- The Cigna Group (Mclean, VA)
- …value-orientation and risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to develop network ... If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be...contract loading and submissions. Interface with matrix partners for network implementation and maintenance. + Provide guidance… more
- The Cigna Group (Sunrise, FL)
- …and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to ... The ** Provider Contracting Manager** serves as an integral member...and management of the day to day contracting and network management activities for a local given territory. **Duties… more
- Commonwealth Care Alliance (Boston, MA)
- …contracting, quality, compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The ... network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. *… more
- Molina Healthcare (Columbus, GA)
- …requirements. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business ... requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery. **JOB… more
- Molina Healthcare (Gulfport, MS)
- …candidate lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine… more
- The Cigna Group (Jersey City, NJ)
- …Will be required to go into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting ... This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process of contracting and… more
- The Cigna Group (Mclean, VA)
- …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 ... This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process of contracting and… more
- Molina Healthcare (Jacksonville, FL)
- …start date for this position is February.** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network ... staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network … more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Banner Health (Tucson, AZ)
- …to provide for diverse customer service needs for a comprehensive provider network . Makes decisions within structured definitions and defined policy. Work ... Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider , Banner Health, and an extensive network of primary care and… more