- Magellan Health Services (Albuquerque, NM)
- …in client meetings and committees as needed. + Responsible for day to day network management and provider relations, including implementing processes between ... experience. Proficient use of Microsoft Office products. General Job Information Title Manager , Network Management - (Remote in Albuquerque, NM) Grade… 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. ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures that… more
- The Cigna Group (Sandy, UT)
- …position aligned to the Utah markets. Must reside in Salt Lake City, UT_** The ** Manager , Provider Network Management ** serves as an integral member ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Houston, TX)
- …personal, convenient and affordable. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and ... ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance...refinement activities and strategies in support of cross market network management unit. * Assists with the… more
- CVS Health (Hartford, CT)
- …impact in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, ... groups. Promote collaboration with internal partners.* Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and… more
- CVS Health (St. Paul, MN)
- …impact in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, ... Matter Expert support for questions related to recruitment initiatives, contracting, provider issues/resolution * Provide guidance and share expertise to others… more
- Insight Global (Campbell, CA)
- …Management Associates both in house and remotely, and a Network Management Coordinator whose primary function is to provide provider support/education ... with contracted Health Plans (HMO and PPO). 2. Responsible for managing network provider education of applicable policies and procedures. 3. Responsible… more
- CVS Health (Austin, TX)
- …Expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems and information contained.* Provide ... meeting network adequacy requirements. Required Qualifications * 5-10 years of network contracting/ management experience.* Ability to travel as needed (up to… more
- CVS Health (Des Moines, IA)
- …to make health care more personal, convenient and affordable. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution ... groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- CVS Health (Sacramento, CA)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals ... and cost initiatives. *Focus on behavioral health provider and facility types. *Employees may be required to go into a near office location. Required Qualifications… more
- Walmart (Bellevue, WA)
- Position Summary What you'll do Walmart is seeking a Senior Manager , Network Design and Optimization to join our growing and fast-paced eCommerce Marketplace ... managing Walmart Marketplace's transportation service Ship with Walmart (SWW) to provide a world-class transportation capability for our Marketplace sellers and… more
- American Express (New York, NY)
- …Team Amex and let's lead the way together.** Reporting to the Director of Core Network Innovation, the Senior Manager of Core Network Innovation will help ... uphold our company values and powerful backing promise to provide the world's best customer experience every day. And...develop, and deliver on a strategy to evolve the network value proposition for our core payments products -… more
- Bank of America (Richmond, VA)
- Application Delivery Services & DNS DCHP IP Address Management Network Product Manager Plano, Texas;Charlotte, North Carolina; Pennington, New Jersey; ... Richmond, Virginia **Job Description:** **Position Summary** The Application Delivery Service Network Product Manager role is responsible for maximizing the… more
- Lockheed Martin (Marietta, GA)
- …schematics for network architecture \- Experience with VOIP and call manager management \- Excellent network operations monitoring and trouble\-shooting ... and leadership in network engineering, network operations, network performance tools/analysis, project management , systems integration and mentoring and… more
- CVS Health (Indianapolis, IN)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Network Performance/Oversight . ... initiatives and/or settlement activities. . Assists with the design, development, management , and or implementation of strategic network configurations Required… more
- CVS Health (Houston, TX)
- …and affordable. Position Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and ... maintenance, and refinement activities and strategies in support of cross market network management unit.* Assists with the design, development, management… more
- Prime Therapeutics (Columbus, OH)
- …ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Principal or Manager in the Network Management department or Specialty Clinical ... our passion and drives every decision we make. **Job Posting Title** Product Manager - REMOTE /Medical Specialty Pharmacy **Job Description** The Product Manager … more
- Skyworks (Newbury Park, CA)
- …Nearest Major Market:VenturaNearest Secondary Market:Oxnard Job Segment: Six Sigma, Operations Manager , Technical Writer, Fabrication, Network , Management , ... Section Manager , Operations Apply now " Date:Apr 26, 2024...a strong focus on global collaboration, minimal layers of management , and the freedom to make meaningful contributions in… more
- Commonwealth Care Alliance (Boston, MA)
- …Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing ... into other CCA contracts, health equity, and social determinants of health (SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the… more
- The Cigna Group (Anaheim, CA)
- …working either in Office or Travel out to in-person meetings with Providers._** The **AVP, Network Management ** serves as an integral member of the Network ... & Affordability Team and reports to the VP, Network Management . This role is a key...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more