- Humana (Tallahassee, FL)
- …**Preferred Qualifications** + Master's or JD degree + Record of success leading provider contracting and provider engagement activities for all lines ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Health Care Service Corporation (Tulsa, OK)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment models, ... specialty payment models, etc.); identification and evaluation of competitive provider pricing models, high economic value and performance based reimbursement… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... strategy. **ESSENTIAL RESPONSIBILITIES** + Direct and oversee hospital and institutional provider contract negotiations, taking the lead in complex or high-dollar… more
- Corewell Health (Grand Rapids, MI)
- …critical to Network Development. Essential Functions + Directs the requisite provider contracting and network development activities within his/her assigned ... region, through the management of provider contracting teams; such management includes talent selection, development and performance evaluations. + Develops and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- … Contracting and is responsible for developing and executing US payer and provider contracting strategies, tactics, and initiatives in partnership with the US ... Join Kite and help create more tomorrows. **Job Description** The **Director, US CAR-T Pricing & Contracting ** reports to the Head of US Trade, Pricing, and… more
- Beth Israel Lahey Health (Wakefield, MA)
- …difference in people's lives.** Position Summary: Partner with the Executive Director, Contracting to manage key divisional initiatives that support Managed Care ... Contracting . The Contracting Program Manager will be...as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels… more
- Centene Corporation (Jefferson City, MO)
- …- Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint ... in job functions, which will evolve over time. + Oversee provider contracting activities to ensure efficiency and maintain compliance with the business… more
- Centene Corporation (Lansing, MI)
- …business administration, marketing or related field. Master's degree preferred. 6+ years of Provider Contracting or Provider Affairs in a healthcare and/or ... management of interactions with providers and markets. + Initiate and manage provider data process improvements including contracting models, provider … more
- Humana (Austin, TX)
- …provider service and retention. + Knowledge of Medicaid dental programs, provider contracting , fee negotiations, and regulatory compliance is highly ... company policies. The recruiter develops relationships with dental providers, manages the contracting process, and supports provider onboarding to enhance member… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract negotiations ... internal coordination. This position specifically supports the Children's Health Payer Contracting in Nevada to include the Pediatric Clinically Integrated Network,… more
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