- The Cigna Group (Springfield, IL)
- …an integral member of the Network Development and Solutions Team and reports to the Medicare Provider Contracting Regional Vice President. This role is ... The ** Regional Medicare ** ** Provider Contracting Senior..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Humana (Albany, NY)
- …development + Leadership of approximately 250 associates focused in the areas of Provider Contracting , Provider Engagement and Quality, Risk Adjustment, ... Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, and business...Master's or JD degree + Record of success leading provider contracting and provider engagement… more
- Merck (North Wales, PA)
- …+ LTC + National and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting Team acts as a unique ... **Job Description** The Director, US Market Access Contracting sits within the National Contract Operations and...personnel for complex, integrated customers, including HP/PBM or Hospital/GPO Provider accounts who have a large national impact in… 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
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job is the primary liaison between strategically aligned provider groups in the Highmark Network. The incumbent will be responsible for ... cultivating relationships with these large, complex provider groups and entities, including ancillary provider networks, independent physician organizations and… more
- The Cigna Group (Bloomfield, CT)
- …Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Regional Network Access Lead. This role ... and Medicare Advantage products. Works closely with Contracting , Network Solutions, Network Operations, Provider Services,...+ Provide analytic and reporting support for regional provider network access build initiative projects.… more
- CVS Health (Sacramento, CA)
- …management, medical policy development, pharmacy management, quality improvement, population health, provider network development, provider contracting and ... Medicare ) and cost, delivering strategic network goals. Ensure all contracting efforts with hospital/ provider systems deliver appropriate outcomes **… more
- Takeda Pharmaceuticals (Boston, MA)
- …payer segments and provider offices + Development of pricing and payer contracting strategies for all Oncology brands + Oversight of all trade and distribution ... with Takeda will commence and that the information I provide in my application will be processed in line... & Medicaid Services [CMS]), Medicaid (state and managed), Medicare Part B regional carriers, Medicare… 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
- Scripps Health (San Diego, CA)
- …operational leadership in the development and execution of all types of payer contracting programs and provider partnership strategies for all lines of business ... to exercise independent judgment in the day-to-day management of the organization's contracting and managed care activities. * You will proactively support the… more