- 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
- Elevance Health (Washington, DC)
- …The ** Provider Network Management Director ** develops the provider network through contract negotiations, relationship development, and servicing ... ** Provider Network Management Director **...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Elevance Health (Tampa, FL)
- … Network Management Director ** is responsible developing provider networks through contract negotiations, relationship development, and servicing for ... ** Provider Network Management Director **...projects with significant impact. + May assist management in network development planning. + May provide work… more
- AmeriHealth Caritas (Manchester, NH)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage ... provider contracting policies are consistent with claim payment methodologies - Maintain provider network adequacy standards to meet the healthcare needs of… more
- 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
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Director of Network Value Analysis will lead the Value Analysis Committee (VAC) ... purchased Services initiatives utilizing the value analysis process. The Director will provide direction to all Value... direction to all Value Analysis teams across the Network , including acute care, physician group, ambulatory sites, and… more
- Humana (Springfield, IL)
- …the provider services model and execute on strategic initiatives within the provider network . + Represent Humana at meetings with the Illinois Department of ... health first** Humana Gold Plus Integrated is seeking a Director of Provider Services to lead a...provider claims submissions, and high-quality care delivery among network providers, resulting in improved financial and quality performance.… more
- Modivcare (Norton, VA)
- …Provider Relations Director to help establish compliance for the Transportation Provider Network within their assigned market. You will ensure ongoing ... network development and available contract rate capacity...all Provider Relations Managers/Coordinators. Reporting to the Network Regional Director , you will manage the… more
- 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
- Humana (Lansing, MI)
- …the provider services model and execute on strategic initiatives within the provider network . + Represent Humana at meetings with the Michigan Department of ... a part of our caring community and help us put health first** The Associate Director , Michigan Medicaid Provider Services leads a team that is accountable for… more