- Humana (Madison, WI)
- …of our caring community and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. ... The Provider Contracting Manager will oversee...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- The Cigna Group (Wauwatosa, WI)
- **This position will cover both Indiana and Wisconsin markets** The ** Manager , Provider Contracting ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager . This...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- St. George Tanaq Corporation (Madison, WI)
- Manager , Procurement and Contracting (Federal Contracts) Fully Remote*GA Job Type Full-time Description **Overview** St. George Tanaq Corporation (SGT), an ... its stock is not publicly traded. **Position Summary** We are seeking a ** Manager for Procurement and Contracting (Federal Contracts)** to lead the Procurement… more
- CenterWell (Madison, WI)
- …and performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... **Use your skills to make an impact** **Required Qualifications** + Pharmacy Benefits Manager (PBM) experience + Experience in pharmacy contracting , pricing, or… more
- Cardinal Health (Madison, WI)
- …and provider (s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity as it relates to payer ... interaction. Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies… more
- CenterWell (Madison, WI)
- …and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for ... put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Molina Healthcare (WI)
- …in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts… more
- Elevance Health (Waukesha, WI)
- …with the autonomy of remote work, promoting a dynamic and adaptable workplace. The Provider Network Manager Sr develops the provider network through contract ... degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. + Experience in fee schedule… more
- Molina Healthcare (Kenosha, WI)
- …with the Director, Provider Contracts, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... in the United States _** **Job Description** **Job Summary** Molina National Level Contracting jobs are responsible for accurate and timely maintenance of critical … more
- Molina Healthcare (Kenosha, WI)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more