- 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
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- Deloitte (Cincinnati, OH)
- …and contracting support for scope of work/SOW documents. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and...Deal Constructs), focused on building awareness and capacity to provide guidance and support to the practice + Mitigate… more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… 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
- Humana (Columbus, OH)
- …reside in Ohio + 5 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... caring community and help us put health first** The Senior Provider Engagement Professional develops and grows...a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Molina Healthcare (Dayton, OH)
- …Department. Works with staff and senior management to develop and implement provider contracting and service strategies to contain unit cost, improve member ... DESCRIPTION** **Job Summary** Molina Health Plan Operational Leadership roles provide overall direction and administration of the Plan's operational...Plan's Provider Network Management and Operations… more
- Humana (Columbus, OH)
- …work experience. + 8 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + ... of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians,… more
- Elevance Health (Columbus, OH)
- …required with understanding of health insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** ... **Investigator Senior ** **Supports the Payment Integrity line of business**...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications, Skills & Capabilities**… more