• Director , Provider Contract…

    The Cigna Group (Cleveland, OH)
    …to Market Providers. Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management** serves as an ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
    The Cigna Group (02/20/25)
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  • Lead Director Provider…

    CVS Health (Columbus, OH)
    …terms and conditions. + Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating ... + Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of...A minimum of 10 years professional work experience in provider network management. + A minimum of… more
    CVS Health (04/25/25)
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  • Director of LTSS Provider Relations

    Elevance Health (Independence, OH)
    …will be responsible for spearheading the development and maintenance of the LTSS provider network , ensuring robust network demographics, and leading the ... overall network 's effectiveness (internal company title is ** Director Network Relations** ) **How will you...+ MBA preferred. + Applicants with proven expertise in provider contract interpretation and negotiation are strongly… more
    Elevance Health (04/23/25)
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  • Director , Network Strategy…

    Molina Healthcare (Akron, OH)
    …team who develop, negotiate, contract and enhance collaborative provider relationships, ensuring overall network competitiveness and profitability within ... Leads the market's strategy and planning in the successful development of the provider network , including development, contracting and management of provider … more
    Molina Healthcare (04/13/25)
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  • Program Director

    Pearl Interactive Network (Columbus, OH)
    …Interactive Network is actively sourcing passionate and dynamic **Program Director (PD)** to Join Our Talent Community and spearhead future program operations. ... As a **Program Director ,** you'll take charge of managing the overall operations and daily activities of critical contracts. Serving as the primary liaison for… more
    Pearl Interactive Network (04/26/25)
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  • National Contracting Director

    Molina Healthcare (Cleveland, OH)
    … Network Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and ... the department's strategic goals and organization. * Oversees the maintenance of all provider contract information and provider contract templates… more
    Molina Healthcare (03/04/25)
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  • Provider Contracts Manager

    Molina Healthcare (Cleveland, OH)
    …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... knit proximity ongoing after contract . * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including… more
    Molina Healthcare (04/04/25)
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  • Manager, Value-Based Provider Contracts

    Molina Healthcare (Cincinnati, OH)
    …models in concert with Director . * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network ... States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare… more
    Molina Healthcare (04/16/25)
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  • Manager, Provider Contracts

    Molina Healthcare (Dayton, OH)
    …models in concert with Director . * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network ... management and credentialing. **Knowledge/Skills/Abilities** * In conjunction with the Director , Provider Contracts, develops health plan-specific provider … more
    Molina Healthcare (04/17/25)
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  • Director of Sales & Partnerships - enGen

    Highmark Health (Columbus, OH)
    **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling...+ Lead Generation: Work with industry partners, leverage industry network , use cold calling and AI powered lead generation… more
    Highmark Health (04/19/25)
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