- Humana (Albany, NY)
- …is seeking an accomplished healthcare leader for the position of Vice President, National Provider Network Management . At a high level, this highly visible ... with several years in a managed care environment leading a network development/ provider relations function, including proven experience leading contracting… more
- Molina Healthcare (NY)
- …project delivery for process improvement initiatives as it pertains to other provider network management areas. **KNOWLEDGE/SKILLS/ABILITIES** + Bridge ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider … more
- Molina Healthcare (Buffalo, NY)
- …outlining key upcoming negotiations. Includes provider profiles, market and network context, historical and projected financial impacts, quality and ... Strategist, Network Contracting is responsible for overseeing the Marketplace provider contracting strategies and execution for their assigned regions. Leads the… more
- Molina Healthcare (Buffalo, NY)
- …strategy and planning in the successful development of the provider network , including development, contracting and management of provider relationships ... team of employees who develop, negotiate, contract and enhance provider networks that are high quality , cost...in the successful development of the provider network including development, contracting and management of… more
- Datavant (Albany, NY)
- …ideal candidate has an entrepreneurial mindset, with experience in revenue cycle management , in particular provider coding (inpatient and outpatient), health ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...Director to lead the strategy and development of our Provider Coding product offerings from the ground up. This… more
- American Express (New York, NY)
- …needs. **About the Role** This newly created role of Associate, Enterprise Payments Network Management is an exciting opportunity to contribute to strategic ... uphold our company values and powerful backing promise to provide the world's best customer experience every day. And...and create safe and compliant enterprise payments services. The Network Management team will oversee the strategy,… more
- American Express (New York, NY)
- …needs. **About the Role** This newly created role of Director, Enterprise Payments Network Management is an exciting opportunity to establish and lead the ... safe and compliant enterprise payments services. The Director, Enterprise Payments Network Management will oversee the strategy, performance, and compliance… more
- Molina Healthcare (New York, NY)
- …system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** Negotiates assigned ... recruiting, and negotiating with providers. + Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …responsibilities associated the utilization of the Blue and non-Blue national/regional provider network (s), including development and maintenance of vendor ... unusual and/or outstanding claims. + Identifies trends and opportunities with network management /negotiators, etc.; presents findings and recommendations to … more
- MVP Health Care (Plattsburgh, NY)
- …with key stakeholders from departments such as Operations, Utilization Management , Quality and Member Appeals to resolve provider issues efficiently and ... time. + Proactive in identifying areas for efficiency improvement across all of Network Management ; consistently challenges the status quo in favor of… more
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