- 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
- 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 ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more
- The Cigna Group (Mclean, VA)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… 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 (Columbus, OH)
- …including experience in a managed health care environment with exposure to provider contracting , servicing benefits interpretation, and internal operations of ... claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment...well as claims payment resolution as it relates to provider set up. Provide support to external… more
- The Cigna Group (Tampa, FL)
- …Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager ... Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of networks and helps… more
- Health Care Service Corporation (Richardson, TX)
- … partners are targeted for participation. Leader must work collaboratively with key network finance, contracting , analytics and operations areas as well as with ... 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… more
- Molina Healthcare (Orem, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... * Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations… more
- Elevance Health (Cerritos, CA)
- …providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,...with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and… more
- Elevance Health (Tampa, FL)
- …the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the ... quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and… more