- The Cigna Group (Newton, MA)
- **LOCATION: Based in Newton, MA office** The ** Manager , Provider Network Contracting ** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- University of Utah Health (Murray, UT)
- …EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of ... and financial level of reimbursement in collaboration with our provider partners. This position monitors network adequacy...with all departments and providers throughout the state. The Manager of Provider Contracting must… more
- The Cigna Group (Franklin, TN)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... and will work in the Franklin, TN office several days per week** **Medicare Advantage position** The ** Provider Contracting Lead Analyst** serves as an integral… 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 ... with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- Point32Health (Canton, MA)
- …any analytical tools utilized by Point32Health to understand the performance, of the provider network . + Lead and/or participate in cross functional meetings as ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Manager of Contracting oversees a team of Contract Managers or… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the ... modeling and analytics for the Network wide revenue functions for Hackensack Meridian Health's (HMH)...system. **Responsibilities** A day in the life of a ** Manager of Revenue & Contracting Operations (MRCO)**… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures that… more
- EssilorLuxottica (Mason, OH)
- …and day to day management to support the provider network and provider economics functions. The Manager will partner with the Provider Contracting ... Manager - Provider Relations ( Network...related to supporting provider escalations, recruiting & contracting efforts, custom network builds, and overall… more
- Elevance Health (Costa Mesa, CA)
- ** Provider Network Manager (JR108624)** **Location** : Must reside within 50 miles/1 hour commute to one of the following offices: Woodland Hills, Walnut ... - 2 days/week working in the local office. The ** Provider Network Manager ** develops the...of judgment and discretion. + Leads special projects/initiatives, or network planning. + May provide work direction… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager Sr...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Denver, CO)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Elevance Health (Washington, DC)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Commonwealth Care Alliance (Boston, MA)
- …and Value Based Care,** the Facility Performance Incentive Programs. Work with network contracting and the finance department to develop, track contract ... Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing… more
- Elevance Health (Columbus, OH)
- ** Provider Network Manager ** **Location:**...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager ** will be...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- The Cigna Group (Anaheim, CA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES… more
- Elevance Health (Columbus, GA)
- The Provider Network Manager develops...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex… more
- Actalent (Tallahassee, FL)
- Fortune 500 Project Manager Opportunity Now! Description: The Construction Project Manager is responsible for project financials, administration, implementation, ... and is the established point of contact for stakeholders. The Construction Project Manager manages a portfolio of projects that could contain both smaller and larger… more
- Medical Mutual of Ohio (OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Manager, Provider Network Informatics_ **Location:** _Ohio_ **Requisition ID:** ... oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health,… more
- Elevance Health (West Des Moines, IA)
- …role (1-2 days per week in office) **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship ... 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. **Preferred Qualifications:** + Medicaid or… more
- Hartford HealthCare (Wethersfield, 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 ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling… more