- Molina Healthcare (Rochester, NY)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... in Value Based Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets and recruits additional… more
- Molina Healthcare (Seattle, WA)
- …. * Identified as contract system lead by developing and maintaining provider contracts in contract management software. * Targets and recruits ... in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and… more
- Molina Healthcare (Riverside, CA)
- …Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Evaluates provider network and ... Joint Operating Committees, and delegation oversight. * In conjunction with Director, Provider Contracts , develops health plan-specific provider contracting… more
- Molina Healthcare (Cincinnati, OH)
- …Joint Operating Committees, and delegation oversight. * In conjunction with Director, Provider Contracts , develops health plan-specific VBP provider ... VBC models to meet Molina goals. * Prepares the provider contracts in concert with established company...or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Baptist Memorial (Memphis, TN)
- Overview Manager - Provider Relations Job Code: 22242 FLSA Status Job Family: ADMIN SUPPORT Job Summary Identifies, evaluates and negotiates contracting ... contract document control, and renewal process for payor contracts . Job Responsibilities + Identifies and evaluates managed care...and provider organizations and to expand the provider network. Analyzes contract opportunities utilizing … more
- Molina Healthcare (Ann Arbor, MI)
- …cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts , negotiates high priority ... Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Grand Rapids, MI)
- …contracting. * Identified as contract system lead by developing and maintaining provider contracts in contract management software. * Supports network ... network management and credentialing. **Job Duties** This role negotiates assigned contracts and letters of agreements with non-complex provider community… more
- Molina Healthcare (Columbia, SC)
- …and credentialing. **Job Duties** This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community ... /applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider...sent to prospective new providers. * Completes and updates Provider Information Forms for each new contract .… more
- CVS Health (Sacramento, CA)
- …we do it all with heart, each and every day. **Position Summary** The Contract Negotiation Senior Manager in an individual contributor position who negotiates, ... to Aetna's established policies + Responsible for auditing, building, and loading contracts , agreements, amendments and/or fee schedules in contract management… more
- CVS Health (Hartford, CT)
- …compassionate. We do it all with heart, every single day. We are seeking a **Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... testing processes, procedures, strategies, and automation tools for delivering high-quality provider contracts and pricing changes to our clients. **Key… more
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