- St. Luke's Health System (Boise, ID)
- **Overview** The Manager , Payer Relations & Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, ... system level approvals. As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to internal stakeholders and the… more
- Centene Corporation (Trenton, NJ)
- …related field or equivalent experience. Master's degree preferred. 5+ years of contracting , network development and/or provider relations experience. Project ... for specific network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value,… more
- Elevance Health (Topeka, KS)
- **LTSS Provider Network Manager , Contracting **...degree and a minimum of 3 years' experience in contracting , provider relations , provider ... live within 50 miles of an Elevance Health PulsePoint office location. The **LTSS Provider Network Manager , Contracting ** develops the provider network… more
- CVS Health (Columbus, OH)
- …customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations , provider operations and/or ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- TEKsystems (Honolulu, HI)
- …and duties as assigned. Skills + Negotiation skills + Account management + Provider relations + Provider service + Contract negotiation Additional ... ensure proper implementation and administration. + Work with departments to ensure provider contracts meet requirements and provide quality, affordable care.… more
- Henry Ford Health System (Troy, MI)
- …Five (5) years in the healthcare industry, including at least two (2) years Payor contracting experience, provider relations , finance, or related field. * Or ... (8) years in the healthcare industry, including at least four (4) years Payor contracting experience, provider relations , finance, or related field. *… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... wide variety of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient… more
- Molina Healthcare (Joliet, IL)
- …contracts. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to ... results. * Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates… more
- Novo Nordisk (Plainsboro, NJ)
- …HEOR, Commercial Pipeline, Field Sales, Account Management, Analytics, Investor Relations , Value Communication and Contracting Strategy colleagues across ... product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Provider Relations Representative ( Provider Engagement Professional 2) is responsible for ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more