- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and… more
- CVS Health (Columbus, OH)
- …+ A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + ... Proven working knowledge of physician reimbursement methodologies and contracting strategies. + Strong communication, critical thinking, project management and… more
- The Cigna Group (Richmond, VA)
- …as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role assists ... Contracting Manager ** serves...strategic direction and management of the day to day contracting and network management activities for a local… more
- Walmart (Bentonville, AR)
- …changes, and mitigate reimbursement issues. + Identify, pitch, and lead new contracting opportunities (eg immunization, value-based models, network expansion) to ... **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value accounts. +… more
- Albany Medical Center (Albany, NY)
- …other related departments. The Director builds external relationships with payers' senior network management, leads meeting, oversees and/or prepares ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- The Cigna Group (St. Louis, MO)
- …as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role assists ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- CVS Health (Annapolis, MD)
- …financial issues and competitor strategies, complex contracting options, financial/ contracting arrangements and regulatory requirements. + Medicaid Network ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- CVS Health (Tallahassee, FL)
- …with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical ... + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...costs through effective provider contracting to meet state contract and product requirements. +… more
- CVS Health (Helena, MT)
- …knowledge of provider financial issues and competitor strategies, complex contracting options, financial/ contracting arrangements, and regulatory requirements - ... or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and… more
- Point32Health (RI)
- …. **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part of a ... well as finding improvements) and ad hoc requests. The Senior Network Performance Analyst may also serve...for commercial business. + Works with other departments, including Network Contracting , Provider Settlement, Accounting, Trends and… more
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