- 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
- Centene Corporation (Springfield, IL)
- …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
- 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
- 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
- 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
- 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