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The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
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Resp & Qualifications
***Must Reside in the CareFirst Service area (MD-DC-VA)***
PURPOSE:
This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate and support all types of provider contractin...

LOCATION: Hybrid/Remote position aligned to the Tri-South Market. Must reside in either: Arkansas, Alabama or Mississippi,
The Manager, Network Management serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Director. This role assists in developing the strategic direction and management of the day to day contracting and network management act...

This position is responsible for contributing to the overall strategy and ensures the effective execution of Express Scripts (ESI) Pharma rebate contracts. This position has responsibility for several of the Pharmaceutical manufacturers for our Medicare, Commercial Government, LTC, and Managed Medicaid books of business as well as working with Ascent Health Services on our overall Commercial r...

We are seeking a Regional Vice President, Provider Contracting to join our team. You will be responsible for overseeing and driving provider contracting efforts within a designated region. You will play a pivotal role in developing strategic partnerships, negotiating contracts, and ensuring the financial success of our business units in the region.
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How you will make an impact
* Region...

The Provider Network Contractor serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations...

Healthcare Provider Network Contractor
EWINGS is seeking a healthcare professional that has a minimum of 5+ years of experience developing provider networks.
Our network contractors are responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process.
EWINGS is the leader in helping clients bui...

Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for acc...

Job Description
***Remote and must live in Michigan***
Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant fede...

Job Description
Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Respo...

***Remote and must live in Mississippi***
Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, stat...

LOCATION: Hybrid/Remote position aligned to the Tri-South Market. Must reside in either: Mississippi, Arkansas or Western Tennessee
The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities.
DUTIES AND RESPONSIBILITIES ...

EWINGS Network Contractors are typically responsible for leveraging provider targets and data surrounding network requirements to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process. These mid-level resources are adept at securing professional and ancillary individual providers and small groups. They are focused on executing the ne...

Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
Negotiates agreeme...

LOCATION: Hybrid/Remote position aligned to the Tri-South Market. Must reside in either: Mississippi, Arkansas or Western Tennessee
The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities.
DUTIES AND RESPONSIBILIT...

What are important things that YOU need to know about this role?
* We are open to level I, II and III candidates - specific qualifications are listed below
* The pay range listed at the bottom of this posting is for a level II candidate. This is an hourly position and the ranges are:
* Level 1: 20.32 - 30.48 per hour
* Level 2: 23.37 - 35.05 per hour
* Level 3: 30.07 - 45.1...

Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...