- Molina Healthcare (Omaha, NE)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical ... requirements of internal customers as it pertains to other provider network management areas, such as ... contracts. **Knowledge/Skills/Abilities** * Manages all aspects of the Provider Administration area and serves as contact… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff ... contracting, recruitment, and compliance. This role ensures the provider network meets regulatory standards and supports...and supports the healthcare needs of plan members. The manager also leads initiatives to improve provider … more
- The Cigna Group (Bloomfield, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration … more
- The Cigna Group (Los Angeles, CA)
- …our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral ... provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration … more
- AmeriHealth Caritas (Manchester, NH)
- As the Manager of Provider Network , you will build and nurture strategic provider partnerships that strengthen our network , drive innovation, and ... + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ensure network … more
- Health Care Service Corporation (Richardson, TX)
- …part of a purpose-driven company that will invest in your professional development. The Provider Contracting & Network Adequacy Manager is responsible for ... and maintaining harmonious working relationships with assigned providers; managing provider agreement negotiation operations; managing staff including but not… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability Team ... and reports to the VP, Network Management. This role is a key contributor to..."HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration… more
- EAC Network (Bronx, NY)
- …+ Perform all other relevant duties as determined by Supervision and EAC NETWORK Administration . Requirements for this Role: + Bachelors degree in Forensic ... Manager CTCM - Community Re entry Assistance Network Bronx CRAN Job Details Job Location 1020 Grand...applying for and receiving public and private benefits and provide linkages to the appropriate community providers. + Maintain… more
- Point32Health (MA)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- The Cigna Group (Richmond, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... value-orientation and risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to develop network… more
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