- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Centene Corporation (Raleigh, NC)
- …goals and metrics for the network + Identify and develop provider networks through collaboration with various contracting departments + Participate in ... years of provider recruitment, contracting , contract analysis, or provider relations experience. Must be knowledgeable of network development processes,… more
- Elevance Health (Chicago, IL)
- Provider Network Manager Sr - Contracting (JR141375) **Location** : St. Louis or Chicago preferred. Qualified candidates must reside within 50 miles and ... to travel in the state of Illinois preferred. The ** Provider Network Manager Sr** ....degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks and contracts, including ... action plans and successfully implement them. + Maintain a comprehensive provider network (hospitals, physicians, ancillary) and ensure efficient standard… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment models and quality ... as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio...health care finance or policy experience, with 5+ years provider or payer contracting and negotiation experience… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage ... business (Medicare, commercial etc.). + Manages contract performance in support of network quality, availability, and financial goals and strategies for all lines of… more
- CVS Health (Augusta, ME)
- …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... including those identified by the provider , and those identified internally that have an impact...providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement… more
- The Cigna Group (San Diego, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role ... strategic direction and management of the day to day contracting and network management activities for a...and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities… more
- The Cigna Group (Tampa, FL)
- …- will need to work in the office or visit Providers 3 days per week** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more