- Molina Healthcare (West Valley City, UT)
- …in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider… more
- Health Care Service Corporation (Philadelphia, PA)
- …responsible for the management, mentoring and training of a team responsible for provider contracting and provider support resources, providing subject ... hospital systems, integrated & non-integrated systems, value based contracting , etc). The individual in this role will develop...market **Job Requirements:** + Bachelor Degree and 5 years provider contracting experience OR 9 years managed… more
- AmeriHealth Caritas (Washington, DC)
- …compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains ... dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting /reimbursement experience in healthcare setting. + 3 years of… more
- Molina Healthcare (San Antonio, TX)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * Assists in analysis and… more
- The Cigna Group (Mclean, VA)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital / Provider /Ancillary group experience required** ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... and retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational… more
- Elevance Health (Atlanta, GA)
- …in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting ... ** Provider Network Management Director** **Location:** 740 W Peachtree...health systems and affiliated physician groups including employed and hospital based, and hospital owned ancillary providers.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Clinical Category Manager provides on-going oversight and analysis of clinical products and services. Will review usage ... of Nursing or other previous clinical experience required. + Contracting experience is a plus to help lead and...with Sourcing, Value Analysis and engages key stakeholders to provide input and selectively participates in monthly and quarterly… more
- ProMedica Health System (Toledo, OH)
- **Location:** Toledo Hospital **Department:** Regional Materials Management **Weekly Hours:** 40 **Status:** Full time **Shift:** Days (United States of America) ... Summary:** **POSITION SUMMARY** As a leader and collaborator, the Supply Chain Manager coordinates supply chain functions for assigned ProMedica business units. You… more