- The Cigna Group (Fort Worth, TX)
- …the office or at a clients. Ability for local travel to meet with Providers.** The ** Manager , Provider Network Contracting ** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager . This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider /vendor, and those identified internally that have an impact on the physician/vendor. Coordinates with all Healthfirst… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager , Ancillary Network Contracting , will be part of ... the Point32Health Ancillary Network Contracting team reporting to the Manager... Manager will function as point person for provider recruitments; determining network needs and evaluating… more
- CVS Health (Hartford, CT)
- …impact by: + Supporting the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners. + Developing ... convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders to… more
- Baptist Memorial (Memphis, TN)
- … opportunities to grow the existing business, develop new business and expand provider network . In-depth understanding of health care and managed care ... business alliances and provider organizations and to expand the provider network . Analyzes contract opportunities utilizing contract guidelines in order… more
- The Cigna Group (Franklin, TN)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... and will work in the Franklin, TN office several days per week** **Medicare Advantage position** The ** Provider Contracting Lead Analyst** serves as an integral… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- Highmark Health (Charleston, WV)
- …as appropriate. Develop and manage the design and implementation of provider network strategies and reimbursement methodologies, including alternative payment ... costs and evaluate the impact on providers. + Review provider network regulatory reports relating to among...or requested. **EXPERIENCE** **Required** + 5 years in Healthcare Contracting or related field + 5 years in a… more
- CVS Health (Lansing, MI)
- …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... convenient and affordable. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
- CVS Health (Phoenix, AZ)
- …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the ... modeling and analytics for the Network wide revenue functions for Hackensack Meridian Health's (HMH)...system. **Responsibilities** A day in the life of a ** Manager of Revenue & Contracting Operations (MRCO)**… 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. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures that… more
- Hartford HealthCare (Wethersfield, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling… more
- Elevance Health (Waukesha, WI)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... 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
- Elevance Health (Charleston, WV)
- Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and ... 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
- Elevance Health (Topeka, KS)
- …state travel to clients as needed** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... 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
- Commonwealth Care Alliance (Boston, MA)
- …and Value Based Care,** the Facility Performance Incentive Programs. Work with network contracting and the finance department to develop, track contract ... Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing… more
- Universal Health Services (Reno, NV)
- …more at: https://prominence-health.com/ Job Summary: The Sr. Manager of Provider Network leads and manages provider contracting and network ... ongoing education and support for all network products. The Sr. Manager of Provider Network analyzes specific issues pertaining to providers and oversees… more
- The Cigna Group (Anaheim, CA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES… more
- Geisinger (Danville, PA)
- …programs and strategy for implementation. + Supports ongoing strategic assessment of provider network . + Ensures all contracts are negotiated in compliance ... functions necessary to identify and resolve service inquiries from participating provider network and other healthcare professionals. + Documents a… more