- Pacific Medical Centers (Renton, WA)
- …concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:** ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… more
- Leidos (Washington, DC)
- …Digital Modernization Sector at Leidos currently has an opening for a Senior Network Engineer supporting the HEITS Contract as part of the Department of ... selected candidate will be responsible for the following: Support the ITP network infrastructure, perform all routine maintenance activities, provide guidance on… more
- Chenega Corporation (Melbourne, FL)
- …the shared PMO services, Astraeus offers highly competitive labor rates to fulfill day-to-day contract operations. The ** Senior Network Engineer II** will be ... **Req ID:** 36781 **Summary** ** Senior Network Engineer II** **Melbourne, FL**...availability of INL/A Management Information Systems. This role will provide network engineering support to the Department… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability ... projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +...direct reports + Experience in developing and managing key provider relationships including senior executives + Knowledge… more
- Elevance Health (Atlanta, GA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult Senior /...improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... granted as required by law. The ** Provider Contract Cost of Care Analyst Senior ** is...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… 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 ... required by law._ The ** Senior P** **rovider Network Manager** is responsible for developing the provider... Network Manager** is responsible for developing the provider network through contract negotiations,… more
- CVS Health (TX)
- …it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management:** * Negotiates, executes, conducts high level ... contracting, provider issues/resolutions, related systems and information contained. * Provide guidance and share expertise to others on the team. *… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... equivalent education and experience + 5 years of relevant experience of either provider network management experience, health care insurance or other health care… more
- CareFirst (Baltimore, MD)
- …and methodologies for negotiations of ONN and contracting with the provider . This includes negotiations, credentialing, financial quantification, network ... and support ONN process and, as appropriate, work with Provider Contracting to encourage the non-participating provider ...and gain consensus with other internal areas affected by network changes. + Provide ongoing network… more