- Commonwealth Care Alliance (Boston, MA)
- …preferred. - 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. ... the provider relations team. Cross-Functional Collaboration - Work closely with network contracting , credentialing, claims, IT, customer service, compliance, and… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, workflows, and correspondence. - Supports provider relations and provider contracting leaders in the design and implementation of successful methods for ... with providers. Ensures integration of utilization management functions with network strategy, vendor relationship management and claims processing. Works closely… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... quality performance across CCA's contracted network , with a focus on value-based arrangements and ...and Quality teams to identify quality metrics that align contracting efforts for efficiency and effectives with alternative payment… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Improvement** + Work collaboratively with internal departments-including Clinical Operations, Contracting , Network Management, Utilization Management, and Business… more
- Commonwealth Care Alliance (Boston, MA)
- …Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions around ... satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: +… more
- Point32Health (MA)
- …who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development, ... and close network gaps. + Collaborate with Enterprise Allied Health Contracting to ensure allied health and BH/SA networks and payment terms support Medicare… more
- Beth Israel Lahey Health (Wakefield, MA)
- …a difference in people's lives.** Position Summary: Partner with the Executive Director , Contracting to manage key divisional initiatives that support Managed ... Care Contracting . The Contracting Program Manager will be...levels of collaboration, integration, and communication across the Performance Network . **Job Description:** Essential Duties & Responsibilities including but… more
- Manulife (Boston, MA)
- …objectives. + Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable ... providers to our customers when they need it. The Director , Provider Network Development & Relationship Management,...related field preferred + 8 -15+ years in provider network management, healthcare contracting , or payer strategy… more
- Prep Network (Fitchburg, MA)
- …that create long-lasting memories for prep athletes What You'll Do As an Event Director with Prep Network , you'll take the lead in delivering high-quality, ... both on-site and behind the scenes. As the Event Director , you'll be the driving force that brings together...Why Contract with Prep Network At Prep Network , we take pride in contracting talented… more
- Commonwealth Care Alliance (Boston, MA)
- …preferred. * 10+ years of experience in provider relations, contracting , or network operations, including 3-5 years in a director or senior management role. ... the provider relations team. Cross-Functional Collaboration * Work closely with network contracting , credentialing, claims, IT, customer service, compliance, and… more
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