- The Cigna Group (Bloomfield, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Los Angeles, CA)
- …supports our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CareFirst (Baltimore, MD)
- …stakeholders. Manages the ONN offer process and works with the Regulatory Operations Manager and Network Contracting to develop strategies and methodologies ... for negotiations of ONN and contracting with the provider . This includes negotiations, credentialing, financial quantification, network impacts,… more
- CVS Health (NY)
- …for value based provider agreements. + Helps formulate and implement network strategic plans to achieve value-based contracting targets and manage medical ... is an individual contributor role**_** **Position Summary** The Sr. Manager , Value-based Contracting is responsible for establishing...+ Familiar with legal terms in the context of provider contracting + Experience with Commercial and… more
- CVS Health (TX)
- …sit anywhere in the United States.** **Required Qualifications** * 5+ years of network contracting /management experience. * Ability to travel as needed (up to ... all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level review… more
- The Cigna Group (Richmond, VA)
- …systems, Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an ... integral member of the Provider Contracting Team and report to the...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Manager , Provider Contracting initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Manager , Provider Contracting works within...May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to… more
- The Cigna Group (Jersey City, NJ)
- …Will be required to go into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more
- CVS Health (Workman, MN)
- …with internal and external stakeholders. + 3-5 years of experience in provider contracting . + Comprehensive understanding of Ohio's healthcare landscape. + ... with heart, each and every day. **Position Summary** The Manager of Payor Relations & Contracting will...Manager you will develop, review, analyze, and execute provider contracts. You will ensure proper implementation of negotiated… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff ... contracting , recruitment, and compliance. This role ensures the provider network meets regulatory standards and supports...and supports the healthcare needs of plan members. The manager also leads initiatives to improve provider … more
- Amgen (Los Angeles, CA)
- …while transforming your career. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **What You Will Do** Let's do this. Let's ... business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve and maintain payer coverage and provider … 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 ... 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 (GA)
- …for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring knowledge ... functional business unit stakeholders to lead or support various Provider Network functions with an emphasis on contracting , education, outreach and… more
- AmeriHealth Caritas (Manchester, NH)
- As the Manager of Provider Network , you will... network to meet member needs and ensure network adequacy. + Oversee provider contracting ... nurture strategic provider partnerships that strengthen our network , drive innovation, and ensure high-quality care for our...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- CVS Health (OH)
- …**Position Summary: Candidates must reside in Ohio** This position assesses overall network composition and potential provider partners in order to identify ... trends and enlist assistance in problem resolution. + May be responsible for provider recruitment, contracting , or re- contracting activities, or may assist… more
- Elevance Health (Denver, CO)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Seattle, WA)
- …promoting a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations (language and rates), ... + Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education… 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...strategic direction and is accountable for the management of contracting and network management activities for multiple… 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 ... based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA...Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider … more