- Elevance Health (Topeka, KS)
- **LTSS Provider Network Manager , Contracting ** **Location:** Kansas, Candidates must reside in the state of Kansas. Ideal candidates will live within 50 ... miles of an Elevance Health PulsePoint office location. The **LTSS Provider Network Manager , Contracting ** develops the provider network through… more
- The Cigna Group (Pittsburgh, PA)
- **WORK LOCATION: Hybrid covering the Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… more
- Point32Health (MA)
- …+ Under the direction of and with assistance from the Manager , Commercial Provider Network Contracting , evaluate provider rate request and bring ... with department projects + Any other responsibilities assigned by Manager , Commercial Provider Contracting +...train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented… more
- The Cigna Group (Los Angeles, CA)
- …doing! We're committed to bringing passion and customer focus to the business. The ** Manager , Provider Contracting ** position serves as an integral member of ... Contracting Team and reports to the Provider Contracting Senior Manager . This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … 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 ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Centene Corporation (Trenton, NJ)
- …related field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and… more
- The Cigna Group (Providence, RI)
- …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** The ** Provider Contracting Lead Analyst** serves as an integral member of the ... Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Covenant Health Inc. (Knoxville, TN)
- …Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement. ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant… more
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