- 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 ... more personal, convenient and affordable. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… 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 ... process of developing proposals, negotiating terms, and accurately drafting and finalizing contracting language and financial rates. A successful Senior Contract… more
- Centene Corporation (Springfield, IL)
- …one who changes everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects ... degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous… more
- 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 (St. Louis, MO)
- …is responsible for consulting with cross-functional partners and clients on pharmacy network contracting initiatives in order to drive contract negotiations and ... and Finance and external Independent Providers. + Manages strategic positioning for provider contracting and assists with development of networks. + Contributes… 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
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... the provider network and to meet accessibility, quality...department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting … more
- VNS Health (Manhattan, NY)
- … capacity and regulatory requirements.* Provides leadership and oversight for assigned provider network contracting , including negotiation of contracts done ... Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of… more
- Greater Lynn Senior Services (Lynn, MA)
- …requirements as an AGE-designated ASAP. Additionally, they will ensure that the provider network meets other contractual requirements with organizations such as ... is responsible for building, managing, and monitoring a comprehensive network of quality direct care providers capable of meeting...(ASAP) with knowledge of home care policy, procedure, and provider contracting preferred. Hours: Full Time 40… more
- 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