- Molina Healthcare (Bowling Green, KY)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily… more
- CVS Health (Springfield, IL)
- …+ Strong understanding of healthcare systems, reimbursement models, healthcare cost trends, network contracting principles, and provider relations + Proven ... , Region Development Officer** + Manages medical cost by partnering with Provider Contracting , MEU, Pharmacy, Claims Cost Management, Innovation, and Clinical… more
- Molina Healthcare (GA)
- … Services. **PREFERRED EDUCATION:** Master's Degree **PREFERRED EXPERIENCE:** 6+ years in Provider Network contracting To all current Molina employees: ... develop and implement standardized provider contracts and contracting strategies. * Monitors and reports network ...for new builds collaborates with Business Development to determine provider contracting strategies, and for new builds… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The **Senior Director ,** **US** ** Provider Access** **Strategy & Marketing** reports to the ... for the launch of anito-cel; direct and oversee all provider -facing access strategy, contracting , and relevant discussions...and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant… more
- The Cigna Group (Bloomfield, CT)
- …Cigna Healthcare seeks a visionary and results-oriented leader to serve as Managing Director - Local Network Solutions Lead. This role is responsible for shaping ... traditionally smaller buyer types-such as the Select Segment-by aligning product, network , and provider strategies with market-specific needs and operational… more
- Molina Healthcare (GA)
- …for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring knowledge ... stakeholders to lead or support various Provider Network functions with an emphasis on contracting ,... provider inquiries. + In conjunction with the Director , Provider Network Management &… more
- Point32Health (CT)
- …the development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Support ... . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network ...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network … more
- Molina Healthcare (Augusta, GA)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * Strategically… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... 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 … more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more