- The Cigna Group (Newton, MA)
- **LOCATION: Based in Newton, MA office** The ** Manager , Provider Network Contracting ** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- University of Utah Health (Murray, UT)
- …EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of ... and financial level of reimbursement in collaboration with our provider partners. This position monitors network adequacy...with all departments and providers throughout the state. The Manager of Provider Contracting must… more
- CareFirst (Baltimore, MD)
- …responsibilities of this position the incumbent will also be capable of assisting the Manager of Provider Contracting with the operations and critical ... Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in... network changes. + Provide ongoing network management support to the Departmental Manager ,… more
- The Cigna Group (Franklin, TN)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... and will work in the Franklin, TN office several days per week** **Medicare Advantage position** The ** Provider Contracting Lead Analyst** serves as an integral… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an...strategic direction and is accountable for the management of contracting and network management activities for multiple… more
- Point32Health (Canton, MA)
- …any analytical tools utilized by Point32Health to understand the performance, of the provider network . + Lead and/or participate in cross functional meetings as ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Manager of Contracting oversees a team of Contract Managers or… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the ... modeling and analytics for the Network wide revenue functions for Hackensack Meridian Health's (HMH)...system. **Responsibilities** A day in the life of a ** Manager of Revenue & Contracting Operations (MRCO)**… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures that… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager Sr...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Topeka, KS)
- …state travel to clients as needed** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Commonwealth Care Alliance (Boston, MA)
- …and Value Based Care,** the Facility Performance Incentive Programs. Work with network contracting and the finance department to develop, track contract ... Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing… more
- The Cigna Group (Anaheim, CA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES… more
- Elevance Health (Columbus, GA)
- The Provider Network Manager develops...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; ... relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex… more
- Elevance Health (Jacksonville, FL)
- …Bay, Calhoun, Franklin, Liberty, Gulf and Jackson counties. **Develops the provider network through contract negotiations (language and rates), relationship ... Requirements:** Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of… more
- Elevance Health (West Des Moines, IA)
- …role (1-2 days per week in office) **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Medicaid or… more
- Hartford HealthCare (Wethersfield, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling… more
- Molina Healthcare (Grand Rapids, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA...Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider … more
- Baptist Memorial (Memphis, TN)
- … opportunities to grow the existing business, develop new business and expand provider network . In-depth understanding of health care and managed care ... business alliances and provider organizations and to expand the provider network . Analyzes contract opportunities utilizing contract guidelines in order… more
- Medical Mutual of Ohio (West Chester, OH)
- … community via email, telephonic and face-to-face outreach. Develops the provider network through contracting activities, relationship development, ... outreach. Develops the provider network and national network offerings through contracting activities, relationship development, and servicing.… more
- Molina Healthcare (Richmond, VA)
- …and must live in Virginia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider...education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all… more