- Elevance Health (Independence, OH)
- …and adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and ... other key areas or serve on enterprise projects around network management. + May collaborate with sales team in...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager . This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Deloitte (Cincinnati, OH)
- …and contracting support for scope of work/SOW documents. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... and Risk Management (QRM) group is seeking a Risk Manager with extensive experience in supporting complex deals and...Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and… more
- CVS Health (Columbus, OH)
- …value-based provider agreements. + Evaluates, helps formulate, and implements network strategic plans to achieve value-based contracting targets and manage ... day. This is an individual contributor role The Senior Manager of Value-Based Contracting is responsible for...+ Familiar with legal terms in the context of provider contracting + Familiar with CMS Stars… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... 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
- CVS Health (Columbus, OH)
- …with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role,...care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more
- CVS Health (Columbus, OH)
- …and/or provider relations. - Strong understanding of health care network product spectrum and contracting methodologies including advanced knowledge of ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...candidate will serve as a subject matter expert on network related performance including contracting methodologies, … more
- Elevance Health (Columbus, OH)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and… more
- CVS Health (Columbus, OH)
- …modeling activities. * Subject Matter Expert support for questions related to network initiatives, contracting , provider issues/resolutions, related systems ... heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role...you will need Minimum Requirements** . 5+ years of provider contracting experience - 1- 2 years… more
- Alaka'ina Foundation Family of Companies (Dayton, OH)
- Senior Engineering Manager Location OH - Dayton Job Code 13184 # of openings 1 Apply Now ... of Companies (FOCs) is looking for a Senior Engineering Manager to support for our government customer at Wright...procedures, standards, and regulations in support of the 711HPW contracting and procurement processes. + Assist in drafting a… more