- Daiichi Sankyo, Inc. (Bernards, NJ)
- …other research areas centered around rare diseases and immune disorders. SummaryThe Senior Director of Clinical Operations will manage clinical operations staff to ... ensure ongoing collaboration and communication with internal stakeholders. Detailing The Senior Director will ensure a robust communication plan including status and… more
- Genmab (NJ)
- …a fit? Then we would love to have you join us!The Role The Senior Manager, Biostatistics acts as a biostatistician supporting the clinical development of compounds ... CDT/the company at regulatory meetings, during Key Opinion Leaders meetings, network and/or Partner meetings, as applicableDrive design and synopsis development… more
- Pacific Medical Centers (Renton, WA)
- …concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:** ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… more
- Leidos (Washington, DC)
- …Digital Modernization Sector at Leidos currently has an opening for a Senior Network Engineer supporting the HEITS Contract as part of the Department of ... selected candidate will be responsible for the following: Support the ITP network infrastructure, perform all routine maintenance activities, provide guidance on… more
- Chenega Corporation (Melbourne, FL)
- …the shared PMO services, Astraeus offers highly competitive labor rates to fulfill day-to-day contract operations. The ** Senior Network Engineer II** will be ... **Req ID:** 36781 **Summary** ** Senior Network Engineer II** **Melbourne, FL**...availability of INL/A Management Information Systems. This role will provide network engineering support to the Department… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability ... projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +...direct reports + Experience in developing and managing key provider relationships including senior executives + Knowledge… more
- Elevance Health (Atlanta, GA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult Senior /...improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... granted as required by law. The ** Provider Contract Cost of Care Analyst Senior ** is...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... required by law._ The ** Senior P** **rovider Network Manager** is responsible for developing the provider... Network Manager** is responsible for developing the provider network through contract negotiations,… more
- CVS Health (TX)
- …it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management:** * Negotiates, executes, conducts high level ... contracting, provider issues/resolutions, related systems and information contained. * Provide guidance and share expertise to others on the team. *… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... equivalent education and experience + 5 years of relevant experience of either provider network management experience, health care insurance or other health care… more
- CareFirst (Baltimore, MD)
- …and methodologies for negotiations of ONN and contracting with the provider . This includes negotiations, credentialing, financial quantification, network ... and support ONN process and, as appropriate, work with Provider Contracting to encourage the non-participating provider ...and gain consensus with other internal areas affected by network changes. + Provide ongoing network… more
- Molina Healthcare (Buffalo, NY)
- …service area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or ... York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider ... account and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide input and/or… more
- Molina Healthcare (WA)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Dallas, TX)
- … system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Molina Healthcare (Madison, WI)
- …addressing the strategic goals of the department and organization. + Develops and implements Provider Network and Contract strategies across all lines of ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...the project. + Create compelling presentations for Internal Customers, Senior Leaders and Sales Teams, which tell the analytic… more
- Humana (Olympia, WA)
- …moderately complex issues where the analysis of situations may be required. The Senior Provider Contracting Professional communicates contract terms, payment ... part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital,… more
- Humana (Richmond, VA)
- …of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment ... part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital,… more
- Humana (Austin, TX)
- …of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment ... part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital,… more
