- Sanford Health (Sioux Falls, SD)
- …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...Sanford Health Plan membership. Oversees development and execution of provider contracting strategies. Identifies and creates processes… more
- Point32Health (NH)
- …**Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider networks ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- The Cigna Group (Scottsdale, AZ)
- **WORK LOCATION: Scottsdale, AZ** ** Director Hospital / Provider Network Management Contracting ** serves as an integral member of the Provider ... Contracting Team and reports to the AVP, Network Management. This role is a key contributor to...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- The Cigna Group (Cleveland, OH)
- …reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management** serves as an integral member of ... the Provider ...the Provider Contracting Team and reports to the ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Walmart (Bentonville, AR)
- …and lead new contracting opportunities (eg immunization, value-based models, network expansion) to expand Walmart's role in payer- provider partnerships. ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as applicable. Will support CHLA Medical Group leadership ... Will also be responsible for collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical… more
- Elevance Health (Costa Mesa, CA)
- ** Provider Network Management Director ** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Network Management Director ** is...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Elevance Health (AR)
- Provider Network Management Director (Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. ... be considered for employment, unless an accommodation is granted as required by law._ The ** Provider Network Management Director ** develops the provider … more
- Elevance Health (Atlanta, GA)
- ** Provider Network Management Director ** **Location:** 740 W Peachtree St. NW. Atlanta GA. This role requires associates to be in-office 3 days per week, ... an accommodation is granted as required by law_ The ** Provider Network Management Director ** develops...projects with significant impact. * May assist management in network development planning. * May provide work… more
- The Cigna Group (Bloomfield, CT)
- …to the provider community by enhancing collaboration with frontline clinicians, provider leadership, and network contracting teams. This role will ... **Medical Senior Director , Clinical Network and Provider...**Minimum of 10 years of experience in healthcare leadership, contracting , and provider network management.**… more
- Manulife (Boston, MA)
- …and business objectives. + Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements ... providers to our customers when they need it. The Director , Provider Network Development &...or related field preferred + 8 -15+ years in provider network management, healthcare contracting ,… more
- Beth Israel Lahey Health (Wakefield, MA)
- …a difference in people's lives.** Position Summary: Partner with the Executive Director , Contracting to manage key divisional initiatives that support Managed ... Care Contracting . The Contracting Program Manager will be...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Commonwealth Care Alliance (Boston, MA)
- …* 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. * ... advance provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires ... business and system requirements of customers as it pertains to contracting , network management and credentialing. + **Knowledge/Skills/Abilities** +… more
- Molina Healthcare (Macon, GA)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily… more
- Molina Healthcare (Iowa City, IA)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * Strategically… more
- The Cigna Group (Bloomfield, CT)
- …Cigna Healthcare seeks a visionary and results-oriented leader to serve as Managing Director - Local Network Solutions Lead. This role is responsible for shaping ... traditionally smaller buyer types-such as the Select Segment-by aligning product, network , and provider strategies with market-specific needs and operational… more
- Point32Health (RI)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize ... . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network ...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network … more
- Commonwealth Care Alliance (Boston, MA)
- …of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align ... improvement. + Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to address performance gaps.… more