- Molina Healthcare (Akron, OH)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... in Value Based Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets and recruits additional… more
- Molina Healthcare (Las Cruces, NM)
- …. * Identified as contract system lead by developing and maintaining provider contracts in contract management software. * Targets and recruits ... in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and… more
- Molina Healthcare (Riverside, CA)
- …Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Evaluates provider network and ... Joint Operating Committees, and delegation oversight. * In conjunction with Director, Provider Contracts , develops health plan-specific provider contracting… more
- Baptist Memorial (Memphis, TN)
- Overview Manager - Provider Relations Job Code: 22242 FLSA Status Job Family: ADMIN SUPPORT Job Summary Identifies, evaluates and negotiates contracting ... contract document control, and renewal process for payor contracts . Job Responsibilities + Identifies and evaluates managed care...and provider organizations and to expand the provider network. Analyzes contract opportunities utilizing … more
- Molina Healthcare (Warren, MI)
- …cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts , negotiates high priority ... Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Medical Mutual of Ohio (Dublin, OH)
- …of provider issues.** **Responsibilities:** Provider Contract Manager I . Prepares standard contracts , amendments, and extensions. With supervision ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...and external projects. . Performs other duties as assigned. Provider Contract Manager II .… more
- Molina Healthcare (Traverse City, MI)
- …contracting. * Identified as contract system lead by developing and maintaining provider contracts in contract management software. * Supports network ... network management and credentialing. **Job Duties** This role negotiates assigned contracts and letters of agreements with non-complex provider community… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager **...and a minimum of 5 years of experience with provider contracts , plan procedures, and policies; or ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager ** functions...large hospital systems joining the network including creating standard contracts for providers as needed. **How you will make… more
- CVS Health (Hartford, CT)
- …compassionate. We do it all with heart, every single day. We are seeking a **Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... testing processes, procedures, strategies, and automation tools for delivering high-quality provider contracts and pricing changes to our clients. **Key… more
- Avera (Minneapolis, MN)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans ... meet on-going business and client benefit needs and negotiate contracts with hospitals, clinics and physician groups service agreements....to join and remain in the network. + Maintain provider manual and policies and maintain contract … more