- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... (DSNP) populations preferred. * 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director… 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 or ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- AmeriHealth Caritas (Washington, DC)
- …compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains ... health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting /reimbursement experience in healthcare setting. + 3 years of supervisory/… more
- Health Care Service Corporation (Philadelphia, PA)
- …responsible for the management, mentoring and training of a team responsible for provider contracting and provider support resources, providing subject ... in a value-based market **Job Requirements:** + Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years … more
- Molina Healthcare (Orem, UT)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect 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 respect to ... different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare provider … more
- Point32Health (RI)
- …and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Summarize findings ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial… 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 ... scale initiatives with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and supports all aspects… 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 ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects… more
- Elevance Health (Richmond, VA)
- …provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... scale initiatives with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and supports all aspects… more