- AmeriHealth Caritas (Southfield, MI)
- … comprehensive senior leadership and strategic direction to the market network management teams in developing and maintaining effective, high-performing ... related aspects of state contract. + Leads and manages provider network team to ensure high performance,...bachelor's degree in Business or health-related disciplines such as Healthcare Administration or Healthcare Management … more
- Molina Healthcare (Saginaw, MI)
- …: * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working experience servicing complex ... staff are the primary point of contact between Molina Healthcare and contracted provider network ....provider network . They are responsible for network management including provider education,… more
- The Cigna Group (Cleveland, OH)
- …be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management , Cleveland and Northern OH (inclusive of Toledo, ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,... Contracting Team and reports to the Vice President, Network Management , Liberty Valley. This role is… more
- The Cigna Group (Sunrise, FL)
- …direction and management of the day to day contracting and network management activities for a local given territory. **Duties and Responsibilities** ... or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external … more
- Molina Healthcare (Dallas, TX)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network .... network . They are responsible for the provider training, network management and… more
- The Cigna Group (Independence, OH)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Mclean, VA)
- …be considered in lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital/ Provider /Ancillary group ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …+ Bachelor's Degree preferred in Healthcare Administration, Finance or Business Management . + Previous network development and provider contracting ... Day. Aspirus Health in Wausau, WI is seeking a NETWORK MANAGEMENT PARTNER to join our team!...all Aspirus Health Plan products. Maintain active communication with provider network and act of point of… more
- Molina Healthcare (Gulfport, MS)
- …candidate lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more