- University of Massachusetts Amherst (Amherst, MA)
- Manager of Contracting & Insurance Credentialing Apply now ... of the region. Job Summary Under general direction of the Financial Manager of University Health Services responsible for contracts, fiscal management, operations… more
- CareFirst (Baltimore, MD)
- …of this position the incumbent will also be capable of assisting the Manager of Provider Contracting with the operations and critical reporting needs ... 's and teams' expert for the development, formulation and implementation of contracting policy, strategy, credentialing and methodologies. **We are looking for… more
- The Cigna Group (New York, NY)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... 3 days per week in our Manhattan office._** The ** Manager , Provider Contract Network Management** serves as an integral...management of the day to day contracting and network management activities for a local given… more
- CVS Health (Hartford, CT)
- …satisfaction, cost targets, network growth, and efficiency targets. Manages provider contracting intake process which includes audit and oversight of audit resources ... of all provider contract/ credentialing materials received from provider, provider outreach which may...received from provider, provider outreach which may include moderate contracting negotiation activities as well as research and analysis… more
- Centene Corporation (Topeka, KS)
- …for maintaining existing and developing new provider relations, and assisting with contracting activities + Manage the staff in contracting area including ... department + Develop, implement and maintain production and quality standards for the contracting staff + Monitor and analyze costs and prepare departmental budget +… more
- CVS Health (Hartford, CT)
- …cost targets, network growth, and efficiency targets. - Manages provider contracting intake process which includes audit and oversight of audit resources ... of all provider contract/ credentialing materials received from provider, provider outreach which may...received from provider, provider outreach which may include moderate contracting negotiation activities as well as research and analysis… more
- University of Colorado (Aurora, CO)
- Cancer Screening Research Network (CSRN) Hub Program Manager - 33233 University Staff **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Cancer Center** **Job Title: CSRN Hub Program Manager ** **Position #731414 - Requisition #33233** **Job Summary:** **Examples of Work Performed**… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... evaluation, and continuous improvement of all functions of provider contracting . Manages financial and operational issues related to contractual provider… more
- Terumo Medical Corporation (Dallas, TX)
- Region Manager -TIS, North Texas Date: May 2, 2024 Req ID: 3103 Location: Dallas, TX, US Company: Terumo Medical Corporation Department: TIS Sales Management Terumo ... RBT. + Collaborate with Corporate Accounts to drive sales growth through contracting /business reviews within GPO, IDN, government and independent accounts. + Attend… more
- CVS Health (Frankfort, KY)
- …health care more personal, convenient and affordable. Position Summary The Sr. Manager Medicaid VBC KY/WV manages and oversees compliance with our Network ... networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and… more
- Lumeris (OH)
- …developing annual plans and goals for the team. + Supports the network and contracting team members in recruitment, credentialing and strategic planning. + Plays ... Thank you for your interest in Lumeris. **Position:** Sr. Operations Project Manager **Position Summary:** Accountable for overseeing and guiding a wide variety of… more
- CVS Health (Lansing, MI)
- …affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource for assigned, high ... and federal requirements + Attend Plan committee meetings, as needed + Re- credentialing non-responder follow up + Communicate growth partner response to providers +… more
- Medical Mutual of Ohio (Dublin, OH)
- …health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or ... health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or… more
- Robert Half Finance & Accounting (Salinas, CA)
- …Processes, Consular Processing, Continuous Process Improvement, Continuous processes, Contracting Processes, Coprocessors, Cost - Process, Credentialing ... Description As the Operations Manager you will ensure the realization of the...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal and external communication including but not limited… more
- Healthfirst (New York, NY)
- Under the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures ... provider network + Create contracts in HF contract software and review credentialing documents submitted by Provider/facility via Universal Credentialing Data… more
- Insight Global (Houston, TX)
- …adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing . 50% of their day will consist ... draft to full execution utilizing approved standardized contract templates/amendments. Assists Manager and/or Director in the negotiation of medical group/IPA and… more
- The Cigna Group (Los Angeles, CA)
- …of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND ... RESPONSIBILITIES** + Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports. + Manages increasingly complex… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …with the Veteran's Health Information Systems and Technology Architecture (VistA) Imaging manager for the purpose of validation of new procedures and/or equipment ... technological requirements to the VISN PACS Committee. Serves as the primary Contracting Officer Training Representative (COTR) Point of Contact (POC) for PACS… more
- The Cigna Group (El Paso, TX)
- …+ Knowledge of health insurance industry, terminology, provider networks, contracting and credentialing highly preferred + Excellent communication skills - ... + Develops and maintains positive relationships with physicians, providers and practice manager , provider office staff to research and resolve claims issues in a… more