- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- 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 ... and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception… more
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting . This role is a key ... Compliance, Sales and Marketing and Service + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately… more
- CVS Health (Austin, TX)
- …convenient and more compassionate. And we do it all with heart, each and every day. ** Senior Manager, Provider Contracting - Role Summary** The Senior ... is responsible for driving value-based care initiatives, expanding and optimizing the provider network , and ensuring all activities align with company standards… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... Behavioral Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve… more
- The Cigna Group (Cleveland, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager. This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- RWJBarnabas Health (West Orange, NJ)
- …and value-based contracts, including commercial and government payor agreements, provider network participation agreements, third-party administrator contracts, ... Senior Counsel / Assistant Vice President, Legal Affairs,...contracting , health plan operations, and regulatory frameworks governing provider -payer relationships + Demonstrated ability to negotiate high-stakes contracts… more
- Ascension Health (Tulsa, OK)
- …provider relations, or network management + Strong knowledge of provider compensation models, health care contracting , and physician on-boarding best ... Direct business development strategic business operations. + Organize operations to provide high quality cost effective services. + Responsible for building… more