- Elevance Health (Woburn, MA)
- Associate Referral Bonus: $250 Provider Network Manager Sr. - Contract Negotiations (JR151123) **Location:** This role requires associates to be ... Network Manager Sr** . develops the provider network through contract negotiations,...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 3 years… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Levi, Ray & Shoup, Inc. (Springfield, IL)
- …opportunity and a challenge for the right person. LRS Consulting Services is seeking a IT Network Manager for a contract to hire or direct hire opportunity ... File Transfer Filters Careers Added Apr 23, 2025 IT Network Manager (26834) Springfield, IL | Temp...work environment. + Assist in coordinating team efforts and provide guidance on technical challenges. + Facilitate communication within… more
- Avera (Minneapolis, MN)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans ... directly tied to population health and value-based care. + Provide insightful competitive intelligence to inform leadership of industry...and remain in the network . + Maintain provider manual and policies and maintain contract … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III...for the initial on-board training of new managed care contract provider partners, and for ensuring their ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III… more
- CVS Health (Olympia, WA)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3+ years ... do it all with heart, each and every day. **Position Summary** The Contract Negotiation Manager position negotiates, executes, reviews, and analyzes contracts… more
- Elevance Health (Cincinnati, OH)
- …physical health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** ... and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS...LTSS & Contracting** is responsible for developing the LTSS provider network through contract negotiations… more
- Area Agency On Aging 1-b (Southfield, MI)
- Senior Provider Relations Network Manager ...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... (SPRNM) oversees the provider network , provider relationships, and quality of service delivery through coordination...a high level of accuracy. + Strong negotiation skills, contract execution, computer skills in Word, Excel and Outlook… more
- St. Luke's University Health Network (Allentown, PA)
- …measurement and attainment, reporting and governance. At an operational level, the Manager directs contract consultations and negotiations, including contract ... ability to pay for health care. The IT Vendor and Contracts Manager leads IT's Vendor/Contact Management Office (VCMO). Responsibilities include but are not… more
- Elevance Health (Middletown, NY)
- …The ** Provider Network Manager Senior** develops the provider network through contract negotiations, relationship development, and servicing. ... ** Provider Network Manager Senior**...Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers.… more
- Elevance Health (Manchester, NH)
- …Provider Network Manager ** is responsible for developing the provider network through contract negotiations (language and rates), relationship ... ** Provider Network Manager ** Carelon...Primary focus of this role is contracting and negotiating contract terms. **How you will make an impact:** +… more
- CVS Health (Springfield, IL)
- …Promotes collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and ... limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. For this role you will need… more
- Elevance Health (Seattle, WA)
- …This position is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations (language and rates), ... and servicing. Primary focus of this role is contracting and negotiating contract terms.** PRIMARY DUTIES: + Typically works with less-complex to complex providers.… more
- Elevance Health (Mason, OH)
- ** Provider Contract /Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... GA, Richmond, VA, Norfolk, VA or Mason, OH. The ** Provider Contract /Cost of Care Consultant** provides analytical...improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, ... directly with network , provides current and relevant data to support provider negotiations. + Communicate network performance analysis to Market leaders,… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...+ Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +… more
- Molina Healthcare (Seattle, WA)
- …Director in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual ... Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Columbus, OH)
- …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... Ohio _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider… more
- The Cigna Group (Richmond, VA)
- …integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Emory Healthcare/Emory University (Atlanta, GA)
- … contract , item, pricing, and backorder processes + The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Magnet(R) designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network , established...the team + Participates in periodic business reviews with Contract manager and suppliers, providing support as… more
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