- CVS Health (Albany, NY)
- …for value based provider agreements. + Helps formulate and implement network strategic plans to achieve value-based contracting targets and manage medical ... is an individual contributor role**_** **Position Summary** The Sr. Manager , Value-based Contracting is responsible for establishing...+ Familiar with legal terms in the context of provider contracting + Experience with Commercial and… more
- The Cigna Group (New York, NY)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (New York, NY)
- …Will be required to go into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Network Management & Contracting , Temporary** to join #TeamMVP. This is ... based on type, provider /health system name, effective dates, renewal terms, contract manager , and key clauses using metadata tagging. + Set up access controls to… more
- Elevance Health (Latham, NY)
- …position is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and ... 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
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... 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
- CVS Health (Albany, NY)
- …with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy ... And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical… more
- Molina Healthcare (Rochester, NY)
- …to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as an expert in handling ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Establish and… more
- CVS Health (NY)
- …- Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... assistance in problem resolution. - May be responsible for provider recruitment, contracting , or re- contracting ... activities, or may assist and support more complex contracting and discussions. - May provide guidance… more