- Community Health Systems (Springdale, AR)
- …accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; ... Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources. more
- Albany Medical Center (Albany, NY)
- …management, quality, credentialing , and other related departments. The Director builds external relationships with payers' senior network management, ... financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in… more
- WellSpan Health (York, PA)
- …related field required. **Work Experience:** + 5 years Leadership experience in network credentialing or payer enrollment required. **Licenses:** + Certified ... time and enhance stakeholder satisfaction. + Partners with health plans, credentialing /enrollment committees and provider groups to support contracting and… more
- Rush University Medical Center (Chicago, IL)
- …maintain fee-for-service (FFS) contracts with third party payers as assigned by the Director , FFS Payer Contracting . + Assist in the development and negotiation ... each case. **Summary:** Rush Health is a clinically integrated network of physicians and hospitals working together to improve...contracts with third party payers as assigned by the Director , Value Based Payer Contracting . + Negotiate,… more
- The Cigna Group (Franklin, TN)
- …LOCATION: Hybrid position - Franklin, TN office** The **Manage** **r** **, Provider Contracting Network Management** serves as an integral member of the Provider ... Contracting Team and reports to the Senior Director...strategic direction and management of the day to day contracting and network management activities for a… more
- UPMC (Washington, PA)
- …including state licensure, professional references, NPDB, etc. + Communicate with Network Management and Contracting regarding providers presenting problems with ... _Join Our Team as a Credentialing Analyst! Are you detail-oriented and passionate about...with satisfactory results. + Initiate consultation with the Medical Director or designee when provider specific information warrants, to… more
- The Cigna Group (Independence, OH)
- …to Market Providers. Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves as an ... in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES… more
- Lumeris (MA)
- …complexities involved in referral processes (eg, leakage, delays, communication gaps) and network management (eg, credentialing , contracting , adequacy). + ... and empowers you to make an impact. **Position:** Sr. Director , Product - Referral & Network Optimization...**Position:** Sr. Director , Product - Referral & Network Optimization **Position Summary:** Join Lumeris, a pioneering force… more
- Humana (Raleigh, NC)
- …+ Work closely with enterprise teams on claims processing, reporting, contracting / credentialing , network adequacy, provider dispute resolution issues, ... MUST RESIDE IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is accountable for growing positive, long-term relationships… more
- Pacific Northwest National Laboratory (Richland, WA)
- **Overview** The Director of Institutional Investments and Partnerships oversees the Laboratory's portfolio of internal science and technology investments and its ... network of university partners. This portfolio includes $70M+ in...national security; and open new high-risk/high-reward research areas. The Director guides development and execution of an investment strategy… more
- Molina Healthcare (WI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...+ Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief… more
- AdventHealth (Altamonte Springs, FL)
- …into the department. **Support** + Supports the Credentialing Manager and Director of Credentialing , Contracting and Revenue Management by resolving ... contracting services are provided. Maintains and updates all credentialing systems with current information. Responsible for coordinating and maintaining all… more
- Molina Healthcare (Sacramento, CA)
- …adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing . **Job Duties** Manages the ... must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- Molina Healthcare (Las Cruces, NM)
- …adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing . **Job Duties** This role ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital… more
- Molina Healthcare (Traverse City, MI)
- …adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing . **Job Duties** This role ... must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- Saint Francis Health System (Tulsa, OK)
- …the development and execution of payer strategies in conjunction with the CFO and Director of Payor Contracting . Assists in the development of negotiations with ... health plan partners, external providers, and applicable regulatory and credentialing organizations. Minimum Education: Master's degree in business, healthcare… more
- Commonwealth of Pennsylvania (PA)
- …policies, employee relations, classification and compensation, benefits administration, contracting , credentialing , safety and health, orientation, training, ... person and family that we serve to have a network of family, friends, advocates, and supportive services to...us at www.dbhs.co . This opportunity is for a Director to oversee the Human Resource and Quality Assurance… more