- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... Integrated Network (CIN). Responsible for ensuring the accuracy and timeliness...(CIN). Responsible for ensuring the accuracy and timeliness of contract information, engaging with leadership for negotiations, and collaborating… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, ... and Supplemental Medical Assistance Enrollment applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports providers through complex enrollment and documentation… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... This role includes managing provider contracting activities in coordination with the Network team and processing all necessary contract -related updates. Key… more
- Pacific Medical Centers (Renton, WA)
- …management functions of the Health Plan. Responsible for compliance with the DoD contract regarding network and utilization issues. Responsible for a key role ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… 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...high spend or increasingly complex provider contracts and alternate contract terms. + Creates and / or oversees the… more
- The Cigna Group (Austin, TX)
- …to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor. In this role, you will conducts hospital and ... professional provider contract underwriting/analysis, partnering with Contracting to deliver unit cost results in line with trend/cost expectations to ensure… more
- The Cigna Group (Jefferson City, MO)
- …+ Support business direction and project management for small, strategic, and tactical network or contract related projects and implementations. + Gather and ... Express Scripts is currently seeking a Network Operations Lead Analyst. The Network ...Control standards are met. + Analyze and implement provider, contract , and client requirements with a strong focus on… more
- Baylor Scott & White Health (Dallas, TX)
- …Plan provider network development, including provider research and network adequacy assessments, policy development, contract development, provider ... achieved - Leads the implementation and negotiation of provider contracts of all network providers. - Ensures contract processes, policies, and workflows are… more
- Molina Healthcare (Warren, MI)
- …Member Services and other Corporate Departments. + Develops and implements provider network and contract strategies, identifying those specialties and geographic ... and leads all activities of the State Plan's Provider Network Management and Operations Department. Works with staff and...models. + Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the… more
- Live Nation (FL)
- Job Summary: Location: Florida, Toronto, Ontario Division: Ticketmaster Line Manager: Manager, Network Services Contract Terms: Permanent, 40 hours per week with ... on-call duties THE TEAM Our Network Services team manages the full spectrum of ...Network Services team manages the full spectrum of network infrastructure supporting Ticketmaster's global data centers, contact centers,… more
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