- The Cigna Group (Plano, TX)
- …market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is...in lieu of a bachelor's degree. + **5+ years Medicare experience required.** + **5+ years Contracting … more
- The Cigna Group (Nashville, TN)
- …Advantage stakeholders for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates and ... + Leads the planning and implementation of enterprise-wide initiatives related to provider contracting strategy, affordability, and network design and regularly… more
- Arvinas (New Haven, CT)
- …Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and ... executing the pricing and contracting strategies to support the launch of Arvinas's portfolio....and delivery of market insights that inform payer and provider customer strategies, tactics and product forecasts. + Lead… more
- Merck (North Wales, PA)
- **Job Description** The Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers ... companies for our Company's commercial and government business. The Director , US Market Access Contracting reports to...and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting… more
- The Cigna Group (Bloomfield, CT)
- …** Medicare Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is ... NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment....Contract negotiations, required** + 8+ years of experience in provider , client and customer relations, contracting or… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other ... to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting , claim payment,… more
- Molina Healthcare (Long Beach, CA)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- The Cigna Group (Atlanta, GA)
- …Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). Reporting ... work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of...to the Network Operations Senior Manager or Director , this individual ensures the effective performance management of… more
- The Cigna Group (Maitland, FL)
- …Health Services, Clinical, Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). ... Reporting to the Provider Performance Director , the Provider ...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- Hartford HealthCare (Wethersfield, CT)
- …practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual ... In this role, this individual partners with the Sr Director and management team to create and maintain database...experience desired . Preferred knowledge regarding current and evolving provider payment methodologies with a focus on hospital and… more