- Centene Corporation (Carson City, NV)
- …with Corporate, health plan, and state guidelines. + Oversee all activities of the contracting department + Develop and implement a network development plan for ... financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and… more
- CVS Health (NY)
- …**_**This is an individual contributor role**_** **Position Summary** The Sr. Manager , Value-based Contracting is responsible for establishing and maintaining ... guidelines for value based provider agreements. + Helps formulate and implement network strategic plans to achieve value-based contracting targets and manage… more
- CareFirst (Baltimore, MD)
- …stakeholders. Manages the ONN offer process and works with the Regulatory Operations Manager and Network Contracting to develop strategies and methodologies ... NSA IDR process that is consistent with the CareFirst Network strategy. Work closely Network Contracting... network management support to the Regulatory Operations Manager , Networks Management and senior management, on… more
- The Cigna Group (Mclean, VA)
- …integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... **LOCATION:** **Virginia, Maryland or Washington, DC** This ** Manager , Hospital Contracting ** serves as an...direction and management of the day to day contracting and network management activities for a… more
- CVS Health (VT)
- …And we do it all with heart, each and every day. **The Medicaid Senior Manager , Network Management:** + Negotiates, executes, conducts high level ... meeting network adequacy requirements. **Required Qualifications** + 5+ years of network contracting /management experience. + Ability to travel as needed. +… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... an accommodation is granted as required by law._ The ** Senior P** **rovider Network Manager **...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- CVS Health (MD)
- …financial issues and competitor strategies, complex contracting options, financial/ contracting arrangements and regulatory requirements. + Medicaid Network ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- CVS Health (CO)
- …more compassionate. 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 Pharmacy and support Network Management with external questions on Medical Pharmacy. You...will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy and pricing.… more
- Criterion Systems (Washington, DC)
- …Veterans to apply. Responsibilities We are looking to hire aMaritime Network Engineer SMEto support our US Department of Transportation customer inWashington, ... PA! Duties, Tasks & Responsibilities + The successful candidate will provide IT Network Engineering Support for the Office of Maritime Security and National Security… more
- Elevance Health (Mason, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare ... **Shift & Hours:** Monday-Friday, 8:00 AM - 5:00 PM Eastern Time The ** Network Relations Consultant Senior ** (Value-Based Program Specialist) is responsible for… more