- Sanford Health (Sioux Falls, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a ... comprehensive network of affiliated healthcare providers across the Sanford Health...Sanford Health Plan membership. Oversees development and execution of provider contracting strategies. Identifies and creates processes… more
- Point32Health (Canton, MA)
- …**Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider networks ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- Centene Corporation (Jefferson City, MO)
- …Purpose:** This role will be a leader on the team responsible for building, contracting , and managing the provider network for Ambetter Health Solutions ... - Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint -… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes physician, hospital, ... agreements for an organization that provides health insurance. The Director , Provider Contracting requires an...May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director ** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Corewell Health (Grand Rapids, MI)
- …critical to Network Development. Essential Functions + Directs the requisite provider contracting and network development activities within his/her ... provider contracting initiatives. + Develop and maintain a comprehensive provider network (hospitals, physicians, ancillary) to deliver a full range of… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- … Contracting and is responsible for developing and executing US payer and provider contracting strategies, tactics, and initiatives in partnership with the US ... fulfil their aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Director , US CAR-T Pricing & Contracting ** reports to the Head of… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Point32Health (Canton, MA)
- …utilized by Point32Health to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...of financial and legal terms. The Manager, Allied Health Contracting will work closely with the Director ,… more