- Beth Israel Lahey Health (Boston, MA)
- …the Chief Academic Officer, the Vice President, Academic Strategy, the Executive Director , Grants Management & Contracting , and principal investigators. The ... determines how to accomplish defined results with some guidelines. Manager/ Director provides broad guidance and overall direction. Written Communications: Ability… more
- AmeriHealth Caritas (Manchester, NH)
- …network to meet member needs and ensure network adequacy. + Oversee provider contracting processes, ensuring compliance with pricing guidelines, contract ... dedicated to helping members live healthier lives. As the Director of Provider Network, you will build...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- Humana (Raleigh, NC)
- …AND THE IDEAL CANDIDATE MUST RESIDE IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is accountable for growing ... contractual requirements and state reports are completed timely and accurately. The Provider Services Director requires an in-depth understanding of how… more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director , Provider Network Management, you will be responsible for creating and maintaining ... Skills:* . At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA… more
- Molina Healthcare (Des Moines, IA)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- City of New York (New York, NY)
- …- Provide direct support and assistance to Tech/SDO Deputy Director , ensuring tech issues are escalated timely with accurate information and/or delegated ... burdens and increase the positive impact of services on communities. The MOCS Director serves as the City Chief Procurement Officer. MOCS team members operate in… more
- Molina Healthcare (Riverside, CA)
- …with Director , Provider Contracts, develops health plan-specific provider contracting strategies including VBP. This includes identifying specialties and ... contracting , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the… more
- Molina Healthcare (Las Cruces, NM)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital... in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists… more
- Molina Healthcare (Traverse City, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Endo International (Malvern, PA)
- …helping everyone we serve live their best life. **Job Description Summary** The Director , Trade & Specialty Pricing & Contracts has responsibility for the people, ... Description** Trade & Specialty Pricing & Contract Operations 80% Manage all customer contracting and pricing across the Trade & Specialty channels in support of… more