- The Cigna Group (Cleveland, OH)
- …be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management , Cleveland and Northern OH (inclusive of Toledo, ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,... Contracting Team and reports to the Vice President, Network Management , Liberty Valley. This role is… more
- Molina Healthcare (Idaho Falls, ID)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract, network development and management , or… more
- Centene Corporation (Tallahassee, FL)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management , or clinical operations.… more
- CVS Health (IL)
- …relationship management , dispute resolution and other duties as related to network activity. Direct provider engagement will include larger and more complex, ... and facilities, in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial… more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy ... * Maintains contractual relationships with significant/highly visible providers. * Evaluates provider network and implement strategic plans with the goal… 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 ... 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
- WellSpan Health (York, PA)
- **Advanced Practice Provider ** **Interventional Pain Management - York, PA** WellSpan Health's vision is to reimagine healthcare through the delivery of ... DC **For confidential consideration, please contact:** Louisa Grosh, Advanced Practice Provider Recruiter ###@wellspan.org or ### \#LI-LG1 ** Quality of Life**… 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
- CenterWell (Phoenix, AZ)
- …+ Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience. + ... or concerns, coordinating with internal departments as needed. + Evaluate datahub for quality management / cost and utilization / develop interventions / evaluate… more
- Humana (Lansing, MI)
- …with 4 or more years of progressive experience in managed care operations, including network management and provider relations OR High School Diploma with ... 7 or more years of progressive experience in managed care operations, including network management and provider relations. + Experience working for or with… more
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