- 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
- Centene Corporation (Austin, TX)
- … management or healthcare strategy required In-depth knowledge of provider engagement, network management , and performance improvement methodologies ... and implementing value-based care models. **_ _** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid | Eagan, Minnesota Career ... multiple stakeholders across the organization. * Lead the development of strategic provider and network analytics across multiple complex operating environments.… more
- Centene Corporation (Baton Rouge, LA)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- Centene Corporation (Tallahassee, FL)
- … Network performance for assigned territory through a consultative/account management approach** **Evaluates provider performance and develops strategic plan ... network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- CVS Health (Nashville, TN)
- …And we do it all with heart, each and every day. **Position Summary** The Provider Relations Manager , will act as the primary resource for assigned, high profile ... capital.** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals &… more