- Molina Healthcare (Sterling Heights, MI)
- …of education and experience. **PREFERRED EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Knowledge, Skills, Abilities & Language (nice to have):** + Familiarity with provider network management systems and healthcare data standards. + ... CA- Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor...brand standards, and provider -friendly + Work with provider network and data management … more
- Commonwealth Care Alliance (Boston, MA)
- …or One Care) populations preferred. * Experience in healthcare program management , provider relations, or network management * Knowledge of Massachusetts ... reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager...CCA's behavioral health priorities, programs, and initiatives to the provider network . * Promote provider … more
- CVS Health (Columbus, OH)
- …will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based ... and working to improve quality of care while reducing costs. . Provider Relationship Management - Understands the terms of the value based contract arrangements… more
- The Cigna Group (Sunrise, FL)
- The ** Provider Contracting Manager ** serves as an...management of the day to day contracting and network management activities for a local given ... Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Mclean, VA)
- …will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory. Your work will ... If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare,...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… 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 ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Elevance Health (Las Vegas, NV)
- …delivery of care. **Build the Possibilities. Make an Extraordinary Impact.** **Title:** Provider Relationship Account Manager **Location:** 9133 W. Russell Rd, ... employment, unless an accommodation is granted as required by law._** The ** Provider Relationship Account Manager ** is responsible for providing quality,… more
- Molina Healthcare (Lincoln, NE)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider network relations and management experience in a managed healthcare… more
- World Wide Technology (Dallas, TX)
- …+ Selling to a Tier 1 Service Provider + **Tier 1 Service Provider network architecture and technology including: Enterprise IT (storage, compute, network ... Service Providers team. **Why should you join Global Service Provider Sales?** As a Client Manager you...architects, as well as subject matter experts to truly provide expertise and value. The ability to listen, learn… more