- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Position Summary** In this National Ancillary Team role, the Network Management Senior Manager will negotiate, ... relationships with providers according to prescribed guidelines in support of national and regional network strategies. * Manages contract performance… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management** serves as an integral member of the ... **1+ years of Provider Contracting and Negotiating for Healthcare** **Hospital/ Provider / Ancillary ** **group experience required** + **1+ years prior … more
- Point32Health (Canton, MA)
- …Director, Ancillary Contracting leads the development and management of Point32Health's ancillary service network . The Director manages a team of managers, ... lines. **Job Description** + Oversee the development, negotiation, and implementation of ancillary service provider networks for the Commercial and Government… more
- House of Blues (Tampa, FL)
- …annually and more than 12,000 clients worldwide. Live Nation Concerts is the largest provider of live entertainment in the world promoting more than 40,000 shows and ... eligibility to return for full 2023 concert season. The ancillary sales team is a fun and unique position...programs & trainings + OTHERS: Volunteer time off, crowdfunding network EQUAL EMPLOYMENT OPPORTUNITY We are passionate and committed… more
- UTMB Health (Galveston, TX)
- Epic Ancillary IS Manager (Beaker, Radiant, Cupid, & Lumens), Remote - ITS-Clinical Integration/Tech **Galveston, Texas, United States** **New** Information ... departmental and institutional strategic plans. **Job Duties:** Manages multiple Epic Ancillary teams responsible for supporting Epic Beaker, Epic Radiant, and Epic… more
- Covenant Health (Lubbock, TX)
- …and retain the best people, we must empower them. **Required Qualifications:** + National Provider BLS - American Heart Association upon hire. **Preferred ... you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued,… more
- Tufts Medicine (Lowell, MA)
- …4. The ability to recognize patient data relative to age specific needs and provide care as described in the department's policies and procedures. 5. The ability to ... Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network , and large integrated physician network . We are an equal opportunity… more
- Humana (Albany, NY)
- …Humana is seeking an accomplished healthcare leader for the position of Vice President, National Provider Network Management. At a high level, this highly ... The Vice President will also provide executive leadership to the National Contracting, Ancillary Contracting, Behavioral Health Contracting and Provider … more
- Elevance Health (Cincinnati, OH)
- …and adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and ... schedule development using actuarial models strongly preferred. + Experience with ancillary provider and/or dialysis facility contracting. + Value-based… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …or to represent to service/section on medical center, network , or national committees. May perform ancillary assignments, including program management duties ... pathology to a wide range of populations. Individuals may perform ancillary assignments, including program management duties on an occasional basis, where… more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director, Provider Network Management, you will be responsible for creating and maintaining a ... millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on...comprehensive contracted provider network to serve SHPS members. *… more
- Elevance Health (Manchester, NH)
- ** Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid 1:_** _This role requires associates to be in-office_ **_1_** _days per week, ... insightful analytics to improve the delivery of care. The ** Provider Network Manager** is responsible for developing...hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or… more
- Billings Clinic (Billings, MT)
- …monitoring provider listings with vendors/payers to ensure proper in- network provider listings, and auditing payments/reimbursements to resolve denials. ... and marketing impact to attract new patients. * Responsible for maintenance of National Provider Identification (NPI) numbers for all Billings Clinic providers… more
- Sharp HealthCare (San Diego, CA)
- …plan medical group office sites or virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all ... environment and regulatory changes to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates the provider … more
- Blue KC (Kansas City, MO)
- …and ability to communicate various payment methodologies for Hospital, Physician, and ancillary provider reimbursement. + Analyze and report financial impact of ... is responsible for negotiation, execution, implementation, and administration of provider contracts with hospitals, physicians, and ancillary providers… more
- Health Plans, Inc. (Dallas, TX)
- …care provider groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate in population health ... all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to...Provider Relations will also oversee day to day network activity including but not limited to, provider… more
- Humana (Lansing, MI)
- …oversees the strategic development and maintenance of the Michigan HIDE SNP plan provider network . This senior-level strategist is responsible for driving ... requirements in the Michigan Managed Care Contract. The Principal will analyze provider network performance to inform contracting and terminations, partner with… more
- The Cigna Group (Lenexa, KS)
- …and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to ... **3+ years of Provider Contracting and Negotiating for Healthcare** **Hospital/ Provider / Ancillary ** **group experience required** + **2+ years prior … more
- Humana (Springfield, IL)
- …leads the strategic development and maintenance of Illinois Medicaid and LTSS plan's provider network . This senior-level strategist is responsible for driving ... Managed Care Contract. The Network Optimization Principal will analyze provider network performance to inform contracting and terminations, partner with… more
- Baylor Scott & White Health (Dallas, TX)
- … Network & Member Services is responsible for planning, developing, and growing the provider network and member services for the health plan of Baylor Scott ... and White Health (BSWH), which may include provider network development, contracting, credentialing, and provider relations. Responsible for all aspects of… more