- 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 ... provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/… more
- Centene Corporation (Springfield, IL)
- …one who changes everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects ... degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous… 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 ... and National Accounts. This role will report to the Senior Director of Channel and GTN Strategy. Essential Functions:...years of direct experience in market access insights, analytics, provider pricing and contracting strategy in the… more
- Blue KC (Kansas City, MO)
- …Medical Economics, Product Development, Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to ... the development of provider strategy to support contracting and network development efforts on behalf...and network development efforts on behalf of Provider Services and Senior Management + Partner… 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
- The Cigna Group (Oklahoma City, OK)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Must live in Oklahoma** This Manager, Provider Contracting serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CenterWell (Richmond, VA)
- …performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- The Cigna Group (Bloomfield, CT)
- …select individual and small group insurers. Products offered include medical network , medical management, LifeSOURCE transplant network , pharmacy, Out-of- ... more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract… 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
- Dignity Health (Bakersfield, CA)
- …a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract ... from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network ...interpretation, clarification, or modification as required. - Provide initial review of provider proposals… 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 provider...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… 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
- Corewell Health (Grand Rapids, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... to desired contract terms according to guidelines and standards. Provide effective oversight of contract implementation process ensuring all...E Beltline - Grand Rapids Department Name PH - Provider Network Contracting Employment Type… more
- Area Agency On Aging 1-b (Southfield, MI)
- Senior Provider Relations Network ...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... Manager (SPRNM) oversees the provider network , provider relationships, and quality of service delivery through coordination of long-term supports and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Strategic GPO Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61865 **Who ... make a difference with. **The opportunity** The Director of Strategic GPO Contracting is responsible for leading and managing the strategic development, negotiation,… more
- Molina Healthcare (Layton, UT)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, ... directly with network , provides current and relevant data to support provider negotiations. + Communicate network performance analysis to Market leaders,… more
- City of New York (New York, NY)
- …York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty ... and to provide opportunities for New Yorkers and communities to flourish....or quality of contracted goods and services and alert senior managers. -Work on special projects pertaining to competitive… more
- CareOregon (Portland, OR)
- …eligibility and maintains effective working relationships across a high performing provider network . + Develops and effectively communicates expert understanding ... available resources to ensure a high performing and engaged provider network . + Key role in new...and review provider application data; submit to provider contracting staff. + Collaborate with … more
Related Job Searches:
Contracting,
Contracting Senior,
Network,
Provider,
Provider Network,
Provider Senior,
Senior