- Aequor (Aliquippa, PA)
- …accounting, corporate systems planning, procurement, master data, pricing and contracting , quality, manufacturing network , supply chain, technical operations, ... support advanced transactions requiring research and intra-department coordination and/or approvals. Provide overall supply support to manufacturing network (eg… more
- Elevance Health (Cincinnati, OH)
- …health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting ** **Location:** This position ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS & Contracting ** is responsible for… more
- The Cigna Group (Newton, MA)
- …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** 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
- Humana (Madison, WI)
- …of our caring community and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. ... The Provider Contracting Manager will oversee a...and procedures that pertain to management of the iCare Provider Network to meet CMS, DHS, and NCQA… more
- The Cigna Group (Richmond, VA)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- CVS Health (Carson City, NV)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for ... provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/… 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 ... years of direct experience in market access insights, analytics, provider pricing and contracting strategy in the...to a wide range of stakeholders. + Ability to network across a broad internal and external matrix organization… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Manager , Provider Contracting initiates, negotiates, and executes physician and/or other ... provider contracts and agreements. The Manager , Provider Contracting works within...May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to… more
- Centene Corporation (Trenton, NJ)
- …related field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and… more
- The Cigna Group (Providence, RI)
- …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** The ** Provider Contracting Lead Analyst** serves as an integral member of the ... Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and … more
- The Cigna Group (Bloomfield, CT)
- …serves more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer ... select individual and small group insurers. Products offered include medical network , medical management, LifeSOURCE transplant network , pharmacy, Out-of-… more
- Dignity Health (Bakersfield, CA)
- …work from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network Operations/ Contracting . Key ... a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , GPO Strategic Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61848 ... people to make a difference with. **The opportunity** The Manager , GPO Strategic Contracting (V&A) is a...Pricing teams to ensure alignment on all proposals and contracting recommendations + Provide expert guidance and… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Payer Contracting Manager - Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, including ... + Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting . **Physical Requirements** + Ability to travel on a… more
- CenterWell (Richmond, VA)
- …performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... **Use your skills to make an impact** **Required Qualifications** + Pharmacy Benefits Manager (PBM) experience + Experience in pharmacy contracting , pricing, or… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- LA Care Health Plan (Los Angeles, CA)
- …they understand the Medi-Cal Managed Care world and familiarize the intern with both our provider contracts and our provider network . The intern will develop ... internship will receive first-hand experience in understanding and developing health care contracting and provider relation efforts at the health plan level.… more
- Covenant Health Inc. (Knoxville, TN)
- …Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement. ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant… more
- Elevance Health (Middletown, NY)
- ** Provider Network Manager Senior**...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... Alternate locations in New York may be considered. The ** Provider Network Manager Senior** develops...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Ashburn, VA)
- ** Provider Network Manager Senior**...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... insightful analytics to improve the delivery of care. The ** Provider Network Manager ** develops the...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
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