- BeOne Medicines (San Mateo, CA)
- General Description: The Senior Manager of Provider Contracting is responsible for the development, negotiation, and management of contracts for BeOne solid ... and National Accounts. This role will report to the Senior Director of Channel and GTN Strategy. Essential Functions:...years of direct experience in market access insights, analytics, provider pricing and contracting strategy in the… more
- Dignity Health (Bakersfield, CA)
- …work PST business hours.** **Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of Provider Contracting . Key areas ... a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract… more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- The Cigna Group (Oklahoma City, OK)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Must live in Oklahoma** This Manager, Provider Contracting serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Richmond, VA)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- Blue KC (Kansas City, MO)
- …Medical Economics, Product Development, Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to ... the development of provider strategy to support contracting and network development efforts on behalf...and network development efforts on behalf of Provider Services and Senior Management + Partner… more
- CVS Health (Indianapolis, IN)
- …value-based provider agreements. + Evaluates, helps formulate, and implements network strategic plans to achieve value-based contracting targets and manage ... every day. This is an individual contributor role The Senior Manager of Value-Based Contracting is responsible...+ Familiar with legal terms in the context of provider contracting + Familiar with CMS Stars… more
- Deloitte (Atlanta, GA)
- …and contracting support for scope of work/SOW documents. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and...Deal Constructs), focused on building awareness and capacity to provide guidance and support to the practice + Mitigate… more
- RWJBarnabas Health (West Orange, NJ)
- …and value-based contracts, including commercial and government payor agreements, provider network participation agreements, third-party administrator contracts, ... Senior Counsel / Assistant Vice President, Legal Affairs,...contracting , health plan operations, and regulatory frameworks governing provider -payer relationships + Demonstrated ability to negotiate high-stakes contracts… more
- Intermountain Health (Broomfield, CO)
- …+ Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting . + HIAA I & II Certification. + Experience in ... + Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting . + HIAA I & II Certification. + Experience in… more
- Point32Health (VT)
- …the development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Support ... 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
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... required by law._ The ** Senior P** **rovider Network Manager** is responsible for developing the provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… more
- Elevance Health (Ashburn, VA)
- …promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager Sr** develops the provider network ... 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
- Growth Ortho (Tampa, FL)
- …or reports to track contract effectiveness, payer behavior, and financial impact. Provide ongoing insights and strategic recommendations to senior leadership ... Job Title: Director of Payer Strategy & Contracting Location: Remote (with limited travel, approx. 2...that optimize payer relationships and reimbursement across our national network of orthopedic practices and ambulatory surgery centers (ASCs).… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- Centene Corporation (Jefferson City, MO)
- …including experience in a managed health care environment with exposure to provider contracting , servicing benefits interpretation, and internal operations of ... claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment...well as claims payment resolution as it relates to provider set up. Provide support to external… more
- Molina Healthcare (Traverse City, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- CVS Health (Sacramento, CA)
- …+ This is an individual contributor role **Required Qualifications** + 7+ years of network contracting /management experience + Ability to travel as needed (up to ... Matter Expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems and information contained… more
- CVS Health (Richmond, VA)
- …with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role,...care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more