- Premera Blue Cross (Mountlake Terrace, WA)
- …executive and public presentations, training, and meeting facilitation. + Knowledge of network development and provider /vendor network recruitment. ... and cross-market expertise. Create provider specific and public presentations. + Provide input and/or drive development of payment methodologies and … more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- The Cigna Group (Los Angeles, CA)
- …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, ...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- AmeriHealth Caritas (Washington, DC)
- …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... achieves annual goals and objectives. **Contracting** + Responsible for hospital and physician network development and management - Health DC Plan. + Develops… more
- Elevance Health (Atlanta, GA)
- …Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for large ... ** Provider Network Management Director** **Location:** 740...projects with significant impact. * May assist management in network development planning. * May provide… more
- Elevance Health (Indianapolis, IN)
- …Provider Network Manager Sr.** develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of ... communication link between professional providers and the company. Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (FL)
- …for autism and depression, and insightful analytics to improve the delivery of care. ** Provider Network Manager - New York** This is an Individual Contributor ... Shift: **Monday - Friday, 40 hours a week** The ** Provider Network Manager** develops the provider...network through contract negotiations (language and rates), relationship development , and servicing. **How will you make an impact:**… more
- Elevance Health (Los Angeles, CA)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is contracting and negotiating… more
- Humana (Montgomery, AL)
- …our caring community and help us put health first** The Regional VP, Provider Network Performance, establishes long-range goals, objectives, and plans, monitors ... outcomes, which align with the Segment or Business strategy. The Regional VP, Provider Network Performance is responsible for the overall success of Stars… more
- Sanford Health (Sioux Falls, SD)
- …**Job 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...health care needs of Sanford Health Plan membership. Oversees development and execution of provider contracting strategies.… more
- Molina Healthcare (Ann Arbor, MI)
- … Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- Molina Healthcare (TX)
- … Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- The Cigna Group (Atlanta, GA)
- …the Dental HCP Communications budget. + Work with local market dental network recruitment team representatives to drive market and client-specific ... **Position Summary** The Dental Health Care Provider (HCP) Communications...communication plans and their distribution for initiatives that affect dental and/or our network of dental… more
- The Cigna Group (Oakland, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of ... Provider Contracting Team and reports to the VP, Network Management. This role assists in developing the strategic...Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Jersey City, NJ)
- …Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps ... identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for the … 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 Vice President,... Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …while also driving the development and growth of these teams. * Lead provider analytics to support network development and contracting by identifying ... analytics team while serving multiple stakeholders across the organization. * Lead the development of strategic provider and network analytics across… more
- WelbeHealth (La Quinta, CA)
- …and relationship optimization **Job Requirements:** + Minimum of one (1) year of experience in provider network development and/or provider network ... leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical...feels uniquely cared for. + Medical insurance coverage (Medical, Dental , Vision) + Work/life balance - we mean it!… more
- The Cigna Group (Bloomfield, CT)
- …of work plan initiatives including but not limited to network development , provider contracting/re-contracting. + Provide direction and supervision of ... functions, including, but not limited to, reporting and operations. Manage retail provider client-specific custom initiatives related to network contracting and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …order to be considered. Essential Accountabilities: Level I: + Recruit and retain all provider types to ensure network adequacy. + Facilitates provider ... resolution for providers. Identifies and communicates trends that impact provider satisfaction. + Supports the development of...impact on improving provider satisfaction. + Leads Provider Relations efforts to drive network and… more
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