- AmeriHealth Caritas (Southfield, MI)
- …state of Michigan (MI). **Responsibilities:** + Supports overall network development strategy. + Assists departmental leadership with provider satisfaction, ... **Role Overview:** The Provider Network Management Contractor is responsible for developing, contracting, and maintaining provider relationships within an… more
- Vatica Health (WI)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- AmeriHealth Caritas (Baton Rouge, LA)
- …travel required throughout the state visiting providers. **Essential Functions** + Supports network development strategy. + Responsible for assisting the Leader ... of provider satisfaction. + Contractors will work with Corporate Provider Network Management to manage the annual contracting schedule as well as supplement… more
- AmeriHealth Caritas (Southfield, MI)
- …Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network + Lead development and execution of provider ... contract all hospital, physician, ancillary, facility, and physician extender network development and management for all products...related aspects of state contract. + Leads and manages provider network team to ensure high performance,… more
- Red Gate Group (Arlington, VA)
- …the Advanced Resilience portfolio in the area of next-generation classified network development for enterprise-scale computing and operational functions. ... employee wellbeing. The Red Gate Group is seeking a Network Engineer to provide on-site support to...+ Minimum of 8 years of relevant experience in network development , network security, cybersecurity,… more
- Point32Health (Canton, MA)
- …sales. **Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider ... leaders and key stakeholders. Participate in/chair leadership meetings concerning provider strategy, network development and...and other issues. Talent Management and Team Building + Provide ongoing staff development and coaching in… more
- Humana (Columbia, SC)
- …as contracting, provider services, etc. . 2+ years of experience in provider network development , including contracting, network operations, and/or ... maintenance of SC Medicaid and Dual Special Needs Plan's provider network . This senior-level strategist is responsible...the plan's Chief Operating Officer. . Define & execute network development strategy that promotes access, adequacy,… more
- CVS Health (Hartford, CT)
- …. + Leading the strategic development and expansion of the company's provider network by evaluating potential network providers, negotiating contracts, ... evaluating market trends, competitive landscape, and patient needs to shape the network development strategy and optimize provider network composition. +… more
- CVS Health (Lansing, MI)
- …as SME for less experienced team members and internal partners. + Provides network development , maintenance, and refinement activities and strategies in support ... defined groups. + Collaborates cross-functionally to manage Hospital, Ancillary and provider compensation and pricing development activities, submission of… more
- AmeriHealth Caritas (Delaware County, PA)
- … network development , and business intelligence. Key partners include Network Management, Provider Enrollment, Market Entry, New Business Development ... Director of Network Adequacy leads the strategic integration and utilization of provider network adequacy, availability, and access data to drive network … more
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