- The Cigna Group (Cleveland, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Northeast Region States in the USA_** The **Northeast Region Healthcare Provider Network Lead Analyst** serves as an integral member ... assigned markets. + Lead regional market research relating to competitor provider network participation status, competitor product development, regulatory… more
- Sharp HealthCare (San Diego, CA)
- …Management Department to provide education and communicate information to the provider network . (ie Regional Council Meetings, PCP council, Office Manager ... an assigned SCMG provider region. Works closely with the physician network , affiliated hospitals, ancillary providers, Sharp HealthCare and all departments… more
- AmeriHealth Caritas (Newtown Square, PA)
- …tools or reports designed to routinely assess and support existing and new provider network management processes, programs, contract performance, and ... lenses that provide event triggered output for monitoring of impending contract changes and provider patterns.; + Effectively prioritizes and communicates… more
- Avera (Des Moines, IA)
- …have proper documentation to join and remain in the network . + Maintain provider manual and policies and maintain contract database and associated files. + ... Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) … more
- Elevance Health (Chicago, IL)
- ** Provider Contract Cost of Care Consult Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... of one of our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult Senior**...improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,… more
- Corewell Health (Grand Rapids, MI)
- …of contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider contracts at ... plans and deploy strategies to move providers to desired contract terms according to guidelines and standards. Provide...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- Corewell Health (Grand Rapids, MI)
- …+ Contributes to the contract development and negotiation process for provider network initiatives. Enters/maintains current information in the internal ... passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of...E Beltline - Grand Rapids Department Name PH - Provider Network Contracting Employment Type Full time… more
- Elevance Health (Los Angeles, CA)
- Provider Contract Consultant **Location:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Contract Consultant** will be creates and manages contract … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job...for the initial on-board training of new managed care contract provider partners, and for ensuring their ... Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA,...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
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