- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting. This role is a key ... contributor to the development of the strategic direction and is accountable for...and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …while also driving the development and growth of these teams. * Lead provider analytics to support network development and contracting by identifying ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...serving multiple stakeholders across the organization. * Lead the development of strategic provider and network… more
- Commonwealth Care Alliance (Boston, MA)
- …Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider Contract ... to other departments whose functions are necessary to the development , implementation and management of the provider ...of own performance, establishing business goals and goals for self- development . + Assist Senior Manager and Director… more
- Centene Corporation (Queens, NY)
- …fresh perspective on workplace flexibility. **Position Purpose:** Leads team of Provider Relations Representatives, Network Performance Advisors and/or ... + Leads and develops a team of Provider Relations Representatives, Provider Relations Supervisors and/or Network Performance Advisors. + Conducts ride-alongs… more
- Centene Corporation (Chicago, IL)
- …as well as travel throughout the region. _** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and engagement ... This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency. + Provide hands-on… more
- Centene Corporation (Sacramento, CA)
- …as needed and coordinates response with internal matrix partners + Manages Network provider performance for assigned territory through a consultative/account ... in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic… more
- CVS Health (Hartford, CT)
- …data auditing. Supports the development and maintenance of a market-specific provider network that meets or exceeds targets for accessibility, regulatory ... and financial performance. Oversees and evaluates the accuracy and timeliness of provider network application processing to drive strategic growth initiatives.… more
- Molina Healthcare (Detroit, MI)
- …and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates value-based high priority ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …for an individual with the following experience: + 3 years of experience in provider relations and network development with emphasis on healthcare education ... individual to become part of this team as a ** Network Manager ** \. As a ** Network...experience required _Experience_ + 3 years \- Experience in provider relations and network development … more
- Molina Healthcare (OH)
- …to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as an expert in handling ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
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