- Dignity Health (Bakersfield, CA)
- …is remote, but will be expected to work PST business hours.** **Position Summary:** The Manager , Network Strategy and Contracting reports to the Director of ... for operational clarity. - Collaborate with market leadership, finance, claims, and network teams to align contracting strategy with growth objectives. -… more
- The Cigna Group (Los Angeles, CA)
- …our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral ... strategic direction and management of the day to day contracting and network management activities for a...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Fort Lauderdale, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of ... strategic direction and management of the day to day contracting and network management activities for a...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- Deloitte (Atlanta, GA)
- …support to the practice + Mitigate delivery quality risks during proposal development , during contracting , at engagement startup, and throughout service delivery ... and Risk Management (QRM) group is seeking a Risk Manager with extensive experience in supporting complex deals and...Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and… more
- 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 ... Senior Director of Channel and GTN Strategy. Essential Functions: + Lead the development and negotiation of provider contracts to optimize market access for solid… more
- The Cigna Group (Mclean, VA)
- …aligned to the Mid-Atlantic market. Must reside in Maryland, DC or Virginia._** The ** Manager , Network Management** serves as an integral member of the Provider ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- Albany Medical Center (Albany, NY)
- …and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction ... Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed for… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …on the standardization of processes, reporting and approaches to payer contracting , payer relationships, network participation and other strategic project ... on the standardization of processes, reporting and approaches to payer contracting , payer relationships, network participation and other strategic project… more
- The Cigna Group (Sunrise, FL)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES**...Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of networks… more
- Deloitte (Sacramento, CA)
- …of our team, you will play a pivotal role in the design, development , testing, and deployment of Ivalua's Source-to-Contract (S2C) platform. You will lead client ... the possible, and fulfill their mission promise. The Supply Chain & Network Operations Offering helps clients transform their value chains into a competitive… more
- CVS Health (Richmond, VA)
- …in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct ... cost saving initiatives and settlement activities. * Assist with the design, development , management, and or implementation of strategic network configurations… more
- Henry Ford Health System (Detroit, MI)
- …compliance with regulatory requirements and supporting the continuous improvement of Network contracting processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: . ... GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking...network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory requirements. . Excellent… more
- Elevance Health (South Portland, ME)
- …**Provider Network Manager Sr** . develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of ... Provider Network Manager Sr. / Contract Negotiations (JR151123)...this role is contracting and negotiating contract terms. Typically works with the most… more
- Elevance Health (Las Vegas, NV)
- …Network Manager ** is responsible for developing the provider network through contract negotiations, relationship development , and servicing. Primary focus ... **Be Part of an Extraordinary Team** **Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133...of this role is contracting and negotiating contract terms. Typically works with the… more
- CVS Health (Lincoln, NE)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for ... we do it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution, and/or settlement… more
- Elevance Health (Houston, TX)
- …analytics. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Provider Network Manager **Location(s):** + 5959 Corporate Dr., Suite 1300, ... dynamic and adaptable workplace.** **Schedule:** Monday- Friday 8am-5pm CST. The **Provider Network Manager ** is responsible for developing the provider … more
- CVS Health (Oxford, OH)
- …intervals to ensure service levels are meeting expectations. + Manages the development of agenda, validates materials, and facilitates external provider meetings. + ... and enlist assistance in problem resolution. + Assist with standard provider recruitment, contracting , or re- contracting activities and assist with more complex… more
- Elevance Health (Durham, NC)
- **Program Manager -Children and Family Specialty Plan Network ** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed ... unless an accommodation is granted as required by law._ The **Program Manager - CFSP Network ** is responsible for spearheading initiatives with specialty… more
- Point32Health (VT)
- …network for commercial business. + Works with other departments, including Network Contracting , Provider Settlement, Accounting, Trends and Reserving to ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Support… more
- Providence (Portland, OR)
- …of our provider networks. This pivotal role requires deep expertise in network development , financial impacts, value-based contracting , and provider ... tools. + **Visionary Leader and Collaborator:** Provide visionary leadership to the network development team, fostering a culture of innovation and excellence.… more