- The Cigna Group (Hartford, CT)
- **WORK LOCATION: Hartford, CT** The ** Provider / Hospital Contracting Manager ** serves as an integral member of the Provider Contracting Team and ... reports to the AVP, Provider Contracting . This role assists in developing the strategic direction...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… more
- The Cigna Group (Oakland, CA)
- …Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… 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 ... to step into an exciting position that combines complex contracting and negotiation skills while working with Hospital...integral member of the Provider Contracting Team and report to the… more
- The Cigna Group (Los Angeles, CA)
- …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...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… more
- The Cigna Group (St. Louis, MO)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... The ** Provider Contracting Director** serves as...provider partners. + Intimate understanding and experience with hospital , managed care, and provider business models.… more
- Seattle Children's (Seattle, WA)
- …Administration, or a related field. Minimum five (5) years experience in hospital , public works construction contracting , or other relevant contracting ... _Strong preference for contract procurement-legal vendor relations in a hospital setting._ + _Position located at the 818 Building...the importance of hiring and developing great talent to provide best-in-class care to the patients and families we… more
- Hartford HealthCare (Hartford, CT)
- … of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors ... Skills and Ability Requirements:* . Advanced knowledge/expertise regarding current and evolving provider payment methodologies with a focus on hospital and… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... - our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount… more
- Molina Healthcare (Seattle, WA)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on ... must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Molina Healthcare (Midland, MI)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare ... must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Pfizer (New York, NY)
- **Role Summary** The Manager , Institutional/ Provider Rebates has the primary purpose of managing the payment requirements of Pfizer's various contractual ... agreements with Hospital , GPO, IDN's, Clinic for more complex accounts as...to meet statutory, compliance and production requirements. Additionally, the Manager will be responsible for financial analysis associated with… more
- AmeriHealth Caritas (Washington, DC)
- …compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains ... dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting /reimbursement experience in healthcare setting. + 3 years of… more
- AmeriHealth Caritas (Newark, DE)
- …network to meet member needs and ensure network adequacy. + Oversee provider contracting processes, ensuring compliance with pricing guidelines, contract ... As the Manager of Provider Network, you will...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- Centene Corporation (Queens, NY)
- … contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations in foreign state markets through ... state and federal health programs such as Medicaid and Medicare. Provider relations/ contracting experience including solid communication and negotiation skills.… more
- AdventHealth (Altamonte Springs, FL)
- …Hospitalists and Hospital Medicine leaders. The Manager of Hospital Medicine and Clinical Performance will provide consultative services to providers ... **Job Location** : Altamonte Springs, FL **The role you will contribute:** The Manager of Hospital Medicine and Clinical Performance leads and coordinates the… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …all provider information is entered accurately, timely, and efficiently to provide for proper claims adjudication, provider directory accuracy, and member ... all positions. **POSITION PURPOSE** This leader will be a part of BCBSLA's Provider Data Management transformation by leading Provider Data Management functions… more
- The Cigna Group (Mclean, VA)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital / Provider /Ancillary group experience required** ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- Elevance Health (Costa Mesa, CA)
- …in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting ... ** Provider Network Management Director** **Location:** This role requires...large health systems and affiliated physician groups, including employed, hospital -based, and hospital -owned ancillary providers. The primary… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more
- Elevance Health (AR)
- …in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting ... Provider Network Management Director (Medicare Network Build) JR167138...health systems and affiliated physician groups including employed and hospital -based and hospital owned ancillary providers. Primary… more