- Christus Health (Irving, TX)
- …teams supporting pharmaceutical care and patient care services. The Program Director nurtures collaborative pharmacist-physician relationships to provide safe, ... Description Summary: The Program Director of Acute Care Pharmacy Operations is a...of therapeutic interchanges, conservation strategies, and supply source or contracting alternatives). Consult and collaborate with stakeholders such as… more
- Sanford Health (Sioux Falls, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a ... comprehensive network of affiliated healthcare providers across the Sanford Health...Sanford Health Plan membership. Oversees development and execution of provider contracting strategies. Identifies and creates processes… more
- The Cigna Group (Independence, OH)
- …reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management** serves as an integral member of ... the Provider ...the Provider Contracting Team and reports to the ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Point32Health (NH)
- …**Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider networks ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The ** Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to ... the Provider Contracting Senior Manager or VP of Contracting ....strategic direction and management of the day to day contracting and network management activities for a… more
- Humana (Columbia, SC)
- …a part of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Director , Provider Contracting requires an...May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- … Contracting and is responsible for developing and executing US payer and provider contracting strategies, tactics, and initiatives in partnership with the US ... fulfil their aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Director , US CAR-T Pricing & Contracting ** reports to the Head of… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value...with at least five of those years in a director or above role with a commercial or government… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as applicable. Will support CHLA Medical Group leadership ... Will also be responsible for collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical… more
- Beth Israel Lahey Health (Wakefield, MA)
- …a difference in people's lives.** Position Summary: Partner with the Executive Director , Contracting to manage key divisional initiatives that support Managed ... Care Contracting . The Contracting Program Manager will be...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Commonwealth Care Alliance (Boston, MA)
- …* 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. * ... advance provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation… more
- Manulife (Boston, MA)
- …and business objectives. + Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements ... providers to our customers when they need it. The Director , Provider Network Development &...or related field preferred + 8 -15+ years in provider network management, healthcare contracting ,… more
- Molina Healthcare (WI)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * Strategically… more
- Rubrik (Nashville, TN)
- The MSP business is one of Rubrik's fastest growing segments. The Director of Americas MSP will be a highly visible and strategic role within the MSP organization. ... sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and...MSP specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's… more
- CVS Health (Charleston, WV)
- …terms and conditions. + Controlling the development and expansion of the company's provider network by evaluating potential network providers, negotiating ... in new and exciting ways every day. Aetna is recruiting for an **Executive Director , Network Management** who provides strategic leadership and oversight for … more
- Point32Health (RI)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize ... . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network ...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network … more
- HCA Healthcare (Salt Lake City, UT)
- …is recognized. Submit your application for the opportunity below: Director Network ManagementMountainStar Healthcare **Benefits** MountainStar Healthcare ... benefits may vary by location._** We are seeking a(an) Director Network Management for our team to...improvement initiatives. + Collaborate with analytics, clinical operations, and contracting teams to ensure alignment with network … more
- Molina Healthcare (Seattle, WA)
- …and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital... in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider … more
