• Manager , Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …+ ** Provider Consulting, Risk Score Reporting and Collaboration** : The Manager will oversee all provider engagement and reporting activities for risk ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
    Point32Health (10/24/25)
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  • BH Provider Engagement Program…

    Commonwealth Care Alliance (Boston, MA)
    Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, ... acts as an account manager , relationship manager , and performance partner - using data, provider feedback, and system collaboration to enhance provider more
    Commonwealth Care Alliance (10/18/25)
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  • Provider Relationship Account…

    Elevance Health (West Des Moines, IA)
    ** Provider Relationship Account Manager , Iowa Market** **Location: Iowa** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, ... employment, unless an accommodation is granted as required by law. The ** Provider Relationship Account Manager ** is responsible for providing quality, accessible… more
    Elevance Health (11/04/25)
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  • Provider Communications Manager

    Commonwealth Care Alliance (Boston, MA)
    011230 CA- Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and ... communications, support regulatory compliance, and champion digital innovation in provider engagement The Manager of Provider...trends to the committee + Develop and manage annual provider communications schedule + Provide guidance and… more
    Commonwealth Care Alliance (10/18/25)
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  • Manager , Provider Contracting…

    The Cigna Group (Mclean, 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 ... of the Provider Contracting Team...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
    The Cigna Group (10/29/25)
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  • Provider Network Quality Strategy Program…

    Commonwealth Care Alliance (Boston, MA)
    011230 CA- Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider ...Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics… more
    Commonwealth Care Alliance (10/29/25)
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  • Regional Provider Engagement Manager

    Centene Corporation (Chicago, IL)
    …as well as travel throughout the region. _** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and engagement ... This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency. + Provide hands-on… more
    Centene Corporation (11/09/25)
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  • Provider /Hospital Contracting…

    The Cigna Group (Hartford, CT)
    **WORK LOCATION: Hartford, CT** The ** Provider /Hospital Contracting Manager ** serves as an integral member of the Provider Contracting Team and reports to ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
    The Cigna Group (11/07/25)
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  • Senior Manager , Provider Claims…

    CVS Health (Raleigh, NC)
    …initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable Diagnostics, will ... at home or hybrid, dependent on where the candidate lives.**_** The Provider Experience, Interoperability, Digital Solutions & Provider Operations organization… more
    CVS Health (11/06/25)
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  • Manager , Provider Contracting…

    The Cigna Group (Los Angeles, CA)
    …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral member of ... the Provider Contracting Team and reports to the AVP, ...implementation and maintenance. + Individual contributor role but may provide guidance or expertise to less experienced specialists. **POSITION… more
    The Cigna Group (10/25/25)
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