- Atrium Health (Charlotte, NC)
- …the assessment, planning, implementation and evaluation of nursing care to provide optimal, quality patient care consistent with High Point Regional Health's ... Adult ED Pediatric Advanced Life Support (PALS) required within 1 year of hire for Network ED, Peds ED, PICU and NICU, and other areas per unit guidelines Experience… more
- HealthTrust Workforce Solutions HCA (Charleston, SC)
- …29406 ID: 829367 Job Board: EV IND_2 ReqID: 829367 Category: Travel Specialty: Case Manager Job Type: Contract Job Type: Position Type: Travel HWS Exclusives: ... on crafting opportunities which expand skill sets, broaden career horizons, provide economic stability, and cultivate personal growth. Our partnering hospital is… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager , Ancillary Network Contracting, will be part ... Contracting team reporting to the Manager , Ancillary Network Contracting. Senior Contract Manager ...Health networks for all lines of business. The Senior Contract Manager is responsible for provider… more
- Point32Health (Canton, MA)
- …responsible for the financial, regulatory, and legal terms negotiated with the provider network . The Senior Contract Manager must be able to develop ... performance, financial and otherwise, of the provider network . The Senior Contract manager ...train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented… more
- The Cigna Group (Birmingham, AL)
- …the Tri-South Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The ** Manager , Provider Contract Network Management** serves as ... 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
- Leidos (Bethesda, MD)
- **Description** Leidos Health Mission Solutions is seeking a Network Operations Manager , contingent upon contract award, on a large network services ... to obtain a Public Trust Clearance. **Responsibilities:** + The Operations section Manager directs operations and integration activities at Network operations… more
- CVS Health (Richmond, VA)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support ... to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. * Ideally the candidate should live… more
- Live Nation (CA)
- …flexible with international travel Division: Ticketmaster Technology Line Manager : Sr Manager , Network Services Contract Terms: Permanent, 40 hours per ... call duties THE TEAM You will be joining our Network Engineering team who are responsible for all ...the world's largest ticket marketplace and the leading global provider of enterprise tools and services for the live… more
- CVS Health (Houston, TX)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support ... payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Required Qualifications Critical thinking… more
- Medical Mutual of Ohio (West Chester, OH)
- …as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Provider Contract Manager I Under direct supervision, develops ... and external projects. . Performs other duties as assigned. Provider Contract Manager II Under...the provider network and national network offerings through contracting activities, contract negotiations… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial ... CCA to provider community and all constituents of CCA. - Assist with Provider Contract Department projects, as needed. - Maintain high performance norms and… more
- St. Luke's University Health Network (Allentown, PA)
- …Collaborate with Network department leaders and strategic vendor partners on contract negotiations to provide additional value such as rebates, equipment, ... ability to pay for health care. The Supply Chain Contract Manager will oversee the contracting portfolio...contracting portfolio of supplies, services, and equipment for the Network . Responsible for maintaining accurate contract data… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures… more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Sr. Manager of Provider Network leads and manages ... federal and accreditation requirements and standards. Responsibilities include effective provider communications and network management, contract...support for all network products. The Sr. Manager of Provider Network analyzes… more
- Medical Mutual of Ohio (Dublin, OH)
- …resolves and/or refers issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal department; performs data ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal… more
- Commonwealth Care Alliance (Boston, MA)
- …Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing ... into other CCA contracts, health equity, and social determinants of health (SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the… more
- Elevance Health (Wallingford, CT)
- …1-hour commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Newton, MA)
- …MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill** **Job Description Summary:** **Develops the provider network through contract negotiations, relationship ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Topeka, KS)
- …In state travel to clients as needed** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- The Cigna Group (Anaheim, CA)
- …Excel, PowerPoint, Outlook) + Proficient in contract building software such as Contract Manager If you will be working at home occasionally or permanently, ... Travel out to in-person meetings with Providers._** The **AVP, Network Management** serves as an integral member of the...projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +… more
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