- Point32Health (MA)
- …with external and internal cross-functional resources to ensure the needs of the provider network are met, including timely resolution of high impact claim ... while serving as the primary point of contact for resolving escalated provider operational issues that may impact contract and/or overall Point32Health… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Director, Network Strategy is tasked with developing and implementing provider network strategies based on advanced market research, intelligence and ... and actuary, provider performance programs, and local provider network resources to lead and deploy...least ten (10)+ years of progressively responsible experience in healthcare with a minimum of five (5) years managed… more
- BeOne Medicines (San Mateo, CA)
- …comply with relevant regulatory requirements and standards, including state and federal healthcare regulations. + Monitor and report on contract performance, ... General Description: The Senior Manager of Provider Contracting is responsible for the development, negotiation, and management of contracts for BeOne solid tumor… more
- Elevance Health (NV)
- …impact on the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... 2 years of customer service experience including 1 year of experience in a healthcare or provider environment; or any combination of education and experience,… more
- Elevance Health (Nashville, TN)
- …impact on the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... 2 years of customer service experience including 1 year of experience in a healthcare or provider environment; or any combination of education and experience,… more
- Elevance Health (Los Angeles, CA)
- …groups, driving the meetings in the discussion of issues and changes. + Provide assistance regarding education, contract questions and non-routine claim issues. ... provider refresher training. + Researches issues that may impact future provider negotiations or jeopardize network retention. **Minimum Requirements:** +… more
- Centene Corporation (Austin, TX)
- …one who changes everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects of ... provider network strategy including, access analysis, ...+ Support market expansion and M&A activities by leading provider contract analysis related to due diligence… more
- Rochester Regional Health (Rochester, NY)
- …compensation pay practices. + Leads responsibility for maintaining and updating provider compensation databases. + Leads administration of contract changes ... acquisition and service line operations on offer proposals and contract negotiations. + Performs as a lead a strategic...business-related field required. + 1 year of experience in provider compensation or a related healthcare business… more
- UNC Health Care (Raleigh, NC)
- …Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to ... provide high-quality, cost-effective care to patients within the APPs...and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for... onboarding or a related administrative role in the healthcare sector is required. Demonstrated ability to work independently… more