- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...Bachelor's Degree + 5 or more years of progressive network management experience including hospital contracting and… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... hospital, and/or other provider contracts. The Senior Provider Contracting Professional work...May assist with identifying and recruiting providers based on network composition and needs. Begins to influence department's strategy.… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst Senior **...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Corewell Health (Southfield, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership...Provider Contract Specialist to take ownership of affiliated network contracting . In this high-impact role, you… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...dental providers to become a Cigna PPO and/or DHMO network provider . + Explain plans, policies, and… more
- CVS Health (Columbus, OH)
- … Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- The Cigna Group (St. Louis, MO)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... The ** Provider Contracting Director** serves as...strategic direction and management of the day to day contracting and network management activities for a… more
- Health Care Service Corporation (Tulsa, OK)
- … / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment models, ... **Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level to enhance… more
- The Cigna Group (Morristown, NJ)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more