- The Cigna Group (Los Angeles, CA)
- …supports our 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...strategic direction and management of the day to day contracting and network management activities for a… more
- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- The Cigna Group (Tampa, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member ... of the Provider Contracting Team and reports to the...of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Oakland, CA)
- …Creek, Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as ... an integral member of the Provider Contracting Team and reports to the VP, Network...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Elevance Health (FL)
- …position is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Under the supervision of the Manager , Provider Services and Contracting , serves as an administrator of the Network provider contract database ... or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG… more
- The Cigna Group (Mclean, VA)
- …systems, 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
- The Cigna Group (St. Louis, MO)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... The ** Provider Contracting Director** serves as...strategic direction and management of the day to day contracting and network management activities for a… more
- CVS Health (Harrisburg, PA)
- …Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- and post-signature ... contracting process to ensure timely participation in our network . The position requires a high volume of cold...+ Attend JOC meetings with assigned health systems. + Provide technical expertise for questions related to contracting… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for...improving the quality of care, and increasing member and provider network satisfaction. **How you will make… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for ... to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Network Management & Contracting , Temporary** to join #TeamMVP. This is ... based on type, provider /health system name, effective dates, renewal terms, contract manager , and key clauses using metadata tagging. + Set up access controls to… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains… more
- Commonwealth Care Alliance (Boston, MA)
- …of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align ... Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation...Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities.; Responsible ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring that… more
- AmeriHealth Caritas (Newark, DE)
- As the Manager of Provider Network , you will... network to meet member needs and ensure network adequacy. + Oversee provider contracting ... nurture strategic provider partnerships that strengthen our network , drive innovation, and ensure high-quality care for our...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- CVS Health (Columbia, SC)
- …internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs ... + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...through effective provider contracting to meet state contract and product requirements. +… more