- Elevance Health (FL)
- …programs for autism and depression, and insightful analytics to improve the delivery of care. ** Provider Network Manager - New York** This is an Individual ... Shift: **Monday - Friday, 40 hours a week** The ** Provider Network Manager ** develops the provider...and **a minimum of 3 years of experience in contracting , provider relations, provider servicing**… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts… more
- Point32Health (Canton, MA)
- …The Manager will collaborate with key internal stakeholders (Clinical, Contracting , Provider Partnerships, Actuarial, Procurement and Compliance) to refine ... Consulting, Risk Score Reporting and Collaboration** : The Manager will oversee all provider engagement and...departments or areas that are external facing such as Contracting , Actuarial, Procurement, Provider Partnerships and Care… more
- Elevance Health (Indianapolis, IN)
- …considered for employment, unless an accommodation is granted as required by law. The ** Provider Network Manager Sr.** develops the provider network through ... degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. Experience in fee schedule development… more
- AmeriHealth Caritas (Charleston, SC)
- …1 to 3 years managing health insurance, Medicaid Business. + 5 years of provider contracting /reimbursement experience in a healthcare setting. + 3 years of ... **About the job:** The Manager of Provider Network Management manages...and communication. This position is also responsible for all provider network recruiting and contracting management activities… more
- Molina Healthcare (Lincoln, NE)
- …20% travel (mostly daytime) throughout Nebraska, requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully ... complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible for … more
- Elevance Health (Latham, NY)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Centene Corporation (Trenton, NJ)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... fresh perspective on workplace flexibility. **Candidates must reside in Northern New Jersey.** **Position Purpose:** Maintain partnerships between the health plan… more
- Health Care Service Corporation (Richardson, TX)
- …allowed spend, though this Leader and their team will be responsible for contracting all medical agreements across these markets. The role is responsible for market ... Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with… more
- Point32Health (RI)
- …and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Summarize findings of ... Preferred: 5-7 years of experience in managed care or provider environment. New England health care market...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial… more