- The Cigna Group (Walnut Creek, CA)
- …Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- CVS Health (TX)
- …competitor strategies, practices, and financial/ contracting arrangements. * Knowledge of ancillary contracting , ie DME, Lab, Infusion, Home Health, Urgent ... Matter Expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems and information contained.… more
- CVS Health (CO)
- …And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical ... with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy and… more
- The Cigna Group (Jersey City, NJ)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** **Hospital/ Provider / Ancillary ** **group experience ... into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- AdventHealth (Maitland, FL)
- …issues internally, as well as at the payer and the practice. + Supports ancillary contracting and operation services by auditing and analyzing data, verifying ... Responsible for credentialing systems including applications and credentialing for various ancillary groups and specialties for which contracting services are… more
- Hartford HealthCare (Hartford, CT)
- …payer contracting analytics with a focus on hospital and ancillary . Reviews and monitors contract/payer performance including payer parity. Compares expected ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- Molina Healthcare (Jackson, MS)
- …must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts… more
- Centene Corporation (Queens, NY)
- …customized provider contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations in foreign ... and prepare departmental budget + Initiate and execute standard physician and ancillary provider contracts + Coordinate all pre-contract activities with… more
- Molina Healthcare (GA)
- …are responsible for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** **Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... as required by law._ The **Senior P** **rovider Network Manager ** is responsible for developing the provider ...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team of analytical professionals specializing in network optimization, value-based analytics, ancillary services analytics, provider contracting analytics, ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...the development and growth of these teams. * Lead provider analytics to support network development and contracting… more
- Elevance Health (Seattle, WA)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship development,… more
- Elevance Health (Denver, CO)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- The Cigna Group (Richmond, VA)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital/ Provider / Ancillary group experience required** ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral...and organizations required** + Experience with Physician, Hospital and Ancillary group contracting and negotiations + Experience… more
- Elevance Health (Overland Park, KS)
- …hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, ... in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting… more
- Elevance Health (Atlanta, GA)
- …is responsible for provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and...the contract negotiation process. + Can work with multiple provider types, eg physician, ancillary , medical groups,… more
- Elevance Health (Indianapolis, IN)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects… more