- The Cigna Group (Birmingham, AL)
- …the Tri-South Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The ** Manager , Provider Contract Network Management** serves as ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Pharmacy Data Management, Inc. (OH)
- At PDMI, we're seeking a talented Pharmacy Network Contract Manager to join our team! In this role, you'll play a crucial part in managing our pharmacy ... + Maintaining a deep understanding of pharmacy provider services and network demographics + Managing the implementation of contract language and… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager , Ancillary Network Contracting, will be part ... Contracting team reporting to the Manager , Ancillary Network Contracting. Senior Contract Manager ...Health networks for all lines of business. The Senior Contract Manager is responsible for provider… more
- House of Blues (CA)
- …flexible with international travel Division: Ticketmaster Technology Line Manager : Sr Manager , Network Services Contract Terms: Permanent, 40 hours per ... call duties THE TEAM You will be joining our Network Engineering team who are responsible for all ...the world's largest ticket marketplace and the leading global provider of enterprise tools and services for the live… more
- Pharmacy Data Management, Inc. (OH)
- …ensuring alignment with PDMI's values and policies. Collaborating closely with our Pharmacy Network Senior Contract Manager and internal stakeholders, you'll ... cross-functional teams to address contract -related issues + Provide assistance with network credentialing and enrollment...publish policies and procedures for pharmacy provider network contracting + Stay updated on contract … more
- Medical Mutual of Ohio (West Chester, OH)
- …as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Provider Contract Manager I Under direct supervision, develops ... and external projects. . Performs other duties as assigned. Provider Contract Manager II Under...the provider network and national network offerings through contracting activities, contract negotiations… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial ... CCA to provider community and all constituents of CCA. - Assist with Provider Contract Department projects, as needed. - Maintain high performance norms and… more
- St. Luke's University Health Network (Allentown, PA)
- …Collaborate with Network department leaders and strategic vendor partners on contract negotiations to provide additional value such as rebates, equipment, ... ability to pay for health care. The Supply Chain Contract Manager will oversee the contracting portfolio...contracting portfolio of supplies, services, and equipment for the Network . Responsible for maintaining accurate contract data… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures… more
- Commonwealth Care Alliance (Boston, MA)
- …Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing ... into other CCA contracts, health equity, and social determinants of health (SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the… more
- Medical Mutual of Ohio (Dublin, OH)
- …resolves and/or refers issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal department; performs data ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Wallingford, CT)
- …1-hour commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Topeka, KS)
- …In state travel to clients as needed** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …educational topics, methods, and strategies to enhance compliance throughout the provider network \. + Implementing, supporting, and monitoring provider ... or equivalent work experience required _Experience_ + 3 years \- Experience in provider relations and network development with emphasis on healthcare education… more
- The Cigna Group (Plano, TX)
- …our growing and dynamic Network Analytics team as a Business Analytics Associate ( Provider Contract Analytics) for the South Texas Market. In this role, you ... **Business Analytics Associate - ( Provider Contract Analytics)** **Summary:** We are...cost and competitive discount. You will partner with contracting, network management, medical management, and pricing business units to… more
- Elevance Health (West Des Moines, IA)
- …Hybrid role (1-2 days per week in office) **Position Overview:** Develops the provider network through contract negotiations (language and rates), ... You Will Make an Impact:** + Contracting and negotiating contract terms + Typically works with less-complex to complex...providers in areas with increased competition or where greater provider education around managed care concepts is required +… more
- Elevance Health (Jacksonville, FL)
- …Specifically, Bay, Calhoun, Franklin, Liberty, Gulf and Jackson counties. **Develops the provider network through contract negotiations (language and rates), ... PRIMARY DUTIES: + Primary focus of this role is contracting and negotiating contract terms. + Typically works with less-complex to complex providers. + Providers may… more
- The Cigna Group (Anaheim, CA)
- …Excel, PowerPoint, Outlook) + Proficient in contract building software such as Contract Manager If you will be working at home occasionally or permanently, ... Travel out to in-person meetings with Providers._** The **AVP, Network Management** serves as an integral member of the...projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +… more
- The Cigna Group (Independence, OH)
- …utilizing HCPM/PRDS data, Activity Manager and/or Oracle Review tools to validate provider contract status + Work with Network Contracting to identify ... supports Cigna's presale and renewal process and is responsible for providing provider network reporting which assists potential customers in the decision-making… more