- AmeriHealth Caritas (Washington, DC)
- …complex and escalated provider service issues, negotiate resolutions, and provide timely contract submissions and network maintenance. Additionally, Account ... **Role Overview** The Provider Network Account Executive II is...of Value-Based Contracting is highly desired + Knowledge of Dental Contracting is highly desired + Extensive knowledge of… more
- The Cigna Group (Los Angeles, CA)
- …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 Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- TEKsystems (Billings, MT)
- TEKsystems is seeking a Montana based Healthcare Provider Network Manager This is a 9-12 month W2 contract with high likelihood of long term extension and ... employer without the need for sponsorship. This role is not C2C eligible. Job Description Provider Network Manager. The individual we are looking for would be in… more
- Point32Health (VT)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- The Cigna Group (Plano, TX)
- …a highly motivated and innovative team member to join our growing and dynamic Network Analytics team as a Business Analytics Associate. In this role, you will ... support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of… more
- EAC Network (New York, NY)
- …time Clinical Director to join the Manhattan Community Re-Entry Assistance Network (CRAN) Program . Salary: $100,000-123,188/ Annually Schedule: Monday- Friday: ... needed. + Conduct drug testing on clients of the Program as needed. + Provide clinical support...may be eligible for the Public Service Loan Forgiveness program . At EAC Network , you are part… more
- EAC Network (Bronx, NY)
- …- Community Transitions Case Management within our Bronx Community Re-Entry Assistance Network Program Are you passionate about supporting Behavioral Health & ... Case Manager to join the Bronx Community Re-Entry Assistance Network (CRAN) Program . + Salary: $28.93 per...applying for and receiving public and private benefits and provide linkages to the appropriate community providers. + Maintain… more
- St. Luke's University Health Network (Easton, PA)
- …our PCA's to provide top quality care to our patients. The Network Float (Central Staffing) PCA is an experienced professional motivated by the challenge of ... every situation. The St. Luke's Central Staffing Department provides support to the Network Campuses as necessary to ensure appropriate staffing levels which allow… more
- St. Luke's University Health Network (Easton, PA)
- …situation. The St. Luke's Central Staffing Department provides support to the Network Campuses as necessary to ensure appropriate staffing levels which allow our ... nurses to provide top quality care to our patients. The Central...providing care to patients in nursing settings across the network . This professional must posses a multi-disciplinary skill set… more
- The Cigna Group (Bloomfield, CT)
- …that supports Dental network growth and retention including all dental provider contracting activities for specified markets. Ability and willingness to ... degree or 3+ years of experience in provider services/relation and/or contracting/ network development. + Prior Dental Experience preferred + Strong verbal… more
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