- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... and retention. - Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health, ... the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead...Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting … more
- Stanford Health Care (Palo Alto, CA)
- …committee that evaluates all requests for new products and technology. The Category Manager provides contracting and negotiation support for VBS and facilitate ... LPCH, PCHA, UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage and compliance. Areas… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare ... operational teams and field-based case managers will be critical for the Manager of Healthcare Partnerships success. This position will have a relationship-oriented… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation of instED's growth ... eliminate unnecessary and avoidable visits to Emergency Departments and the inpatient hospital admissions that often follow, by offering quality urgent care services… more
- Terumo Medical Corporation (Somerset, NJ)
- Professional Medical Education Manager Date: Oct 17, 2025 Req ID: 5242 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS PACE ... **_Advancing healthcare with heart_** **Job Summary** The Professional Medical Education Manager is responsible for managing Terumo sponsored external health care… more
- Shimmick (Riverside, CA)
- …Angeles, Inland Empire, or San Diego county area.This challenging position will provide an excellent growth opportunity while improving the infrastructure of the ... include, but are not limited to the following: + Provide overall on-site administrative and technical management for a...field staff, field management staff and particularly the Project Manager in a coordinated effort. + Help foster development… more
- 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
