- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …\(in an accredited college or university\) are also eligible\. + Must provide transcripts\. + Active full\-time BCBST employees are not eligible to participate ... in the program\. _Experience_ + Varies based on line of business\. Please see **Job Specific Requirements** section below for this internship's specific responsibilities and preferred qualifications\. _Skills/Certifications_ + Able to prioritize, work… more
- Molina Healthcare (Columbus, OH)
- …the market's strategy and planning in the successful development of the provider network , including development, contracting and management of provider ... the market's strategy and planning in the successful development of the provider network including development, contracting and management of provider … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . As the ** Provider Network Executive III** , you will develop and maintains ... provider specific and public presentations. + Proactively communicate with Provider Strategy & Solutions (PS&S) leadership and internal stakeholders on… more
- The Cigna Group (Scottsdale, AZ)
- …contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Should possess ... in-person meetings with Providers AND several days work at Home_** The **Director, Provider Contracting Network Management** serves as an integral member of the… more
- Avera (Sioux Falls, SD)
- …for you and our patients. Work where you matter.** **A Brief Overview** The Provider Network Development Analyst is responsible for maintaining a current and ... to secure participation and signed agreements with providers. The Provider Network Development Analyst will assist in...comprehensive or PPO networks). + Assist with the development, implementation of broad based, tiered and narrow network… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management** serves as an integral member of the ... and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + Other duties, as assigned **POSITION… more
- AmeriHealth Caritas (Dublin, OH)
- …to support local market strategy . + Recruit providers to meet network adequacy targets. + Resolve complex provider service complaints and negotiate ... services. Discover more about us at www.amerihealthcaritas.com. **Position Overview:** The Provider Network Account Executive II (AE II) is responsible… more
- AmeriHealth Caritas (Southfield, MI)
- …to support local market strategy . + Recruit providers to meet network adequacy targets. + Resolve complex provider service complaints and negotiate ... services. Discover more about us at www.amerihealthcaritas.com. **Position Overview:** The Provider Network Account Executive II (AE II) is responsible… more
- Trinity Health (Columbus, OH)
- …**Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as the MediGold point ... of contact within the Provider network ; Act as the MediGold Subject...with the Medical Delivery Systems budget. + Manages successful implementation of provider contracts, including interpretation of… more
- CVS Health (Columbus, OH)
- …current. + Collaborates cross-functionally to ensure optimal implementation of large provider systems. + Support our custom network capability requests and ... presentation skills is a must. + Responsible for the implementation of new network product offerings. This...all other general network inquiries. + Understand strategy implications in context of other products and business… more
- Wells Fargo (Irving, TX)
- …Small Business and Commercial/Corporate client segments and incorporate into overall payment network strategy and prioritization + Partner with the product team ... Merchant Services** as part of Consumer Lending. The Payment Network Relationship Management and Strategy Consultant will...generally facilitate issue resolution related to Payment Networks. + Provide input to Payment Network Update team… more
- Guardian Life (Bethlehem, PA)
- **Position Summary** The Network Strategy & Delivery Consultant will be an integral part of the Dental Network Strategy & Strategic Partnerships team ... of over 138,000 providers is critical to the company's success and the Network Strategy team has been established to strengthen and monitor the overall… more
- Avera (Des Moines, IA)
- …providers, the organization and its customers. Responsibilities include driving AHP's provider network expansion efforts, performing detailed market analysis and ... leadership of industry trends, market composition and best practices related to provider network expansion. + Foster and maintain strong relationships with… more
- Elevance Health (AZ)
- …cost of care and trend management strategy , hospital negotiations, network and product design ( implementation ), and development/oversight of all payment ... innovation programs (value-based care), provider relations and primary care growth strategy ...client facing. + Experience in building out a new provider network and/or significantly expanding existing market(s)… more
- Elevance Health (Waukesha, WI)
- …cost of care and trend management strategy , hospital negotiations, network and product design ( implementation ), and development/oversight of all payment ... trends across all lines of business. + Develops provider networks that provide a competitive advantage. + Aligns contracting strategy with medical management… more
- Catholic Health Initiatives (Houston, TX)
- …the Market VP and market strategy leadership, the Market Director of Strategy & Growth directs and executes the implementation of broad business objectives ... of services for the market and Region by facilitating the planning, design, implementation and maintenance of Strategy and growth functions including: strategic… more
- Elevance Health (Woburn, MA)
- …+ Acts as a liaison between strategic providers and Carelon clinical, quality, provider strategy , network departments, operations, claims and provider ... **ABA Provider Quality Manager** _Location: This position will work...performance. + Implements strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers,… more
- The Cigna Group (San Diego, CA)
- …contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Should possess ... Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation , and administration… more
- Molina Healthcare (Columbus, OH)
- …in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments ... (VBP) network strategy and development with respect to...to minimize the company's financial exposure. Monitors and adjusts strategy implementation as needed to achieve desire… more
- The Cigna Group (Scottsdale, AZ)
- …contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS:** + **Should possess ... integral member of the Provider Contracting Team and reports to the AVP, Network Management. This role assists and supports the day to day contracting and … more