- Columbia Technology Partners (Annapolis Junction, MD)
- …main point of contact for the Contracting Officer (CO), the Contracting Officer's Representative (COR), the Government Program Manager , the Contracting ... well as write and review technical documents. The Level 3 Program Manager shall possess the following capabilities: Allocate resources (staffing, facilities, and… more
- Defense Media Activity (Fort George G Meade, MD)
- …for Public Affairs (ATSD(PA) in the management and operation of the American Forces Network (AFN) Program. Duties Help As a Supervisory Program Manager (Chief ... prepares review synopses and acquisition recommendations Serves as the primary Contracting Officer Representative (COR) for AFN Now/AFN Go contracts Senior advisor… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …product pipeline can only be as effective as our ability to provide information to healthcare providers, key stakeholders and policymakers. Our Market Access ... entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement), HEOR, Marketing, Commercial Sales, Medical...a self-starter who is self led and keeps their manager up to date on progress and ensures no… more
- The Cigna Group (Los Angeles, CA)
- …supports our Glendale, 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...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Waukesha, WI)
- **LTSS Provider Network Manager , Contracting ** **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Please note that per our policy on ... work, promoting a dynamic and adaptable workplace. The **LTSS Provider Network Manager , Contracting...or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other… more
- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- The Cigna Group (Erie, PA)
- **WORK LOCATION: Pittsburgh, PA - 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...of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- CVS Health (Harrisburg, PA)
- …Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- and post-signature ... contracting process to ensure timely participation in our network . The position requires a high volume of cold...+ Attend JOC meetings with assigned health systems. + Provide technical expertise for questions related to contracting… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Under the supervision of the Manager , Provider Services and Contracting , serves as an administrator of the Network provider contract database ... or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG… more
- The Cigna Group (Mclean, VA)
- …systems, Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an ... integral member of the Provider Contracting Team and report to the...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting . This role is a key ... Compliance, Sales and Marketing and Service + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- The Cigna Group (Jersey City, NJ)
- …Will be required to go into the NYC office two times per month._** 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...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for ... to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… 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
- Elevance Health (Waukesha, WI)
- ** Manager Provider Network Management-LTSS...+ Effectively manages the provider relations and contracting team to meet or exceed network ... the autonomy of virtual work, promoting a dynamic and adaptable workplace. The ** Manager Provider Network Management-LTSS (Wisconsin Family Care)** manages a… more
- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff ... contracting , recruitment, and compliance. This role ensures the provider network meets regulatory standards and supports...and supports the healthcare needs of plan members. The manager also leads initiatives to improve provider … 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 ... Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation...Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to… 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
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