- 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 talented...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… 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 ... industry. + 4+ years of direct experience in market access insights, analytics, provider pricing and contracting strategy in the pharmaceutical or healthcare… more
- The Cigna Group (Scottsdale, AZ)
- …in-person meetings with Providers AND several days work at Home_** The **Director, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the... Provider Contracting Team and reports to the AVP of ..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Richmond, VA)
- …area.** This **Manager, Hospital Contracting ** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- Elevance Health (Cincinnati, OH)
- …or jeopardize network retention. + Serves as a knowledge expert regarding LTSS provider contracting and has a broad understanding of LTSS credentialing ... based concepts and fee schedules is strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge plus, and strongly preferred.… 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 ..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Humana (Tallahassee, FL)
- …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 specific guidelines and procedures; applies advanced technical knowledge to solve… more
- Highmark Health (Camp Hill, PA)
- …hospital negotiations. The incumbent is responsible for completion of annual provider contracting activities and ongoing contract management activities. Works ... plans and strategy for assigned provider contracts. + Execute Highmark provider contracting strategy related to hospital reimbursement and contracting .… more
- Centene Corporation (Trenton, NJ)
- …for specific network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, ... field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project management… more
- CVS Health (Carson City, NV)
- … provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/ ... groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- CVS Health (Richmond, VA)
- …Overview** Provides strategic leadership and oversight for network management and contracting . Develops and implements network strategies, manages provider ... collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Oversees key Network Management … more
- OhioHealth (Columbus, OH)
- …a major contributor for the development and managements of the provider network through contract negotiations, relationship development and maintenance. Assists in ... program(s) and client(s') needs for adequacy. Responsible for successfully negotiating provider agreements with reimbursement in keeping with the health plan's… more
- Sanford Health (SD)
- …These on-site responsibilities will be scheduled in advance. **Job Summary** The Provider Relations Specialist acts as the primary liaison between the Health Plan ... aspects of the Health Plan. Knowledge of Managed Care-utilization management and provider reimbursement. Must be able to communicate effectively and with a high… more
- Blue KC (Kansas City, MO)
- …Economics, Product Development, Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to support medical ... our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a...corporate goals. + Responsible for management and oversight of Provider Contracting Analytics Team, responsible for the… more
- Dr. Reddy's Laboratories (Princeton, NJ)
- …a less traditional background. **Job Description** The Lead Pricing and Contracting , Biologics will be responsible for developing and deploying pricing strategies ... and managing contracting processes across key accounts such as Payers, PBMs,...Integrated Delivery Networks (IDN), institutional/community clinic practices and other provider networks. The person will direct the pricing and… more
- Henry Ford Health System (Troy, MI)
- …(5) years in the healthcare industry, including at least two (2) years Payor contracting experience, provider relations, finance, or related field. * Or in lieu ... years in the healthcare industry, including at least four (4) years Payor contracting experience, provider relations, finance, or related field. * Experience in… more
- Dignity Health (Bakersfield, CA)
- …a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract ... in implementing contract changes. Responsibilities may include: - Negotiate ancillary and provider agreements for Dignity Health MSO and contracting providers… more
- Pfizer (Tampa, FL)
- …judgment and making timely decisions, through risk analysis, in areas of contracting . + Provide timely solutions related to contract negotiation issues ... + **JOB SUMMARY** The Medical Evidence Generation Operations Contracting Solutions Lead is responsible for designing, implementing and managing compliant … more
- The Cigna Group (Bloomfield, CT)
- …more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract ... Department. The role will have two direct reports, the contracting advisor and contracting lead analyst. The...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- University of Michigan (Ann Arbor, MI)
- Pharmacy Manager - Supply Chain Contracting Manager **Extended Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, ... Services Department is looking for a skilled pharmacist with contracting experience to join our team. In this role,...of excellence; you could join a world-class team to provide exceptional patient care and advance the Mission of… more
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