- Keurig Dr Pepper (Irving, TX)
- …; Columbus, OH; Northlake, IL ; Victorville, CA; Allentown, PA The Engineering Program Manager will be a Subject Matter Expert (SME) in PET Blow Molding, Filling, ... They will lead Technical, Maintenance, and Reliability Excellence, ensuring top performance in equipment reliability measured by safety, quality, customer fill rate,… more
- CVS Health (Columbus, OH)
- …strategy for direct to employer arrangements and Value Based Care initiatives. As our Network Performance Manager , you'll be responsible for network ... + Collaborates cross-functionally to ensure optimal implementation of large provider systems. + Support our custom network ...and eye for detail. + Manage program to measure network performance opportunities. + Act as liaison… more
- CVS Health (Lansing, MI)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute,...to prescribed guidelines in support of national and regional network strategies. + Manages contract performance and… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III...standards, provider contracts, and provider performance and needs. The Account Manager III leverages ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...understanding of LACs reports and metrics to evaluate the performance of assigned providers and/or provider organizations,… more
- Area Agency On Aging 1-b (Southfield, MI)
- Provider Network Manager oversees the ... Manager will act as a liaison with provider agencies to provide info on services, orientation/training, ... delivery through coordination of long-term supports and services. Operations: Provider Network Manager (PNM) will...resolutions as well. + Act as a liaison with provider agencies to provide info on services,… more
- Health Plans, Inc. (Westborough, MA)
- …and hours of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on ... account(s) and local provider groups or facilities, addressing concerns, tracking performance , and supporting overall engagement. + Network Support: Monitor … 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. ... data analysis and financial acumen for preparing projections and conducting in-depth network performance assessments. + Demonstrated ability to build and… more
- CVS Health (Albany, NY)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of spend providers with significant financial implications. + Manages contract performance , and drives the development and implementation of value based contract… more
- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement ... groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- Sharp HealthCare (San Diego, CA)
- …Management Department to provide education and communicate information to the provider network . (ie Regional Council Meetings, PCP council, Office Manager ... for producing, updating, and distributing information to provider network , including patient satisfaction reports, Pay for Performance initiatives… more
- GovCIO (Bethesda, MD)
- **Overview** GovCIO is currently hiring for a Senior Network Architect/SME in Service Provider Backbone, LAN/WAN and DW/DM for our NIH-CIT proposal. This ... and services to the Operations and Security Teams + Provide subject matter expertise in Service Provider ...implement, modernize, and enhance the functional capabilities, capacity, and performance of the NIH Network and TIC… more
- Avera (Des Moines, IA)
- …this role will assist provider training, orientation, and coaching for performance improvement within the network . **What you will do** + Responsible ... patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member...achieve Avera Health Plans objectives for performance , network adequacy and accessibility of provider specialty… more
- Molina Healthcare (Houston, TX)
- …and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... and development with respect to adequacy, financial performance and operational performance , in alignment with...negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of… more
- Elevance Health (Woburn, MA)
- …and helping to improve the value delivered to Carelon members. Drives ABA provider performance improvement year over year through education and data. This ... **ABA Provider Quality Manager ** _Location: This position...a liaison between strategic providers and Carelon clinical, quality, provider strategy, network departments, operations, claims and… more
- Molina Healthcare (Columbus, OH)
- …and must live in Ohio _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- Elevance Health (Cerritos, CA)
- …and helping to improve the value delivered to Carelon members. Drives BH provider performance improvement year over year through education and data. This ... **Title:** Provider Quality Manager **Location:** Candidates must...performance . Implements strategies that meet clinical, quality, and network improvement goals. + Build positive working relationships with… more
- GEHA (Lee's Summit, MO)
- … network summary reports. Analyzes results and reports issues or trends to Manager , Provider Network . + Oversees workflow and processes regarding Practice ... of Territory Managers and/or National Account Managers to monitor performance , provide guidance and coaching, and to...Management Consultants. + Ensures integrity of provider network and compliance with GEHA policies… more
- Molina Healthcare (Columbus, OH)
- …in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments ... (VBP) network strategy and development with respect to financial performance and operational performance , in alignment with Molina Healthcare's overall… more
- AdventHealth (Hinsdale, IL)
- …Position serves as a strategic program expert of in and out of network provider listings and collaborates with key stakeholders to facilitate updates ... among multiple data sources and validate data provided + Communicate regularly with network stakeholders on network performance + Analyze trends in… more
- Molina Healthcare (Columbus, OH)
- …all contractual and/or regulatory requirements. * Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines. ... Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical… more
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