- Blue KC (Kansas City, MO)
- …Medical Economics, Product Development, Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to ... adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Contracting and Network Management is responsible… more
- The Cigna Group (Scottsdale, AZ)
- …Local Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...strategic direction and management of the day to day contracting and network management activities for a… more
- CVS Health (Richmond, VA)
- …for network management and contracting . Develops and implements network strategies, manages provider contracts and negotiations, leads dispute resolution ... relationships. **What you will do** + Oversees key Network Management contracting activities, including negotiating fee...+ Controls the development and expansion of the company's provider network by evaluating potential network… more
- Dignity Health (Bakersfield, CA)
- …California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network Operations/ Contracting . Key areas of oversight ... a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract… more
- Point32Health (Canton, MA)
- …service to our members, partners, colleagues and communities. **Job Summary** The Director , Ancillary Contracting leads the development and management of ... Point32Health's ancillary service network . The Director manages a team of...opportunities to reduce medical and administrative costs by outsourcing network management and contracting for specific service… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role in… 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 ... 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
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina ... caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development 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 ... people to make a difference with. **The opportunity** The Director of Strategic GPO Contracting is responsible...pricing pressures, and shifts in the GPO landscape + Provide insight into the competitive GPO environment and recommend… more
- AmeriHealth Caritas (Manchester, NH)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage ... bodies - Oversee contract implementation process for all contracts and ensure provider contracting policies are consistent with claim payment methodologies -… 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
- Covenant Health Inc. (Knoxville, TN)
- …Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement. ... Overview Managed Care Director , Managed Care Full Time, 80 Hours Per...Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …team, including provider communications, training, and measurement. The Corporate Director , Network Strategy will collaborate with health plan/market and ... Discover more about us at www.amerihealthcaritas.com . The **Corporate Director , Network Strategy i** s responsible for...Network Strategy is tasked with developing and implementing provider network strategies based on advanced market… more
- Molina Healthcare (UT)
- …Leads the market's strategy and planning in the successful development of the provider network , including development, contracting and management of ... the market's strategy and planning in the successful development of the provider network including development, contracting and management of provider … more
- Lumeris (MA)
- …our next-generation AI products designed to transform referral management and optimize provider network performance. You will lead a talented team, collaborate ... and empowers you to make an impact. **Position:** Sr. Director , Product - Referral & Network Optimization...operations, with specific expertise in referral management processes and provider network management strategies, coupled with your… more
- Lilly (Pleasant Prairie, WI)
- …growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role ... will support our Global Facilities Delivery organization to develop contracting strategies to design, construct and qualify new Lilly...qualify new Lilly manufacturing facilities for the Drug Products network of site in the Midwest The role will… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Provider Network Manager develops the strategic direction and management ... of the day to day contracting and network management activities for Saint...implements interventions to drive success. Defines and owns the provider participation contracting and document management processes… more
- Highmark Health (Natrona Heights, PA)
- …based programs in coordination with Clinical Integrated Network and Managed Care Contracting . (5%) + Provide education and training to managers within the ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job...respective institute regardingfinancial processes and improvement opportunities. (5%) + Provide high level support and follow up for questions… more
- Molina Healthcare (Seattle, WA)
- …and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital... in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider … more
- Molina Healthcare (Cincinnati, OH)
- …live in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based ... and system requirements of customers as it pertains to contracting , network management and credentialing. Manages the...for all state-led VBP's. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible… more