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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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Central Coast Salary Range: $120,970 - $181,455
Job Summary
The Senior Financial Analyst - Provider Contracts independently performs complex financial modeling, reimbursement rate development, and provider contract change analysis for Medicaid Managed Care & Medicare Advantage D-SNP Plan. This role utilizes advanced SQL, claims data analysis and financial modeling techniques to assess the finan...

Job Description
Excellent compensation and benefits package available for the right candidate. West coast Health carrier is seeking a talented Actuarial Analyst III - Provider Contracting. This individual will work on complex financial analysis projects, through forecasting, risk assessment, and statistical & regression analyses. The ideal candidate would be a student actuary or ASA with 3+ yea...

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
40
Compensation:
Salary Range: $21.50 - $34.50
Union Position:
No
Department Details
Summary
Works in cooperation with the Provider...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this f...

CareSource Military & Veterans (CSMV) is dedicated to improving health care access and delivery for veterans and military families in service to our nation.
Job Summary:
The Provider Engagement Specialist III is responsible for provider contracting services, provider assistance and acts as the engagement lead for high value, strategic health partners.
Essential Functions:
* Execute the qual...

Job Description
UWMEDICINE CONTRACTING & PAYER RELATIONS has an outstanding opportunity for a PAYER RELATIONS SPECIALIST.
WORK SCHEDULE
* Full-Time - 100% FTE
* Hybrid Schedule
POSITION HIGHLIGHTS
* Support payer relations operations through research, analysis, and coordination of managed care contracting activities.
* Assist with drafting, reviewing, and maintaining contract ...

About Altais:
At Altais, we're on a mission to improve the healthcare experience for everyone-starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.
Altais includes a network of...

Provider Network Strategy Specialist
Department: Value-Based Care Programs
Employment Type: Full Time
Location: Virginia, USA
Reporting To: Yvette Hemeng
Compensation: $70,000 - $80,000 / year
Description
The Provider Network Strategy Specialist is responsible for analyzing, developing, and executing network development strategies to support the growth and optimization of the organization's Val...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...

Overview
Come join a company that strives for Extraordinary People and Exceptional Performance! Chenega Government Mission Solutions, LLC, a Chenega Professional Services' company, is looking for a Contract Specialist III to support the Division of Acquisition Management (DAM) at the Phoenix Area Office (PAO) The Indian Health Service (IHS), an agency within the Department of Health and Human S...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Create contracts and manage the contracting process for new business opportunities, prepa...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact,...

About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagem...

AllOne Health is in the business of care; and service is what matters most.
As a leader in workplace behavioral health, we've proven that a company's success is directly linked to the health and well-being of their employees.
By joining our team, you will make a difference in the lives of our clients and their communities. The meaningful work that we do includes counseling, providing work-life ...

Job Description
JOB DESCRIPTION Job Summary
Provides analyst support for configuration oversight activities. Responsible for accurate and timely implementation and maintenance of critical information on claims/provider databases, validating data housed on databases and ensuring adherence to business and system requirements of customers as it pertains to provider contracting, network management,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Provider Relations Analyst Sr (Contract Negotiation) - RemoteJob Description
The Provider Relations Analyst Sr is responsible for contracting effor...

Location: Remote (East Coast / Southeast preferred) | Reports to: CEO | Travel: ~50% (variable)
About Movn Health
Movn Health is redefining how people recover from heart disease. As the nation's leading virtual cardiac rehabilitation and cardiovascular care provider, our mission is to help every person live a longer, stronger, and more confident life after a heart event. Developed in collaborat...

Job Description
JOB DESCRIPTION
POSITION SUMMARY:
Performs research and analysis of complex healthcare claims data, pharmacy data, and contract data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and operations reports and makes recommendations based on relevant findings.
This position is responsible for proactively ident...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...