- CVS Health (Baton Rouge, LA)
- …strategy for direct to employer arrangements and Value Based Care initiatives. As our Network Performance Manager , you'll be responsible for network product ... + Collaborates cross-functionally to ensure optimal implementation of large provider systems. + Support our custom network ...large provider systems. + Support our custom network capability requests and all other general network… more
- ChenMed (Jacksonville, FL)
- …team. The Network Representative is responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care services to our ... providers. This individual will use database systems to manage provider data and produce reports and analysis for the...service levels and quality. Leads a quarterly meeting National Specialty Directors and Network Director to review… more
- CVS Health (Columbus, OH)
- …Manager , Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as ... . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing relationships with… more
- Health Plans, Inc. (Westborough, MA)
- …and hours of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on ... specialty care resources. + Member Education: Educate members about their provider network options, including in- network providers, specialist access,… more
- Elevance Health (Cincinnati, OH)
- Provider Network Manager (Contract Negotiations) JR149075 **Location:** This position will work in a hybrid model (remote and office). The ideal candidate ... Coast business hours and the other will preferrably work Central Time business hours. The ** Provider Network Manager ** develops the provider network … more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Central Region States of the USA_** The **Central Region Healthcare Provider Network Lead Analyst** serves as an integral member of the ... assigned markets. + Lead regional market research relating to competitor provider network participation status, competitor product development, regulatory… more
- University of Virginia (Charlottesville, VA)
- The Pharmacy Manager , Specialty Pharmacy Medication Access Services is responsible for leading, optimizing, and scaling UVA Health's centralized specialty ... collaborate closely with clinical teams to support UVA Health's rapidly expanding specialty pharmacy footprint. The position will also drive performance in alignment… more
- Molina Healthcare (Dallas, TX)
- …and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of...* 5-7 years previous experience in contracting with large specialty or multispecialty provider groups. * 3+… more
- Avera (Des Moines, IA)
- …Avera Health Plans objectives for performance, network adequacy and accessibility of provider specialty types; and develop and implement a network ... providers, the organization and its customers. Responsibilities include driving AHP's provider network expansion efforts, performing detailed market analysis and… more
- Mitsubishi Chemical Group (Des Moines, IA)
- **Account Manager - Specialty Chemicals (1975)** + Title:Account Manager - Specialty Chemicals + Group Company: Gelest Inc + Location:Remote Group Company: + ... to the current listing of several thousand materials. Job Purpose The Account Manager - Specialty Chemicals will manage and further position Gelest technical and… more