- Point32Health (Canton, MA)
- …to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and legal department ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a team of… more
- Molina Healthcare (Caldwell, ID)
- …region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on ... effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician… more
- Centene Corporation (Baton Rouge, LA)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (Springfield, IL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (Atlanta, GA)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- CVS Health (Columbus, OH)
- …the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships. Ensures that ... performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) . Drives provider performance and… more
- Centene Corporation (Columbus, OH)
- … reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... ancillary providers within assigned area. + Act as account manager for assigned groups acting as gatekeeper for interactions...liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider… more
- Scotland Health Care System (Laurinburg, NC)
- Position Summary The Physician & APP Compensation and Contract Manager is responsible for managing all aspects of compensation, fair market value (FMV), ... of 2 years in related field of experience in provider compensation, healthcare finance, contracting, or network ...sk Position Summary The Physician & APP Compensation and Contract Manager is responsible for managing all… more
- Health Care Service Corporation (Richardson, TX)
- …responsible for market and partner direct relationship development, critical contract negotiations, establishing fee-for-service and value based contracts that ... partners, inclusive of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value … more