- 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 (Frankfort, KY)
- …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
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work...equivalent experience + 5 or more years of progressive network management experience including hospital contracting and… more
- Corewell Health (Southfield, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership...Provider Contract Specialist to take ownership of affiliated network contracting . In this high-impact role, you… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst Senior **...improving the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...dental providers to become a Cigna PPO and/or DHMO network provider . + Explain plans, policies, and… more
- Health Care Service Corporation (Tulsa, OK)
- … / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment models, ... **Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level to enhance… 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
- The Cigna Group (Independence, OH)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more