- 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 ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Levi, Ray & Shoup, Inc. (Springfield, IL)
- …opportunity and a challenge for the right person. LRS Consulting Services is seeking a IT Network Manager for a contract to hire or direct hire opportunity ... File Transfer Filters Careers Added Apr 23, 2025 IT Network Manager (26834) Springfield, IL | Temp...work environment. + Assist in coordinating team efforts and provide guidance on technical challenges. + Facilitate communication within… more
- Avera (Des Moines, IA)
- …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 ... directly tied to population health and value-based care. + Provide insightful competitive intelligence to inform leadership of industry...and remain in the network . + Maintain provider manual and policies and maintain contract … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III...for the initial on-board training of new managed care contract provider partners, and for ensuring their ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III… more
- Area Agency On Aging 1-b (Southfield, MI)
- Provider Relations Network Manager ...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... (PRNM) oversees the provider network , provider relationships, and quality of service delivery through coordination...a high level of accuracy. + Strong negotiation skills, contract execution, computer skills in Word, Excel and Outlook… more
- St. Luke's University Health Network (Allentown, PA)
- …measurement and attainment, reporting and governance. At an operational level, the Manager directs contract consultations and negotiations, including contract ... ability to pay for health care. The IT Vendor and Contracts Manager leads IT's Vendor/Contact Management Office (VCMO). Responsibilities include but are not… more
- Elevance Health (Costa Mesa, CA)
- …commute each way of the listed Elevance Health locations. **Develops the PPO provider network through contract negotiations, relationship development, and ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- CVS Health (Albany, NY)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Critical… more
- Elevance Health (Waukesha, WI)
- …The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Topeka, KS)
- …**LTSS Provider Network Manager , Contracting** develops the provider network through contract negotiations (language and rates), relationship ... **LTSS Provider Network Manager , Contracting**...Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex providers.… more
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