- Elevance Health (Topeka, KS)
- **LTSS Provider Network Manager , Contracting ** **Location:** Kansas, Candidates must reside in the state of Kansas. Ideal candidates will live within 50 ... miles of an Elevance Health PulsePoint office location. The **LTSS Provider Network Manager , Contracting ** develops the provider network through… more
- The Cigna Group (Pittsburgh, PA)
- **WORK LOCATION: Hybrid covering the Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… 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
- Point32Health (MA)
- …+ Under the direction of and with assistance from the Manager , Commercial Provider Network Contracting , evaluate provider rate request and bring ... with department projects + Any other responsibilities assigned by Manager , Commercial Provider Contracting +...train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented… more
- CVS Health (Lansing, MI)
- …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... all with heart, each and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level… more
- The Cigna Group (Los Angeles, CA)
- …doing! We're committed to bringing passion and customer focus to the business. The ** Manager , Provider Contracting ** position serves as an integral member of ... Contracting Team and reports to the Provider Contracting Senior Manager . This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Columbus, OH)
- …Manager , Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Centene Corporation (Trenton, NJ)
- …related field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and… more
- The Cigna Group (Providence, RI)
- …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** The ** Provider Contracting Lead Analyst** serves as an integral member of the ... Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Covenant Health Inc. (Knoxville, TN)
- …Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement. ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations… more
- Elevance Health (Costa Mesa, CA)
- …each way of the listed Elevance Health locations. **Develops the PPO provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- CVS Health (Albany, NY)
- …internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs ... + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...through effective provider contracting to meet state contract and product requirements. +… more
- The Cigna Group (Bloomfield, CT)
- …integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast ... and IFP products. Works closely with Contracting , Network Solutions, Network Operations, Provider ...and upper management regarding status. + Work closely with Network Access Lead to support/ provide required analysis… more
- City of New York (New York, NY)
- …ADMINISTRATIVE STAFF ANALYST, ADMINISTRATIVE PROCUREMENT ANALYST, HEALTH SERVICES MANAGER or ADMINISTRATIVE MANAGER . Division/Program Summary Description: ... The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily...implement annual M/WBE outreach plans, to include DOHMH sponsored network events. - Actively participate in networking events sponsored… more
- Elevance Health (Cincinnati, OH)
- Provider Network Manager (Contract...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... other will preferrably work Central Time business hours. The ** Provider Network Manager ** develops the...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. + Works with less-complex… more
- Elevance Health (Wallingford, CT)
- …development), provider relations, provider servicing, health plan network implementations; experience must include prior contracting experience; or any ... ** Provider Network Management Director** **Location:** Alternate...and federal regulatory requirements are met by the constructed network . Works collaboratively with local contracting teams… more
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