- Elevance Health (Indianapolis, IN)
- ** Provider Contract/Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... for employment, unless an accommodation is granted as required by law. The ** Provider Contract/Cost of Care Consultant Senior ** provides the highest level of… more
- Elevance Health (Lake Mary, FL)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... for employment, unless an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior ** provides analytical support to… more
- AmeriHealth Caritas (Manchester, NH)
- **Role Overview:** The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider ... Manchester, New Hampshire (NH) location. **Responsibilities:** + Reviewing and auditing provider billing, claims processing and accuracy. + Develops the Pricing… more
- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's... issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert… more
- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** The Senior Provider Network Account Executive is responsible for developing and maintaining strong relationships with providers to drive ... and network management strategies. + Assist departmental leadership with provider satisfaction, education, and communication initiatives. + Contribute to Single… more
- Corewell Health (Southfield, MI)
- … contracts and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. ... + Manages the contract development and negotiations process for provider networks initiatives. Enters/maintains current information in the internal contract… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on ... for resolution to internal partners + Receive and effectively respond to external provider related issues + Investigate, resolve and communicate provider claim… more
- CareFirst (Baltimore, MD)
- …strategize and manage complex negotiations for larger top-tier provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... offering insights during contract development and negotiations with large top-tier provider practices based on claims and market analysis including implementation… more
- Datavant (Annapolis, MD)
- …realize our bold vision for healthcare. **About the Role** We are seeking a ** Senior Director of Product** to lead the ** Provider Experience Zone** -owning the ... & Strategy** + Define and communicate the long-term vision for the Provider Experience Zone, ensuring a unified, intuitive, and scalable product experience for… more
- Molina Healthcare (St. Clair Shores, MI)
- …live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more