- WellSense (Boston, MA)
- …of data accuracy and integrity. . Foster seamless coordination with Contracting , Provider Enrollment, and Credentialing teams, ensuring absolute congruence ... Contracting Specialist WellSense Health Plan is a nonprofit...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- Elevance Health (West Des Moines, IA)
- ** Regional Vice President (RVP) Provider Solutions** **Location:** Des Moines, Iowa **Summary:** The Regional Vice President (RVP) of Provider Solutions ... will be responsible for strategic leadership over all provider engagement and contracting activity throughout Iowa, including cost of care and trend management… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity, (CPI), Division of Program ... Integrity Support Contracts (DPISC). As a Lead Contracting Officer Representative, GS-1101-14, you will serve as the Contracting Officer's Representative (COR)… more
- Humana (Stevens Point, WI)
- …across shared service and support functions. *Assist with network development and provider contracting with various providers and ancillary providers. *Serve as ... caring community and help us put health first** The Regional VP, Health Services will provide medical...Pharmacy, and MLTSS) according to the Humana Medicaid and Medicare Model of Care. *Participate in Quality/Population Health Operations… more
- Humana (Baton Rouge, LA)
- …relationships related to profitability. *Assist with network development and provider contracting with various providers and ancillary providers. ... of how organization capabilities interrelate across segments and/or enterprise-wide. The Regional VP, Health Services will provide medical leadership and… more
- Tufts Medicine (Burlington, MA)
- …throughout the greater Boston region. **What you will do:** Our new Director Regional Operations for Tufts Medicine Integrated Network (TMIN) reporting to the VP ... Reduction, you will serve as a partner and support to the Regional Executives, Clinical and Operational leads. Developing innovative solutions and interventions to… more
- Dr. Reddy's Laboratories (Remote, OR)
- …**Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of market access and reimbursement ... you will be a leader with the ability to execute a national and regional market access strategy that creates patient access. You will have primary responsibility for… more
- WellSense (Boston, MA)
- …procedures, workflows, and tools as they relate to network development and provider contracting ; . Represents the department and organization supporting internal ... . Interprets environmental (policy, contract, landscape, organizational) changes with contracting and provider impact. Guides internal response strategies.… more
- MetroLink (Los Angeles, CA)
- …supervise full-time or part-time staff and may be called on to provide mentorship to lower classifications. ESSENTIAL DUTIES AND RESPONSIBILITIES The duties listed ... drafting Board reports; and presenting to the Board of Directors. + Provide answers to contractors' questions regarding the bid process and other compliance… more
- CVS Health (Salt Lake City, UT)
- … provider and facility types. - Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/ ... settlement negotiations of contracts with larger and more complex, market/ regional /national based group/system providers in accordance with company standards to… more