- CVS Health (Trenton, NJ)
- …formulate, and implements the provider network strategic plans to achieve value -based contracting targets and manage medical costs through effective value ... based provider agreements. + In charge of complete value based contracting cycle from planning, creating...Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3… more
- Centene Corporation (Carson City, NV)
- …Oversee all activities of the contracting department + Develop and implement a network development plan for an assigned region and set of providers and ... managed care, State and/or Federal health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:**… more
- CVS Health (Columbus, OH)
- …Senior Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider ... VBC strategies are executed timely. . Perform market competitive analysis, engage contracting and clinical teams to create innovative value -based payment… more
- Point32Health (Canton, MA)
- …payment policies and methodologies. Utilize this knowledge to refine and advance network development and performance. Contract Negotiation and Management + ... and key stakeholders. Participate in/chair leadership meetings concerning provider strategy, network development and other issues. Talent Management and Team… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Actuary - Value Based Contracting Location: Hybrid | Eagan, Minnesota Career Area: ... Responsibilities * Accountable for modeling the structure and outcomes of various value -based contracting (VBC) arrangements and enablement strategies to support… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …initiatives. Over the next 12-18 months, this position will focus heavily on the development of our US pricing and contracting strategy and drive organizational ... + Lead the development and execution of comprehensive US pricing and contracting strategies for Kite's CAR-T portfolio + Serve as a subject matter expert (SME)… more
- Albany Medical Center (Albany, NY)
- …included payer contracting - preferred + Hospital, physician group and value -based enterprise financial acumen + Demonstrated leader of people and manager of ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- The Cigna Group (Richmond, VA)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with large Physician groups, Ancillaries and Hospital… more
- The Cigna Group (Mclean, VA)
- …for greater value -orientation and risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to ... role, you will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory. Your… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... rapidly evolving business climate? Are you looking for a career where professional development is embedded in your employer's core culture? If so, Chenega Military,… more
- Management Concepts (Tysons Corner, VA)
- Instructor - Acquisition & Contracting Location Tysons Corner, VA Job Category Trainers/Instructors Employment Duration Independent Contractor Apply Now ... (https://phg.tbe.taleo.net/phg03/ats/careers/v2/applyRequisition?org=MANAGEMENTCONCEPTS&cws=38&rid=475) Instructor - Acquisition & Contracting Acquisition & Contracting Instructors Management Concepts,… more
- The Cigna Group (Cleveland, OH)
- …member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley ... Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND… more
- The Cigna Group (Jersey City, NJ)
- …identify opportunities for greater value -orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for ... or Market Lead. This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- WellSpan Health (York, PA)
- …(hospital, WMG, Apple Hill, rehab/surgery hospital, home infusion, VNA, DME) and Value -Based Purchasing. + Collaborates with contracting leadership to identify ... + Manages the development and maintenance of the System's preferred standard contracting terms to be incorporated into new or revised contracts. + Manages and… more
- Walmart (Bentonville, AR)
- …+ Identify, pitch, and lead new contracting opportunities (eg immunization, value -based models, network expansion) to expand Walmart's role in payer-provider ... **Position Summary ** Lead the development and execution of contracting and...leadership experience in PBM, payer contracting , or network negotiations especially overseeing high- value accounts. +… more
- CareFirst (Baltimore, MD)
- …+ Serves as a consultant and subject matter expert (SME) in contracting and reimbursement, offering insights during contract development and negotiations ... teams within Health Services to identify and address gaps in accessibility and network adequacy through recruitment and contracting . Ensures a balanced … more
- The Cigna Group (Sunrise, FL)
- …in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **Duties ... complex contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries,… more
- Humana (Columbia, SC)
- …make an impact** **Required Qualifications** + 5 or more years of progressive network management experience including hospital contracting and network ... South Carolina **Preferred Qualifications** + Bachelor's degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional… more
- Providence (Irvine, CA)
- …and litigation, and advising on legal issues affecting Providence's clinical network . **Key Position Responsibilities:** + Payor Contracting & Reimbursement ... reimbursement disputes, and providing legal advice to the Providence Clinical Network . This role partners closely with Revenue Cycle, Managed Care, Finance,… more
- Point32Health (Canton, MA)
- …and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, ... (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a team of Contract Managers, Associate Contract Managers,… more