- Elevance Health (Atlanta, GA)
- ** Provider Network Management Director** **Location:** 740 W Peachtree St. NW. Atlanta GA. This role requires associates to be in-office 3 days per week, ... an accommodation is granted as required by law_ The ** Provider Network Management Director** develops the ...projects with significant impact. * May assist management in network development planning. * May provide work… more
- Point32Health (RI)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network … more
- Molina Healthcare (Lincoln, NE)
- …* Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic ... position must reside in the state of Nebraska **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …specializing in network optimization, value-based analytics, ancillary services analytics, provider contracting analytics, and ad hoc analytics, while also ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...teams. * Lead provider analytics to support network development and contracting by identifying business… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- CVS Health (Raleigh, NC)
- …internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs ... + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...through effective provider contracting to meet state contract and product requirements. Collaborates… more
- CVS Health (Springfield, IL)
- …development, relationship management, dispute resolution and other duties as related to network activity. Direct provider engagement will include larger and more ... Provide expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems, and information contained.… more
- Centene Corporation (Baton Rouge, LA)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Centene Corporation (Tallahassee, FL)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Commonwealth Care Alliance (Boston, MA)
- …with dual-eligible (DSNP) populations preferred. * 10+ years of experience in provider relations, contracting , or network operations, including 3-5 ... contracting , quality, compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The … more