- Centene Corporation (Phoenix, AZ)
- …on workplace flexibility. **Position Purpose:** Oversee activities of the provider contracting , network development and/or provider relations functions ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development… more
- Trinity Health (Columbus, OH)
- …brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations that ... onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to develop communication goals, strategies, and plans. +… more
- The Cigna Group (Scottsdale, AZ)
- …Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral ... 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)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting ...and coaches the team building on competencies enhancing professional development and retention. The Director must work… more
- The Cigna Group (San Diego, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral member of the ... 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
- Scripps Health (San Diego, CA)
- … for Scripps Health/Scripps Health Plan Services payer contracting . #LI-DP1 *Required Education/Experience/Specialized Skills:* * Bachelor's degree plus ... group setting. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , Payer Contracting - La Jolla * **Location:**… more
- Molina Healthcare (Columbus, OH)
- …manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of ... United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources… more
- Molina Healthcare (Columbus, OH)
- …and risk-sharing models. They will partner closely with clinical, actuarial, analytics, network , community engagement, and business development teams to craft ... **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership...Care is a strategic leadership role responsible for the development , implementation, and evolution of value-based care (VBC) programs… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Director , Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals, outpatient and specialty services, and...includes, but is not limited to, assisting in the development of strategic plans, leading contract negotiations, frequent communications… more
- Elevance Health (Wallingford, CT)
- …link between providers and the company by lending expertise on network development efforts. Partners with local contracting teams to manage to outcomes on ... **Provider Network Management Director ** **Location:** Alternate locations... contracting (value based, shared savings and ACO development ), provider relations, provider servicing, health plan network… more
- Elevance Health (Columbus, OH)
- …management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... **Provider Network Management Director ** _Location: Alternate locations...degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development… more
- Elevance Health (Washington, DC)
- …**Provider Network Management Director ** develops the provider network through contract negotiations, relationship development , and servicing for large ... **Provider Network Management Director ** **Location:** This position...projects with significant impact. + May assist management in network development planning. + May provide work… more
- AmeriHealth Caritas (Newtown Square, PA)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . The **Corporate Director , Network Strategy i** s responsible for developing and ... managing an enterprise network strategy function, with a focus on optimizing total network value. The Corporate Director , Network Strategy is tasked with… more
- Molina Healthcare (Columbus, OH)
- …strategy and planning in the successful development of the provider network , including development , contracting and management of provider relationships ... planning in the successful development of the provider network including development , contracting and management of provider relationships and… more
- Lilly (Pleasant Prairie, WI)
- …Responsibilities:** + Lead the review of requirements, facilitate the sourcing process, development of contracting strategies, and management of the supplier due ... growing Global Manufacturing Procurement Capital & Infrastructure team. As the Associate Director - Drug Products Capital Procurement, you will play a pivotal role… more
- CVS Health (Harrisburg, PA)
- …in new and exciting ways every day. Aetna is recruiting for an Executive Director , Network Management who provides strategic leadership and oversight for ... provider relationships. You'll make an impact by: + Overseeing key network management contracting activities, including negotiating fee schedules, reimbursement… more
- AmeriHealth Caritas (Manchester, NH)
- …Responsibilities:** - Develop and implement strategic plans for hospital and physician network development and management - Ensure compliance with pricing ... and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all… more
- Lumeris (MA)
- …values its people and empowers you to make an impact. **Position:** Sr. Director , Product - Referral & Network Optimization **Position Summary:** Join Lumeris, ... involved in referral processes (eg, leakage, delays, communication gaps) and network management (eg, credentialing, contracting , adequacy). + Experience with… more
- CVS Health (Columbus, OH)
- …high-quality provider relationships. **What you will do** + Oversees key Network Management contracting activities, including negotiating fee schedules, ... reimbursement rates, and contract terms and conditions. + Controls the development and expansion of the company's provider network by evaluating potential … more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director , Provider Network Management, you will be responsible for creating and maintaining ... Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** * Director , Provider Network Management* **Location:** *Central San Diego… more
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