- Commonwealth Care Alliance (Boston, MA)
- … Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting , the Senior Provider Contract Manager is ... performance, establishing business goals and goals for self-development. + Assist Senior Manager and Director of Contracting and will represent the department… more
- Commonwealth Care Alliance (Boston, MA)
- …provider relations strategy, ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS, HCBS, behavioral health, and ancillary ... partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and analytics teams to… more
- ERP International (San Antonio, TX)
- …onboarding a variety of Healthcare Professionals ( Physician , Nursing and Ancillary ) and Medical Administrative staff within Government Contracting . This ... position will report to the Clinical Recruiting Manager and work closely with the Director of Clinical...2+ years of healthcare recruiting experience, preferably within Government contracting environment + Knowledge of Federal RFP/RFQ process and… more
- Commonwealth Care Alliance (Boston, MA)
- …Develop strong professional relationships with providers across all specialties -, physician , hospital, behavioral health, community based, and ancillary ... the Commonwealth Care Alliance's (CCA) diverse provider community - including physician , hospital, behavioral health, community-based, LTSS, and HCBS providers. This… more
- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The ** Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...MBA or MHA preferred.** + **3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician … more
- Centene Corporation (Carson City, NV)
- …Purpose:** Lead, negotiate, and manage multiple large hospitals and medical groups, physician , and/or ancillary contracting activities in accordance with ... Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for an… more
- Hartford HealthCare (Hartford, CT)
- …payer contracting analytics with a focus on hospital and ancillary . Reviews and monitors contract/payer performance including payer parity. Compares expected ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- HCA Healthcare (Fort Pierce, FL)
- …goals, financial performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with other PSG colleagues ... 156,000 hours impacting our communities. As a Director of Physician Services II with HCA Florida Trauma Specialists, you...with HCA Florida Trauma Specialists, you can be a manager in an organization that is devoted to giving!… more
- Molina Healthcare (Warren, MI)
- …and professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Assists in analysis ... Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS) jobs are responsible for the… more
- Molina Healthcare (Sterling Heights, MI)
- …professionally communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Participates with the ... managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity… more
- CommonSpirit Health (Phoenix, AZ)
- … Contracting accountability for negotiation support include hospital, physician , and ancillary services. **Job Requirements** **Minimum Qualifications:** ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the… more
- Trinity Health (Fresno, CA)
- …This position is responsible for driving Physician engagement, recruitment, and contracting of all Providers. The Manager works with the Independent ... Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks. This position will collaborate with IPA while they onboard… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …quality program, measure set, and quality incentive structure while collaborating with Network Contracting and/or Ancillary Contracting Act as a resource to ... for our provider network, including our ambulatory, hospital, behavioral health and ancillary provider contract programs. The Senior Manager is responsible for… more
- Sharp HealthCare (San Diego, CA)
- …system to respond to contract informational needs and monitor facility and physician issues regarding contracting priorities. Provide operational support to ... teams. **What You Will Do** Manage all Sharp Health Plan facility and ancillary contracts and coordinate negotiations to minimize financial risk and legal issues,… more
- Centene Corporation (Queens, NY)
- …and coordinate customized provider contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations ... implement and maintain production and quality standards for the contracting staff + Monitor and analyze costs and prepare...and prepare departmental budget + Initiate and execute standard physician and ancillary provider contracts + Coordinate… more
- HCA Healthcare (Campbell, CA)
- …either in a health plan or IPA/MSO model + Experience negotiating DOFRs, physician and ancillary agreements and Letters of Agreement + Working knowledge ... and PPO contracts, and at the direction of the Contracting Team, interface with health plans to negotiate HMO...the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you to apply!… more
- Elevance Health (Las Vegas, NV)
- …relationship development, and servicing. **How You Will Make an Impact:** + Contracting and negotiating contract terms + Typically works with less-complex to complex ... smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health… more
- Elevance Health (Denver, CO)
- …relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex ... smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health… more
- Elevance Health (Los Angeles, CA)
- …development, and servicing for large health systems and affiliated physician groups, including employed, hospital-based, and hospital-owned ancillary ... providers. The primary focus of this role is contracting and negotiating complex terms with the most intricate...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (AR)
- …hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms for **Medicare, Medicaid,** and **ACA programs** . ... servicing for large health systems and affiliated physician groups including employed and hospital-based and...+ Serves as a subject matter expert for local contracting efforts or in highly specialized components of the… more
