- Centene Corporation (Phoenix, AZ)
- …on workplace flexibility. **Position Purpose:** Oversee activities of the provider contracting , network development and/or provider relations functions ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development… more
- The Cigna Group (Scottsdale, AZ)
- …Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral ... strategic direction and management of the day to day contracting and network management activities for a...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- Molina Healthcare (Phoenix, AZ)
- …manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of ... United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources… more
- Molina Healthcare (Phoenix, AZ)
- …and risk-sharing models. They will partner closely with clinical, actuarial, analytics, network , community engagement, and business development teams to craft ... **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership...Care is a strategic leadership role responsible for the development , implementation, and evolution of value-based care (VBC) programs… more
- Molina Healthcare (Phoenix, AZ)
- …strategy and planning in the successful development of the provider network , including development , contracting and management of provider relationships ... planning in the successful development of the provider network including development , contracting and management of provider relationships and… more
- Highmark Health (Phoenix, AZ)
- …incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery ... is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability… more
- Molina Healthcare (Phoenix, AZ)
- …Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development , provider contracting experience. + Experience with NCQA, ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the… more
- Molina Healthcare (Phoenix, AZ)
- …**R** **I** **E** **N** **C** **E:** + Peer Review, medical policy/procedure development , provider contracting experience. + Experience with NCQA, HEDIS, ... the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support… more
- Banner Health (Phoenix, AZ)
- …proud to offer our team members many career and lifestyle choices throughout our network of facilities. At Banner Health, we're excited about what the future holds ... Strategic Initiative goals. This position directs and leads the overall strategy, development and implementation of all clinical cost improvement plans for assigned… more
- Highmark Health (Phoenix, AZ)
- …a comprehensive pharmacy pricing strategy including pricing lever management, rebate contracting opportunities, and pharmacy programs ( network , formulary, UM, ... for the execution and value realization related to strategy development , operational excellence, pricing optimization, vendor coordination, and assisting in… more
- Prime Therapeutics (Phoenix, AZ)
- …representatives and/or Provider Performance Indicators + Prior experience with Pharmacy Network Contracting + Experience working with Commercial and Medicare ... guarantee management and interests. **Responsibilities** + Collaborate with clients, the Director of Network Client Services, and other key stakeholders… more
- Pearl Interactive Network (Phoenix, AZ)
- **Pearl Interactive Network is sourcing Information Assurance Officers (IAOs) to Join Our Talent Community to support future programs.** The **I** **nformation ... - We are looking for candidates with specialized experience in government contracting (GovCon), particularly within federal agencies such as the **Department of… more
- Molina Healthcare (Phoenix, AZ)
- …business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * In ... conjunction with the Director , Provider Contracts, develops health plan-specific provider ...development of new reimbursement models in concert with Director . * Oversees the maintenance of all Provider and… more
- Black & Veatch (Phoenix, AZ)
- …of professionals with a portfolio of multiple proposals with differing revenue, contracting structures, complexities and schedules at a given time. **Black & ... leadership, while gaining exposure to all client types, delivery methods, contracting models and project risk profiles. Professionals in this role interface… more
- Kraus-Anderson (Phoenix, AZ)
- …activities of their team in the Construction Management and General Contracting marketplace. **Essential Duties and Responsibilities** include the following. Other ... in directing strategic planning and provides leadership role in business development and client relations. + Reviews project activities, costs, operations and… more