- The Cigna Group (Mclean, VA)
- …**Richmond or McLean, Virginia or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting ** serves as an integral member of the ... Contracting Team and reports to the Provider Contracting Senior Manager . This...Bachelor degree.** MBA or MHA preferred. + **5+ years Hospital contracting and negotiating experience involving complex… more
- The Cigna Group (Jackson, MS)
- …The ** Manager , Network Management** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- CVS Health (Jefferson City, MO)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for ... provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/… more
- The Cigna Group (Providence, RI)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** ** Hospital / Provider /Ancillary** **group experience ... RI and ME._** **_Preferred office location: Newton, MA_** The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- TEKsystems (Honolulu, HI)
- …ensure proper implementation and administration. + Work with departments to ensure provider contracts meet requirements and provide quality, affordable care. ... negotiations with providers, and preparing, examining, analyzing, negotiating, and revising provider contracts and arrangements. You will be the primary point of… more
- CVS Health (Lansing, MI)
- …cost arrangements within defined groups. + Collaborates cross-functionally to manage Hospital , Ancillary and provider compensation and pricing development ... + Understanding of Medicare & Medicaid. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- Covenant Health Inc. (Knoxville, TN)
- …required. Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider ( hospital , physician, ancillary, etc.) ... payer enrollment, group and individual physician payer enrollment, behavioral health provider payer enrollment, hospital -billed physician payer enrollment. +… more
- Hartford HealthCare (Hartford, CT)
- … of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors ... Skills and Ability Requirements:* . Advanced knowledge/expertise regarding current and evolving provider payment methodologies with a focus on hospital and… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... - our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount… more
- Elevance Health (Columbus, OH)
- …in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting ... ** Provider Network Management Director** _Location: Alternate locations may...strategic ancillary providers. Primary focus of this role is contracting and negotiating contract terms. **How you will make… more
- Molina Healthcare (Houston, TX)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on ... and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- LA Care Health Plan (Los Angeles, CA)
- … III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating and ... Provider Network Account Manager III Job...contracting , through activation, and the ongoing submission of provider data in accordance with regulatory requirements and LAC… more
- Molina Healthcare (Columbus, OH)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed healthcare ... and reporting for all state-led VBP's. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the daily operations of… more
- Molina Healthcare (Columbus, OH)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare ... in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Molina Healthcare (Hattiesburg, MS)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- The Cigna Group (Bloomfield, CT)
- …of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast Regional Network Access ... teams of business matrix partners to achieve project goals. Manages the hospital /large group and/or significant provider termination management process in… more
- Parkview North Hospital (Fort Wayne, IN)
- Summary Responsible for the participation in translating the provider contracting into System set-up for accurate data maintenance within HPS systems, including ... for verbal and written communication to Contract Specialist and Manager , as well as to the provider ...Must have excellent verbal and written communication skills. Must provide own transportation; Will be required to work outside… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... + Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC). + Manages information… more
- Elevance Health (AZ)
- … Provider Solutions will be responsible for strategic leadership over all provider engagement and contracting activity throughout Arizona , including cost of ... , analytical and negotiation (listening) skills needed. + Proven strategic provider partnership experience. + Value-Based contracting expertise and performance… more
- Elevance Health (Washington, DC)
- …in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting ... ** Provider Network Management Director** **Location:** This position will...health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers.… more
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