- CVS Health (Concord, NH)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... the VBC Business Development team. You will work collaboratively across the Network organization to ensure speed to market and to support segment leaders with… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment models and quality ... with health plan operations, policies and procedures. + Contribute to the development of creative contracting strategies, reimbursement structures, networks, and… more
- Avera (Des Moines, IA)
- … network adequacy across all service areas and Assist the Vice President of Network Development , Provider Relations and Contracting in partnering with the ... how providers are contracted. The position serves as the primary source of network recruitment planning to...identify supplemental network providers and ideas for network development / contracting efforts to produce… more
- Elevance Health (Everett, MA)
- …management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... office. The **Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for… more
- Elevance Health (Seattle, WA)
- …management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... The **Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for… more
- Trinity Health (Columbus, OH)
- …MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations ... retaining MediGold Contracted Providers. This position serves as the primary point of contact for the Providers and will...onsite visits. + Collaborates with the Director - Provider Contracting and Network Development to… more
- Molina Healthcare (Atlanta, GA)
- …Plan Provider Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, ... VP, Network Strategy and Services is responsible for the development and implementation of enterprise-wide initiatives and projects to support robust provider… more
- Henry Ford Health System (Detroit, MI)
- …compliance with regulatory requirements and supporting the continuous improvement of Network contracting processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: . ... network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory requirements. . Excellent organizational and… more
- Elevance Health (Nashville, TN)
- …Manager Sr develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of this role is contracting ... high level of negotiation skills. Fee schedules are customized. Primary duties may include, but are not limited to:...limited to: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and… more
- Prime Therapeutics (Austin, TX)
- …a focus on Medicare Part D (eg, retail, mail, specialty). + Serve as primary contracting representative for assigned chain pharmacies and/or PSAOs for Medicare ... Network Consultant Principal - Remote **Job Description** The Network Management Consultant is responsible for development ...or GED is required + 8 years of provider network contracting and management, preferably within Pharmacy… more