- 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 ... for establishing and maintaining productive value-based relationships with key network providers. Supports the NY/NJ Value-based Network ...+ 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
- WMCHealth (Valhalla, NY)
- Network Director, Contracting and Risk Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: ... represented and to ensure compliance with the law. The Network Director will consult with the Senior ...of New York, required Other: N/A About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation… more
- CVS Health (Albany, NY)
- …meeting network adequacy requirements. **Required Qualifications** + 5+ years of network contracting /management experience. + Ability to travel as needed. + ... And we do it all with heart, each and every day. **The Medicaid Senior Manager, Network Management:** + Negotiates, executes, conducts high level review and… 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 ... compassionate. 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… more
- City of New York (New York, NY)
- …York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty ... and to provide opportunities for New Yorkers and communities to flourish....or quality of contracted goods and services and alert senior managers. -Work on special projects pertaining to competitive… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Molina Healthcare (Queens, NY)
- …must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including… more
- Molina Healthcare (Rochester, NY)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those… more
- Molina Healthcare (Albany, NY)
- …business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more
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