• Provider Value Based…

    CVS Health (Phoenix, AZ)
    …and external customers. **Required Qualifications** . 5+ years of experience in value - based care in contracting , provider relations, provider ... provider relationships as part of the National Value Based Solutions Specialty Partnership team. You... contracting and clinical teams to create innovative value - based payment concepts. . Work with cross… more
    CVS Health (05/16/25)
    - Related Jobs

  • National Contracting Director

    Molina Healthcare (Scottsdale, AZ)
    …Care, and/or Provider Network Mgmt & Operations with an emphasis on value based provider contracting . **Required License, Certification, ... live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards… more
    Molina Healthcare (03/04/25)
    - Related Jobs

  • Associate Actuary - The Value…

    Humana (Phoenix, AZ)
    …business driven needs, and capacity for expansion focus on support of evaluations of value based contracting and reporting. Key focus on creating capacity ... a part of our caring community and help us put health first** The Value - Based Care Infrastructure Associate Actuary will play a crucial role in supporting… more
    Humana (05/14/25)
    - Related Jobs

  • National Contracting Director…

    Molina Healthcare (Chandler, AZ)
    …etc.) or equivalent experience **Required Experience** + 7+ years minimum experience in value - based care design or provider network strategy. + Experience ... **Job Description** **Job Summary** The National Program Director - Value - Based Care is a strategic leadership role...monitoring plans to track program performance, and iterate designs based on provider feedback, market dynamics, and… more
    Molina Healthcare (04/24/25)
    - Related Jobs

  • Director, Network Strategy (Marketplace) - REMOTE

    Molina Healthcare (Mesa, AZ)
    …hospitals, providers: or type of contract, such as fee for service or value - based contracting . **Knowledge/Skills/Abilities** * Leads the market's strategy ... may oversee the implementation and management of value - based arrangements * Recruits and ensures provider ...both hospitals and providers. * Knowledge and experience with value - based contracting . * In-depth knowledge… more
    Molina Healthcare (04/13/25)
    - Related Jobs

  • Director, Provider Contracting…

    The Cigna Group (Scottsdale, AZ)
    …Manages complex contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital systems, ... Providers AND several days work at Home_** The **Director, Provider Contracting Network Management** serves as an...strategy in the market. + Builds relationships that nurture provider partnerships and seeks broader value - based… more
    The Cigna Group (04/09/25)
    - Related Jobs

  • Counsel

    Humana (Phoenix, AZ)
    …risk adjustment and the Stars quality program + Experience in managed care and value - based contracting **Additional Information** As part of our hiring ... Please be aware that applicants may be asked to provide their Social Security Number, if it is not...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (05/01/25)
    - Related Jobs

  • Manager, Actuarial Services (Vbc) - Remote

    Molina Healthcare (Mesa, AZ)
    **JOB DESCRIPTION** **Job Summary** Manages a team responsible for supporting value - based contracting across the organization, including analysis of contract ... business development, financial projections, budgeting, and acquisitions. + Manage and provide technical guidance and leadership to Actuarial staff. + Review… more
    Molina Healthcare (04/30/25)
    - Related Jobs

  • Principal Strategist, Network Contracting

    Molina Healthcare (Phoenix, AZ)
    …Strategist, Network Contracting is responsible for overseeing the Marketplace provider contracting strategies and execution for their assigned regions. Leads ... equivalent combination of education and work experience + 7-9 years of healthcare provider contracting and strategy experience, and a strong understanding of… more
    Molina Healthcare (04/16/25)
    - Related Jobs

  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Phoenix, AZ)
    …+ 3 years Value - based reimbursement, through managed care contracting , provider reimbursement, consulting, population health delivery or related areas + ... current health care delivery state, readiness for change, test value based programming concepts and components, identify...programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3… more
    Highmark Health (03/04/25)
    - Related Jobs