- Cleveland Clinic (Independence, OH)
- …of Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager , you will: * Negotiate contracts on behalf of Cleveland ... the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top… more
- Medical Mutual of Ohio (West Chester, OH)
- …and experience. . 2 years of experience as a Provider Contract Manager or equivalent experience in health insurance or a health care related field. . ... is the oldest and one of the largest health insurance companies based in Ohio. We provide ...experience as a Provider Contract Manager or equivalent experience in health insurance … more
- Microsoft Corporation (Redmond, WA)
- … provide an effective risk mitigation evaluation framework. The Business Risk and Insurance Manager oversees technical contract reviews and program risk ... select methods and techniques for risk mitigation. The **Business Risk and Insurance Manager ** will support the business risk team and will collaborate with… more
- The Cigna Group (New York, NY)
- …NY and be able to work 3 days per week in our Manhattan office._** The ** Manager , Provider Contract Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… more
- Elevance Health (St. Louis, MO)
- …miles of one of our Elevance Health office locations.**_ The ** Provider Contract - Cost-of-Care Consultant** will provide analytical support to the Cost of ... a check, or ask you for payment as part of consideration for employment. ** Provider Contract /Cost-of-Care Consultant** + Job Family: RDA > Health Economics &… more
- Elevance Health (Indianapolis, IN)
- …you a check, or ask you for payment as part of consideration for employment. ** Provider Contract /Cost of Care Consultant** + Job Family: RDA > Health Economics & ... Richmond + Ohio, Mason + Delaware + Indiana, Indianapolis **Description** ** Provider Contract /Cost of Care Consultant** **Location:** This position will… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to ... to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
- Point32Health (Canton, MA)
- …for Harvard Pilgrim and Tufts Health networks for all lines of business. The Senior Contract Manager is responsible for provider specialties that are more ... application, and/or larger networks. The Senior Contract Manager will function as point person for provider...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
- Modivcare (Ridgeland, MS)
- …by partnering with Provider Relations Coordinators. You will safeguard contract fulfillment of insurance requirements and credentialing of sub-contractor ... fit for you! Modivcare is looking for an experienced Provider Relations Manager to drive ongoing network...management, budget preparation and reporting. + Experience with yesterday's provider contract and the nuances of negotiating… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform...internal customers' goals, schedules, and budgets for projects and provide strategic consultation to benefit both the project and… more
- Medical Mutual of Ohio (OH)
- …plans. Manages operations and staff performing analytics for health plan provider contract negotiations, including Institutional, Ancillary and Professional ... is the oldest and one of the largest health insurance companies based in Ohio. We provide ...reports, as well as ad hoc reports to support Provider Contract Management, Underwriting and Actuarial, and… more
- EssilorLuxottica (Mason, OH)
- Manager - Provider Relations (Network Strategy) Date: Mar 30, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 837269 ... management to support the provider network and provider economics functions. The Manager will partner...fee schedules support the objectives of those initiatives. The Manager will provide recommendations to leadership and… more
- CVS Health (Tallahassee, FL)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Required Qualifications + 5+ years ... strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. +… more
- CVS Health (Lansing, MI)
- …and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource for ... plan design, contract language, service, claims or compensation issues, and provider education needs. Additionally, you will: + Research and handle contract … more
- CVS Health (Richmond, VA)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. * Ideally the candidate should live ... groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and… more
- University of Utah Health (Murray, UT)
- …or related area. + Previous management experience. + Working knowledge of provider contract configuration related to accurate claims payment that reflects ... and trust that are integral to our mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible… more
- Elevance Health (Denver, CO)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... send you a check, or ask you for payment as part of consideration for employment. ** Provider Relationship Account Manager Sr.** + Job Family: PND > Provider … more
- Elevance Health (Austin, TX)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... send you a check, or ask you for payment as part of consideration for employment. ** Provider Relationship Account Manager (US)** + Job Family: PND > Provider … more
- Elevance Health (Wallingford, CT)
- … contractors, healthcare networks team and national business partners to meet provider contract needs. + Encourages change management with providers to ... you for payment as part of consideration for employment. ** Provider Collaboration Manager - Quality & Cost...or any combination of education and experience, which would provide an equivalent background. + Ability to multi-task and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for...Abilities) + Enhanced understanding of global, hospital and physician contract development; demonstrated negotiation of complex provider … more