- Humana (Madison, WI)
- …and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. The Provider ... agreements for Humana's Wisconsin Medicaid Market (iCare). The Provider Contracting Manager will be responsible for: + Oversight of contracting … more
- Rush University Medical Center (Chicago, IL)
- …is done through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing and maintaining relationships with ... disability, veteran status, and other legally protected characteristics. **Position** Payer Contracting Manager **Location** US:IL:Chicago **Req ID** 18415 more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting , this position is responsible for managing the payor contracting functions for the ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement… more
- Elevance Health (Cincinnati, OH)
- …health, long term services and supports, and psychosocial needs._ **Provider Network Manager - LTSS & Contracting ** **Location:** This position is based ... workplace. Alternate locations may be considered. The **Provider Network Manager - LTSS & Contracting ** is responsible...in written and verbal communication skills preferred. + Previous Medicaid or LTSS claims experience is preferred. + Strong… more
- Dignity Health (Bakersfield, CA)
- …position is work from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network Operations/ ... terms and preparing contract proposals. The position supervises the direct contracting team and is responsible for organizing contract information and ensuring… more
- Centene Corporation (Trenton, NJ)
- …flexibility. **Position Purpose:** Implement development activities for the recruitment, contracting and retention of providers. Negotiate contracts and develop ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and assure… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... for revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products + Develop complex negotiation strategies and secure acceptable… more
- Albany Medical Center (Albany, NY)
- …and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction ... Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed for… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Chiesi (Cary, NC)
- …Responsibly for timely and accurate process of Medicaid rebates + Manage Medicaid bidding and contracting activities, as needed + Reconciliation of payments ... continued education for self and team; Attend industry meetings related to Government contracting and CMS (Medicare/ Medicaid ) as appropriate. + Stay current on… more
- Abbott (Austin, TX)
- …Alpharetta, GA)** is looking for a **Contract Strategy & Business Engagement Manager ** **.** This person will spearhead the development, execution, and optimization ... of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying innovative pricing frameworks, ensuring… more
- Molina Healthcare (Riverside, CA)
- …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Molina Healthcare (Cincinnati, OH)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- CVS Health (Sacramento, CA)
- …each and every day. **Position Summary** The Contract Negotiation Senior Manager in an individual contributor position who negotiates, executes, conducts deep-dive ... adequacy targets + Support health plan with expansion initiatives or other contracting activities as needed + Initiates, coordinates and own the contracting… more
- CVS Health (Miami Gardens, FL)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination. + Performs credentialing support activities as needed. + Educates Medicaid providers as needed to ensure compliance with contract policies and… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development, ... implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are… more
- Molina Healthcare (Rochester, NY)
- …York _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- Centene Corporation (New York, NY)
- …experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/ contracting experience including solid ... for maintaining existing and developing new provider relations, and assisting with contracting activities + Manage the staff in contracting area including… more
- Molina Healthcare (San Antonio, TX)
- …lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... evaluation, and continuous improvement of all functions of provider contracting . Manages financial and operational issues related to contractual provider… more