• Provider Network Contracting

    CVS Health (Trenton, NJ)
    …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 (03/05/25)
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  • Network Account Manager

    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
    Healthfirst (01/15/25)
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  • Senior Manager , Network

    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
    Blue Cross Blue Shield of Massachusetts (01/30/25)
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  • Provider Network Manager Sr…

    Elevance Health (Columbus, GA)
    Provider Network Manager Sr - Value-Based Contracting (JR142923) **Location:** Candidates must reside within 50 miles and 1-hour commute each way of one ... role being 1 day in office per week. The ** Provider Network Manager Sr.** is...duties may include, but are not limited to: + Provider recruitment and contracting to support successful… more
    Elevance Health (03/13/25)
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  • Director, Provider Network

    The Cigna Group (Cleveland, OH)
    …Providers. 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 (02/19/25)
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  • Senior Provider Network

    CVS Health (Lansing, MI)
    …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... more personal, convenient and affordable. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
    CVS Health (03/04/25)
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  • Manager , Provider

    The Cigna Group (Glendale, CA)
    …**_OCATION:_** **_HYBRID_** **_position aligned to the Glendale/Los Angeles, CA market._** The ** Manager , Provider Contracting ** 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 (03/04/25)
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  • Manager of Provider Relations…

    Greater Lynn Senior Services (Lynn, MA)
    …life challenges + Employee referral bonuses of up to $1,000 Position Overview: The Manager of Provider Relations and Contracting is responsible for building, ... with GLSS for access to community-based social services. Position Responsibilities: The Manager of Provider Relations and Contracting must collaborate… more
    Greater Lynn Senior Services (03/11/25)
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  • Provider Contracting Lead Analyst…

    The Cigna Group (Providence, RI)
    …that live in MA, RI and ME._** **_Preferred office location: Newton, MA_** 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 assists and supports the day to day contracting and … more
    The Cigna Group (03/04/25)
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  • Network Development and Contracting

    CVS Health (Concord, NH)
    …processes and interdependences are identified and addressed. + Provides network development/expansion, provider relationships, and refinement activities in ... Internal Aetna system knowledge a plus + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
    CVS Health (03/12/25)
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