- The Cigna Group (Atlanta, GA)
- **WORK LOCATION: Atlanta, GA** The ** Director ** ** Provider Contracting Network Management** serves as an integral member of the Provider ... Contracting Team and reports to the AVP, Provider Contracting . This role assists in developing...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Atlanta, GA)
- ** Provider Network Management Director ** **Location:** 740 W Peachtree St. NW. Atlanta GA. This role requires associates to be in-office 3 days per week, ... an accommodation is granted as required by law_ The ** Provider Network Management Director ** develops...projects with significant impact. * May assist management in network development planning. * May provide work… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires ... business and system requirements of customers as it pertains to contracting , network management and credentialing. + **Knowledge/Skills/Abilities** +… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Molina Healthcare (GA)
- …of education and experience **Preferred Experience** 10+ years ** Provider Network & Operations experience.** ** Provider Contracting experience.** ... abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic… more
- Molina Healthcare (Augusta, GA)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily… more
- Molina Healthcare (GA)
- … Services. **PREFERRED EDUCATION:** Master's Degree **PREFERRED EXPERIENCE:** 6+ years in Provider Network contracting To all current Molina employees: ... develop and implement standardized provider contracts and contracting strategies. * Monitors and reports network ...for new builds collaborates with Business Development to determine provider contracting strategies, and for new builds… more
- Molina Healthcare (GA)
- …for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring knowledge ... stakeholders to lead or support various Provider Network functions with an emphasis on contracting ,... provider inquiries. + In conjunction with the Director , Provider Network Management &… more
- Molina Healthcare (Augusta, GA)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * Strategically… more
- Molina Healthcare (GA)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider...education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all… more
- Highmark Health (Atlanta, GA)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- ChenMed (Atlanta, GA)
- …other clinical issues + Familiarity with healthcare network strategy, including network development, value-based care contracting , provider relations and ... expanding and we need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief Medical Officer which is… more
- Pfizer (Atlanta, GA)
- **ROLE SUMMARY** The ** Director , HV&E, Solid Tumors** will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. ... therapy being studied for the treatment of multiple solid tumors. The HV&E Director will be responsible for developing and executing against the global evidence… more
- Molina Healthcare (Atlanta, GA)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices,… more
- Sumitomo Pharma (Atlanta, GA)
- …seeking a dynamic, motivated, and experienced individual for the position of ** Director , Thought Leader Liaison - Oncology (Prostate Cancer)** . This field-based ... in prostate cancer care within both academic and community oncology. The Director will engage medical oncologists and radiation oncologists, ensuring ORGOVYX is… more
- Cardinal Health (Atlanta, GA)
- …the only national source for both SPECT and PET radiopharmaceuticals with the largest network of 130 pharmacies and 30 cyclotron facilities, we can reach 95% of US ... crucial areas, so they can focus on their patients. The Strategic Accounts Director , Nuclear is responsible for managing the success of the relationship with an… more
- Warner Bros. Discovery (Atlanta, GA)
- …Warner Bros., MAX, Discovery and discovery+, HBO, CNN, DC Entertainment, HGTV, Food Network , TNT, Cartoon Network , Bleacher Report and more. This team has ... related areas to develop, implement, and direct programs. Interpret and provide advice to internal clients regarding the company's rights, obligations, restrictions,… more
- JE Dunn Construction Company (Atlanta, GA)
- …to extensive travel.**_** **Role Summary** The Senior Aptitude Project Manager will provide overall regional direction and leadership for the Aptitude program across ... team leadership and relationship management with all stakeholders, driving the contracting and business development and comprehensive risk management in order to… more