- Commonwealth Care Alliance (Boston, MA)
- …or One Care) populations preferred. * Experience in healthcare program management , provider relations, or network management * Knowledge of Massachusetts ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the...CCA's behavioral health priorities, programs, and initiatives to the provider network . * Promote provider … more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Relations efforts to drive network and quality improvement. + Represents Provider Relations Management , as assigned, in governance structure forums and ... all other internal departments including sales, medical, operations and network management . As a key representative of...Essential Accountabilities: Level I: + Recruit and retain all provider types to ensure network adequacy. +… more
- Molina Healthcare (Jackson, MS)
- …candidate lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Saliense Consulting (Arlington, VA)
- Who is Saliense? Saliense is a growing Management and Technology Consulting Solutions provider based out of Mclean, VA. We work to solve our client's toughest ... and engineering + Experience managing day to day operations management of the network , including a broad...ElasticSearch and Lambda + Experience supporting Cloud Architects to provide operational network architectures to meet mission… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... contracted provider network . They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina… more
- Health Care Service Corporation (Tulsa, OK)
- …+ Bachelor Degree and 5 years experience in strategic planning, market research, network management , or product development, in health care industry OR ... OR Master Degree and 4 years of experience strategic planning, market research, network management , or product development in health care industry OR consulting… more
- Serco (Fort Bliss, TX)
- …its outstanding contributions to the program. In this role, you will: + Provide configuration management support aligned to Integration & Operations, working ... practices to integration and operations personnel. + Coordinate with Engineering, Logistics, Network , and Program Management teams to ensure alignment across… more
- Molina Healthcare (St. Clair Shores, MI)
- …system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network … more
- Genentech (Louisville, KY)
- …and optimization of the distribution network , with a focus on both network strategy and project management at our main US Distribution facility in ... site leadership team that excels in strategic thinking, stakeholder engagement, project management and network capability building to ensure efficient delivery… more
- The Cigna Group (Sunrise, FL)
- …direction and management of the day to day contracting and network management activities for a local given territory. **Duties and Responsibilities** ... The ** Provider Contracting Manager** serves as an integral member...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more