- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has… more
- Blue KC (Kansas City, MO)
- …assistance** **Employee discount program** **Job Description Summary:** The Director , Contracting and Network Management is responsible for negotiation, ... lines of business, including commercial and all Government Programs and related network management and expansion opportunities. **Job Description** + Initiate… more
- The Cigna Group (Independence, OH)
- …in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management ** serves as an integral member of the ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- Albany Medical Center (Albany, NY)
- …departments. The Director builds external relationships with payers' senior network management , leads meeting, oversees and/or prepares presentations, and is ... employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget... and negotiation of health care payer contracts and network management experience in an insurance or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: Jul 3, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a...with regulatory requirements, and effectively support revenue goals. The Director will collaborate closely with the Account Management… more
- Community Health Systems (Springdale, AR)
- …Administration, Finance, IT or related field required + 5-7 years fiscal management or related experience required + 1-2 years health care experience preferred ... + 3-6 years Operations management experience preferred **Knowledge, Skills and Abilities** + Working...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- AdventHealth (Altamonte Springs, FL)
- …**The role youll contribute:** The Director of Ambulatory Pharmacy Contracting and Analytics supports contract management for outpatient, specialty, and ... understanding of pharmacy operations, market dynamics, and healthcare regulations. The Director formulates and executes contracting strategies with insurance… more
- Rush University Medical Center (Chicago, IL)
- …and contract language standards. + Assist Director , Value Based Payer Contracting in coordination and management of VBC program initiatives and contract ... promotion, to disease management and complex care management . Our network includes Rush University Medical...contracts with third party payers as assigned by the Director , FFS Payer Contracting . + Assist in… more
- The Cigna Group (Franklin, TN)
- **WORK LOCATION: Hybrid position - Franklin, TN office** The **Manage** **r** **, Provider Contracting Network Management ** serves as an integral member of ... the Provider Contracting Team and reports to the Senior Director...and management of the day to day contracting and network management activities… more
- BeOne Medicines (San Mateo, CA)
- …Provider Contracting is responsible for the development, negotiation, and management of contracts for BeOne solid tumor products across provider organizations in ... Community Practices, and National Accounts. This role will report to the Senior Director of Channel and GTN Strategy. Essential Functions: + Lead the development and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Arrangement** + Remote + Must be able to travel **Responsibilities** + TheCorporate Director , Network Strategy is responsible for developing and managing an ... enterprise network strategy function, with a focus on optimizing total network value The Corporate Director , Network Strategy is tasked with developing… more
- Molina Healthcare (Cleveland, OH)
- …the market's strategy and planning in the successful development of the provider network , including development, contracting and management of provider ... the market's strategy and planning in the successful development of the provider network including development, contracting and management of provider… more
- Scripps Health (San Diego, CA)
- …in your specific field as well as in your overall. *About the Role:* * As Director , Provider Network Management , you will be responsible for creating and ... Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** * Director , Provider Network Management * **Location:** *Central San… more
- Lilly (Pleasant Prairie, WI)
- …+ Lead the review of requirements, facilitate the sourcing process, development of contracting strategies, and management of the supplier due diligence process, ... to those who need them, improve the understanding and management of disease, and give back to our communities...Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play… more
- Lumeris (MA)
- …complexities involved in referral processes (eg, leakage, delays, communication gaps) and network management (eg, credentialing, contracting , adequacy). + ... and empowers you to make an impact. **Position:** Sr. Director , Product - Referral & Network Optimization...understanding of healthcare operations, with specific expertise in referral management processes and provider network management… more
- Colgate-Palmolive (Overland Park, KS)
- …common goals. Together, let's build a brighter, healthier future for all. **The Director Network Operations - Innovation is responsible for strategic and ... business opportunities. This role involves integration of logistics, inventory management , and the distribution network to ensure...network + Experience managing third party providers ( contracting experience a plus) + Ability to travel to… more
- Highmark Health (Natrona Heights, PA)
- …evaluation and measurement of value based programs in coordination with Clinical Integrated Network and Managed Care Contracting . (5%) + Provide education and ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job...+ Benchmarking processes and sources of information. + Physician contracting processes, techniques and requirements. + Management … more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract...initiatives and regulations. * Manages and provides coaching to Network Contracting Staff. * Manages and evaluates… more
- Caris Life Sciences (Tallahassee, FL)
- …benefit plans). Responsible for obtaining positive payer coverage policies, securing in- network contracting and maximizing reimbursement while minimizing access ... device or diagnostic laboratory companies, or extensive experience working in health plan contracting , coverage or case management . + 5+ years of reimbursement… more
- BeOne Medicines (Emeryville, CA)
- …successfully implement pricing strategies. This role will report to the Executive Director , Head of US Pricing, Contracting , and Pipeline Strategy** **Essential ... **General Description:** **The Director of Strategic Pricing, Hematology will manage all...of Strategic Pricing, Hematology will manage all pricing and contracting activities for BeOne Hematology inline products. This leadership… more
