- CVS Health (Trenton, NJ)
- …formulate, and implements the provider network strategic plans to achieve value -based contracting targets and manage medical costs through effective value ... based provider agreements. + In charge of complete value based contracting cycle from planning, creating...Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3… more
- Centene Corporation (Carson City, NV)
- …Oversee all activities of the contracting department + Develop and implement a network development plan for an assigned region and set of providers and ... managed care, State and/or Federal health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:**… more
- The Cigna Group (Los Angeles, CA)
- …market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES… more
- Point32Health (NH)
- …payment policies and methodologies. Utilize this knowledge to refine and advance network development and performance. Contract Negotiation and Management + ... and key stakeholders. Participate in/chair leadership meetings concerning provider strategy, network development and other issues. Talent Management and Team… more
- Elevance Health (FL)
- …is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... focus of this role is contracting and negotiating contract terms. Typically works with the...large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas… more
- CVS Health (Harrisburg, PA)
- …the end-to-end contracting process to ensure timely participation in our network . The position requires a high volume of cold calls, persistent follow-up, and ... group/system providers. Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Actuary - Value Based Contracting Location: Hybrid | Eagan, Minnesota Career Area: ... Responsibilities * Accountable for modeling the structure and outcomes of various value -based contracting (VBC) arrangements and enablement strategies to support… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …initiatives. Over the next 12-18 months, this position will focus heavily on the development of our US pricing and contracting strategy and drive organizational ... + Lead the development and execution of comprehensive US pricing and contracting strategies for Kite's CAR-T portfolio + Serve as a subject matter expert (SME)… more
- Albany Medical Center (Albany, NY)
- …included payer contracting - preferred + Hospital, physician group and value -based enterprise financial acumen + Demonstrated leader of people and manager of ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- The Cigna Group (St. Louis, MO)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more