- The Cigna Group (Walnut Creek, CA)
- …Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- CVS Health (TX)
- …competitor strategies, practices, and financial/ contracting arrangements. * Knowledge of ancillary contracting , ie DME, Lab, Infusion, Home Health, Urgent ... Matter Expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems and information contained.… more
- CVS Health (CO)
- …And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical ... with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy and… more
- The Cigna Group (Jersey City, NJ)
- …lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** **Hospital/ Provider / Ancillary ** **group experience ... into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an... Contracting Team and reports to the Contracting Manager or Market Lead. This role… more
- AdventHealth (Maitland, FL)
- …issues internally, as well as at the payer and the practice. + Supports ancillary contracting and operation services by auditing and analyzing data, verifying ... Responsible for credentialing systems including applications and credentialing for various ancillary groups and specialties for which contracting services are… more
- Hartford HealthCare (Hartford, CT)
- …payer contracting analytics with a focus on hospital and ancillary . Reviews and monitors contract/payer performance including payer parity. Compares expected ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- Molina Healthcare (Jackson, MS)
- …must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts… more
- Centene Corporation (Queens, NY)
- …customized provider contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations in foreign ... and prepare departmental budget + Initiate and execute standard physician and ancillary provider contracts + Coordinate all pre-contract activities with… more
- Molina Healthcare (GA)
- …are responsible for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on… more
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