- CVS Health (Lansing, MI)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
- CVS Health (Annapolis, MD)
- … options, financial/ contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- CVS Health (Columbus, OH)
- …impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing ... with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager, Value Based Contractor who will partner with business development and … more
- Albany Medical Center (Albany, NY)
- …other related departments. The Director builds external relationships with payers' senior network management, leads meeting, oversees and/or prepares ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- Providence (Irvine, CA)
- …and litigation, and advising on legal issues affecting Providence's clinical network . **Key Position Responsibilities:** + Payor Contracting & Reimbursement ... + Translate complex legal and reimbursement issues into clear, decision-ready guidance for senior leaders. + Providence Clinical Network : + Provide legal support… more
- Molina Healthcare (Rochester, NY)
- …on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation… more
- Molina Healthcare (NM)
- …on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation… more
- Integra Partners (Troy, MI)
- The Senior Medical Director ( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is ... business hours, with additional availability as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s),… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network management… more
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