- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs ... + Remote **Responsibilities** + Generates reports used to analyze network adequacy , perform gap analysis and support...new product + Manages the new business continuum for provider network reports and deliverables to monitor… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities.; Responsible ... assisting in the development and execution of annual provider network strategy to include network adequacy standards, as well as a marketable network… more
- AmeriHealth Caritas (Washington, DC)
- …**Recruitment** + Responsible for compliance with State and accrediting agencies' network adequacy standards. + Ensures the provider network meets the ... satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it… more
- AmeriHealth Caritas (Newark, DE)
- As the Manager of Provider Network , you will... network to meet member needs and ensure network adequacy . + Oversee provider contracting ... build and nurture strategic provider partnerships that strengthen our network , drive innovation, and ensure high-quality care for our communities. They will… more
- CVS Health (Columbia, SC)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of business strategies. + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within… 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 ... and local regulations. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy , issue escalations and JOCs on exception,… more
- Molina Healthcare (Cadillac, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy , Joint Operating Committees, and delegation… more
- Molina Healthcare (Saginaw, MI)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... provider databases. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy , issue escalations and JOCs on exception. Able… more
- Molina Healthcare (Kalamazoo, MI)
- …and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates value-based high priority ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… more
- CVS Health (Raleigh, NC)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of business strategies. + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within… more
- CVS Health (Harrisburg, PA)
- …group/system providers. Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- ... and participation. + Collaborate with internal teams to resolve issues and meet network adequacy and expansion goals. + Audit, build, and load contracts,… more
- UNUM (Portland, ME)
- …team. Help us help others, and join Team Unum today! **General Summary:** The Manager , Network Development, is responsible for leading the Network Recruiting ... the Recruiter Support Specialists to maintain and reach Unum's network goals and objectives. The Manager will... are tracked and communicated + Respond to escalated provider fee negotiations and provide support to… more
- CVS Health (Indianapolis, IN)
- …Negotiator and play a key role in building and maintaining a high-performing provider network . You'll leverage your negotiation skills and analytical expertise ... data accuracy. + Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals. + Maintain accountability for… more
- CVS Health (Trenton, NJ)
- …to ensure State requirements. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve value-based contracting targets and ... and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance...limited to: + Recruits providers to ensure attainment of network expansion and adequacy targets. + Accountable… more
- CVS Health (Tallahassee, FL)
- …all lines of business. + Recruits providers as needed to ensure attainment of network expansion and adequacy targets for all lines of business. + Collaborates ... lines of business (Medicare, Commercial, and IFP). + Manages contract performance in support of network quality, availability, and financial goals and strategies for… more
- Huntington National Bank (Farmers Branch, TX)
- Description Summary: The Cybersecurity Risk Manager is responsible for oversight and administration of operational and regulatory risk strategy programs for a ... an experienced Cyber Engineer or Cyber Architect to work as a Risk Manager supporting Huntington's transformation and use of cybersecurity technologies. As a risk … more
- Robert Half (Dallas, TX)
- …Dallas Internal Audit & Financial Advisory (Financial Services - Trust Audits) Manager LOCATION DALLAS ADDITIONAL LOCATION(S) JOB DESCRIPTION You Belong Here The ... is looking for an Internal Audit & Financial Advisory Manager focused on Trust Auditing to join our growing...Financial Services practice is widely recognized as a leading provider of consulting services across the three lines of… more
- CVS Health (Indianapolis, IN)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of business strategies. + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within… more
- Cedars-Sinai (CA)
- …of patient care we strive for. What will you be doing in this role? The Manager , Social Work ensures the adequacy of social work support in the ambulatory ... Community Connect, and leaders in population health/value-based care, throughout the Medical Network , TMIPA and CSMC licensed clinics, to provide compliant… more