- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The ** Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...MBA or MHA preferred.** + **3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician … more
- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral member of ... the Provider Contracting Team and reports to the AVP, Provider ...value-based reimbursements with healthcare providers (eg, Hospital systems, Ancillaries, physician groups and individual practices). + Builds relationships that… more
- Centene Corporation (Carson City, NV)
- …Purpose:** Lead, negotiate, and manage multiple large hospitals and medical groups, physician , and/or ancillary contracting activities in accordance with ... Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for an… more
- Hartford HealthCare (Hartford, CT)
- …payer contracting analytics with a focus on hospital and ancillary . Reviews and monitors contract/payer performance including payer parity. Compares expected ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Elevance Health (Lake Mary, FL)
- …of the contract negotiation process. + Can work with multiple provider types, eg physician , ancillary , medical groups, or hospitals. + Supports a full range of ... **Cost of Care/Provider Contracting Data Analyst** **Location** : This role requires...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Grand Prairie, TX)
- …member and provider network satisfaction. Typically works with one provider type, eg physician , ancillary , or medical group. Provides advice and analytic support ... **Cost of Care/Provider Contracting Data Analyst Senior** **Location:** This role requires...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Henry Ford Health System (Grand Rapids, MI)
- …including new contracts, terminations and modifications, and configuration of Contract Manager , Facets or its successor systems. As a team member, provide ... approval process. + Prepare Provider Reimbursement Worksheets (PRW's) and or Ancillary Reimbursement Worksheets (ARWs) in accordance with departmental procedures for… more
- Molina Healthcare (Saginaw, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more
- Molina Healthcare (Seattle, WA)
- …and professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Assists in analysis ... Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- HCA Healthcare (Lees Summit, MO)
- …goals, financial performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with other PSG colleagues ... 156,000 hours impacting our communities. As a Director of Physician Services I with Lee's Summit Family Care, you...with Lee's Summit Family Care, you can be a manager in an organization that is devoted to giving!… more
- Molina Healthcare (Gulfport, MS)
- …professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Participates with the ... managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity… more
- Elevance Health (FL)
- …and insightful analytics to improve the delivery of care. **Provider Network Manager - New York** This is an Individual Contributor role.** Location: **Hybrid ... Shift: **Monday - Friday, 40 hours a week** The **Provider Network Manager ** develops the provider network through contract negotiations (language and rates),… more
- Elevance Health (Los Angeles, CA)
- …relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex ... smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health… more
- Molina Healthcare (San Antonio, TX)
- …and professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Assists in analysis ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Commonwealth Care Alliance (Boston, MA)
- …provider relations strategy, ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS, HCBS, behavioral health, and ancillary ... partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and analytics teams to… more
- ERP International (San Antonio, TX)
- …onboarding a variety of Healthcare Professionals ( Physician , Nursing and Ancillary ) and Medical Administrative staff within Government Contracting . This ... position will report to the Clinical Recruiting Manager and work closely with the Director of Clinical...2+ years of healthcare recruiting experience, preferably within Government contracting environment + Knowledge of Federal RFP/RFQ process and… more
- Commonwealth Care Alliance (Boston, MA)
- …Develop strong professional relationships with providers across all specialties -, physician , hospital, behavioral health, community based, and ancillary ... the Commonwealth Care Alliance's (CCA) diverse provider community - including physician , hospital, behavioral health, community-based, LTSS, and HCBS providers. This… more
- ChenMed (Atlanta, GA)
- …care delivery of various markets. In partnership with Market President(s), General Manager (s) and/or other senior market leaders across the region, he/she will ... + Establishes a trust-based partnership with the Market President and/or General Manager , working within a dyad leadership structure to achieve optimal clinical and… more
- Centene Corporation (Nashville, TN)
- …maintaining positive working relationships with participating physicians, participating physician groups (PPG's), multi-specialty groups, and/or ancillary ... providers within assigned area. + Act as account manager for assigned groups acting as gatekeeper for interactions with other internal departments. + Responsible for… more