- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider ... and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide ...+ Six (6) years of experience in payer or provider contracting and managing provider … more
- Commonwealth Care Alliance (Boston, MA)
- …with dual-eligible (DSNP) populations preferred. - 10+ years of experience in provider relations, contracting , or network operations, including 3-5 ... contracting , quality, compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The … more
- Commonwealth Care Alliance (Boston, MA)
- … Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions around potential ... 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and… more
- Pairtu (San Francisco, CA)
- …** - Have **8+ years in healthcare operations** at a startup, clinic, or provider network . - Have **touched credentialing or payer enrollment** directly - not ... , hands-on operator who can work across credentialing, payer contracting , provider onboarding, and day-to-day ops while...Communicate clearly with diverse stakeholders - from an anxious senior patient to a health plan contracting … more
- Novo Nordisk Inc. (Philadelphia, PA)
- …product pipeline can only be as effective as our ability to provide information to healthcare providers, key stakeholders and policymakers. Our Market Access ... 's organizational structure. Relationships This position reports into a Director or Senior Director within the Area Market Access Team. Internally, this position has… more
- RVO Health (New York, NY)
- …development, partnership management, and strategic growth. + **Pharma Relationships:** ?Extensive network of senior -level contacts within the commercial space of ... share within the pharmaceutical industry. + **Relationship Management:** ?Utilize established senior -level pharma relationships at the top 20 pharma companies to… more
- FleishmanHillard (Dallas, TX)
- …platform requirements and best practices within a regulated environment. + Work with senior members across the network to manage and execute integrated ... line with overall account objectives. + Work with integrated teams to provide clients with seamless multi-channel solutions utilizing traditional PR, digital and… more
- Cupertino Electric (Blythe, CA)
- **Posting Title:** Assistant Project Manager **Reports To:** Senior Project Manager **Location:** Blythe, California **Salary Range:** $84,000 to $105,000 This ... qualifications and requirements listed on this specific job description. We provide a competitive compensation package that recognizes your experience, credentials,… more
- Silvus Technologies (Los Angeles, CA)
- …us safe. We do so by delivering the most advanced Mobile Ad-hoc Network (MANET) radios powered by our custom and ever-evolving Mobile-Networked MIMO waveform. ... Together, our radios and waveform provide the vital communications for mission critical applications in...and side- stepping the bureaucracy associated with large defense contracting firms. Silvus' success is in its nimbleness and… more
- Fannie Mae (Washington, DC)
- …to reduce risk using rigorous analysis. * Partner with team to review and provide feedback to management on resolutions and control guidelines. * Partner with the ... managing and engaging stakeholders, customers, and vendors, building relationship networks, contracting , etc. * Skilled in presenting information and/or ideas to an… more
- CVS Health (Lansing, MI)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… 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
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...Bachelor's Degree + 5 or more years of progressive network management experience including hospital contracting and… more
- Corewell Health (Southfield, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership...Provider Contract Specialist to take ownership of affiliated network contracting . In this high-impact role, you… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst Senior **...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...dental providers to become a Cigna PPO and/or DHMO network provider . + Explain plans, policies, and… more
- CVS Health (Columbus, OH)
- … Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Health Care Service Corporation (Tulsa, OK)
- … / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment models, ... **Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level to enhance… more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- The Cigna Group (Independence, OH)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
