• Medicare Provider Performance Enablement…

    The Cigna Group (Tucson, AZ)
    Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
    The Cigna Group (06/05/24)
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  • Provider Contracting Lead Analyst…

    The Cigna Group (Franklin, TN)
    …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... and practice managers. Has knowledge of contracting process, contract management, network operations, Medicare fee schedules, financial terms, and metrics.… more
    The Cigna Group (05/09/24)
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  • Senior Manager , Network

    CVS Health (Hartford, CT)
    …to make health care more personal, convenient and affordable. Position Summary The Senior Manager negotiates, executes, conducts high level review and analysis, ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee… more
    CVS Health (06/02/24)
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  • Senior Manager , Network

    CVS Health (Hartford, CT)
    …impact in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, ... scale and/or innovative providers as needed to ensure attainment of network expansion and strategic targets.* Collaborate cross-functionally to manage provider… more
    CVS Health (05/10/24)
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  • Care Manager - Senior Network

    Mohawk Valley Health System (Utica, NY)
    Care Manager - Senior Network Health Department: SNH CLINICAL SERVICES Job Summary The Care Manager is responsible for completing a comprehensive ... services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH...as requested by the Executive Director or Clinical Services Manager . + Clarifies issues and actively addresses concerns in… more
    Mohawk Valley Health System (05/18/24)
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  • Senior Network Representative…

    Martin's Point Health Care (PA)
    …leadership to negotiate high-level language and financial contracting terms. Senior Network Representative works closely with their manager and director to ... since 2015. Position Summary This position is located in Pittsburg, PA. The Senior Network Representative will support the surrounding area. Please Note: This… more
    Martin's Point Health Care (06/07/24)
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  • Senior Manager , Network

    CVS Health (Sacramento, CA)
    …or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and ... experience in West coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal Education Bachelor's Degree or equivalent… more
    CVS Health (05/02/24)
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  • Senior Pharmacy Technician

    St. Luke's University Health Network (Bethlehem, PA)
    …serve, regardless of a patient's ability to pay for health care. The Senior Pharmacy Technician Homestar, under the direction of a pharmacist, delivers medications, ... of any medication or insurance related concerns. + Assists Pharmacy Manager with performing day-to-day activities and administration which may include daily… more
    St. Luke's University Health Network (05/09/24)
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  • Manager MA/RI Network Quality…

    Commonwealth Care Alliance (Boston, MA)
    …and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing and executing quality measurement and improvement programs ... and is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals;… more
    Commonwealth Care Alliance (05/10/24)
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  • Project Manager , Materials Management

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Project Manager , Materials Management serves as principal project planner and liaison between the ... out and modification of logistics and supply areas in all assigned Network projects. Monitors all projects to completion. Responsible for specifying, ordering all… more
    St. Luke's University Health Network (05/29/24)
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  • Senior Manager - Claims

    Universal Health Services (Reno, NV)
    …while upholding exceptional service standards for both members and providers. The Senior Manager will spearhead implementation efforts and advocate for ... enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Claims Manager will oversee and ensure the efficiency and… more
    Universal Health Services (05/25/24)
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  • Senior Reimbursement Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …participant to Information Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry ... and monitor effectiveness of pricing logic. + Provides statistical reports to Network Administration, Medical Management, Marketing and Medicare Advantage to… more
    Blue Cross and Blue Shield of Louisiana (04/22/24)
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  • Senior IT Project manager

    Humana (Atlanta, GA)
    …impact on the Primary Care growth strategy within the healthcare industry. The Senior IT Project Manager oversees various system projects and/or programs of ... a highly complex nature. The Senior IT Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data… more
    Humana (06/15/24)
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  • Senior Engineer, State of Good Repair

    MetroLink (Los Angeles, CA)
    Senior Engineer, State of Good Repair Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4210771) Apply  Senior Engineer, State of Good Repair ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Senior Engineer, State of Good Repair will be responsible...Engineer, State of Good Repair will be a Project Manager in-charge of delivering Metrolink's portfolio of State of… more
    MetroLink (05/15/24)
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  • Medicaid Senior Insurance Product…

    Humana (Louisville, KY)
    …of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in developing and ... needs of Humana's customers while aligning with its business objectives. The **Medicaid Senior Insurance Product Manager ** plays a critical role in developing… more
    Humana (04/24/24)
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  • Senior Pharmacist Account Manager

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... managing strategic accounts across various lines of business (Managed Medicaid; Commercial; Medicare ; Exchange) under the guidance of the Vice President of Clinical… more
    Prime Therapeutics (05/10/24)
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  • Network Development and Contracting,…

    CVS Health (Hartford, CT)
    …more personal, convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... of the VBC Business Development team. You will work collaboratively across the Network organization to ensure speed to market and to support segment leaders with… more
    CVS Health (05/25/24)
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  • AVP, Provider Network Management - Southern…

    The Cigna Group (Anaheim, CA)
    …either in Office or Travel out to in-person meetings with Providers._** The **AVP, Network Management** serves as an integral member of the Network Management & ... Affordability Team and reports to the VP, Network Management. This role is a key contributor to...and other providers for both Cigna's US Commercial and Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
    The Cigna Group (05/09/24)
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  • Member Services Attendant-Per Diem

    St. Luke's University Health Network (Easton, PA)
    …both internal and external programming, Reports all required findings to the Regional Manager and/or Senior Director + Sells Fitness Center memberships by ... Front Desk tasks + Provides confidential clerical support to the Regional Manager and/or Senior Director, including scheduling appointments, typing, database… more
    St. Luke's University Health Network (06/05/24)
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  • Network Operations Lead Analyst- Hybrid-…

    The Cigna Group (Bloomfield, CT)
    …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... assists in the growth and development of the provider network . The Lead Analyst is the primary conduit to...development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial… more
    The Cigna Group (06/11/24)
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