- 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 ... all with heart, each and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level… more
- CVS Health (Jefferson City, MO)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee ... it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and... systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting… more
- Centene Corporation (Tallahassee, FL)
- …Administration or related field; MBA or MHA preferred. 12+ years of network development and provider relations/ contracting management experience in ... in partnership with key stakeholders. Act as subject-matter expert in Network Contracting solutions, including determining and recommending approaches for… more
- Centene Corporation (Latham, NY)
- …located in NY or relocate. Relocation Assistance is available. **Position Purpose:** Oversee provider network and contracting related activities. Lead all ... degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous… 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
- The Cigna Group (San Diego, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... the provider network and to meet accessibility, quality...department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting … more
- City of New York (New York, NY)
- …development programs across the City. The Workforce Connect division is seeking a Senior Contracting and Fiscal Operations Analyst to join the Workforce Connect ... of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the...programs to alleviate the effects of poverty and to provide opportunities for New Yorkers and communities to flourish.… more
- Covenant Health (Lubbock, TX)
- …opportunity tailored just for you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this ... pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, execution, and organizational… more
- UCLA Health (Los Angeles, CA)
- …including 5 years in a senior leadership role within a health system, provider network , or health plan. Technical Skills: + Expertise in financial modeling, ... & Market Analysis * Continuously assess the competitive healthcare landscape, payer/ provider dynamics, and evolving reimbursement methodologies. * Provide … 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 ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… more
- Covenant Health Inc. (Knoxville, TN)
- …Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement. ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant… more
- CVS Health (Albany, NY)
- …internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs ... + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...through effective provider contracting to meet state contract and product requirements. +… more
- CVS Health (Oklahoma City, OK)
- …strategic goals and objectives. **Required Qualifications** + A minimum of 3 years provider network contracting and/or sales operational experience with a ... cost analysis, and financial forecasting, to manage the financial aspects of provider network management. + Consults with internal teams, including medical… more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Oversee provider network performance and communications across the company to ... inform and educate providers and improve quality of care. + Oversee provider network performance and communications to improve quality at lower costs and to… more
- The Cigna Group (Bloomfield, CT)
- …integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast ... and IFP products. Works closely with Contracting , Network Solutions, Network Operations, Provider ...and upper management regarding status. + Work closely with Network Access Lead to support/ provide required analysis… more
- City of New York (New York, NY)
- …MANAGER. Division/Program Summary Description: The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily tasked with ... policies. Position Summary: Under direct supervision of a Deputy Agency Chief Contracting Officer, the selected candidate will utilize varying degrees of managerial… more
- The Cigna Group (Cleveland, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager. This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Hattiesburg, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- AmeriHealth Caritas (Raleigh, NC)
- …years of progressive experience in managed care with direct accountability for provider contracting , reimbursement strategy, and network development across ... with enterprise goals, strengthens provider partnerships, and supports overall network performance. This position works closely with senior executives across… more
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