- CVS Health (Concord, NH)
- …internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs ... + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements...through effective provider contracting to meet state contract and product requirements. +… more
- CVS Health (Carson City, NV)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee ... provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/… more
- Centene Corporation (Latham, NY)
- …located in NY or relocate. Relocation Assistance is available. **Position Purpose:** Oversee provider network and contracting related activities. Lead all ... degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous… more
- CVS Health (Springfield, IL)
- … Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... the provider network and to meet accessibility, quality...department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting … more
- The Cigna Group (Wauwatosa, WI)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- The Cigna Group (Mclean, VA)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- UCLA Health (Los Angeles, CA)
- …including 5 years in a senior leadership role within a health system, provider network , or health plan. Technical Skills: + Expertise in financial modeling, ... & Market Analysis * Continuously assess the competitive healthcare landscape, payer/ provider dynamics, and evolving reimbursement methodologies. * Provide … more
- Dignity Health (Bakersfield, CA)
- …a resource for all external clients (ie, Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) that provides contract ... from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network ...interpretation, clarification, or modification as required. - Provide initial review of provider proposals… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build your career ... contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting ...their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn.… more