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member ... of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- FlexStaff (Bronx, NY)
- …+ Monitor and report on key performance metrics related to provider contracting and network development. + Provide training and guidance to ... Contract Specialist for one of our clients. The Provider Contracting Specialist is responsible for the...care practices, specialty practices, LHCSA agencies, FQHC's, ancillary providers, hospital systems and other provider groups. This… 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 (Jersey City, NJ)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** ** Hospital / Provider /Ancillary** **group experience ... into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an...This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES**… more
