Director, Provider Reimbursement & Contracts
Jefferson Health Plans
Health Partners Plans, Inc. in Philadelphia, PA, seeks a Director who will lead the Provider Reimbursement and Contract Analysis function, developing reimbursement strategies, payment methodologies for a large provider network, and overseeing end-to-end reimbursement operations. The role requires a Bachelor's degree with 10+ years in managed care, knowledge of Medicaid and CMS Medicare methods, and a track record in financial modeling and contract negotiations. #J-18808-Ljbffr Jefferson Health Plans
- ...come to work being proud of what you do every day. The Director of Provider Contracting is responsible for contracting a comprehensive provider... ...negotiate contracts in compliance with company templates, reimbursement struct standard and other key process controls. Manage...ReimbursementContract workWork at officeFlexible hours
- Job Details The Director, Provider Reimbursement and Contract Analysis is responsible for developing reimbursement strategies and methodologies, network reimbursement / financial analyses, and related reimbursement operations. The position is responsible for oversight of...ReimbursementDaily paidFull timeContract workTemporary workPart timeFlexible hoursShift work
$198.72k - $260.82k
...we're Oscar. We're hiring a Senior Director to join our Network Contracting.Oscar is the first health... ...for developing and managing complex provider network strategies, negotiating complex... ...issues related to contract terms, reimbursement, and network participation.Ensure...ReimbursementFull timeContract workWork at officeLocal areaFlexible hours$218.59k - $286.9k
Hi, we're Oscar. We're hiring a Senior Director to join our Provider Experience team. Oscar is the first health insurance company built around... ...life and disability insurance, and paid wellness time and reimbursements. Responsibilities Develop deep framework and measures...ReimbursementFull timeWork at officeFlexible hours$218.59k - $286.9k
Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our Network & Provider Management team. Oscar is... ..., including claims, provider data, network operations, reimbursement, utilization management, payment integrity, and provider...ReimbursementFull timeWork at officeFlexible hours- CVS Health is seeking an experienced professional to lead daily activities and implement strategies for dental provider recruitment and contracting of dentists, dental groups and DSOs, including ground campaigns in targeted territories. This full-time role requires 5+...Full timeWork at office
- The Cigna Group is seeking a Provider Contracting Advisor (Director, Network Management) for a remote position, preferably residing in Mississippi.... ...managing provider relationships, and negotiating value-based reimbursements with healthcare providers. Qualified candidates should...ReimbursementRemote job
- Humana is seeking a Provider Contracting Executive to initiate, negotiate, and execute contracts with physicians, hospitals and other providers... ...role involves communicating terms, payment structures and reimbursement rates, as well as analyzing financial impact and...ReimbursementRemote jobContract workWork from home
$175k - $195k
...data, and media. Our business provides strategic leadership to... ...their marketing spend. The Director will manage a team and assist... ...Furthermore, they do not establish a contract for employment and are... ...assistance programs, and fitness reimbursement.SummaryLocation: New York,...ReimbursementFull timeContract work$120k - $155k
...League Soccer is seeking a Director, Creators to lead the league... ...frameworks for creator onboarding, contracts, content approvals, and... ...needs. We are committed to providing a Total Rewards package that... ...vision coverage, a $500 wellness reimbursement, and generous Holiday and...ReimbursementWork at officeLocal areaRemote work1 day per week$140k - $165k
...Creation - 45% | Outreach: 10% The director for Growth supports the EVP... ..., they do not establish a contract for employment and are... ...competency-based hiring approach. We provide a competitive total rewards... ...programs, and fitness reimbursement.SummaryLocation: New York, New...ReimbursementFull timeContract workNight shiftWeekend work$125 per hour
About the Role As a Provider Partnerships Associate (PPA), you’ll help grow a provider referral territory by building strong partnerships... ...leadership and collaborative team environment Mileage reimbursement at IRS standard rate $65/month cell phone reimbursement $12...ReimbursementFull timeWork at officeLocal areaWork from home$170k - $185k
Director, Agency Partnerships - NORAM (Pod Lead)Smartly.io is hiring... ...from early signal through contract executionAgency Leadership &... ...disciplineInspect deals, provide hands-on coaching, and raise... ...SmartliesWellness benefit & learning reimbursement opportunitiesVolunteer time...ReimbursementContract workWorldwide$198k - $264k
...00M+ levelStrong command of commercial contract structures including LTAs, volume commitments... ...AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee... ...through Spring Health Family-Forming support provided by CarrotPaid Parental Leave Flexible,...ReimbursementPermanent employmentFull timeContract workTemporary workCasual workWork at officeFlexible hours- We are looking for an experienced Contract Talent Manager to join our growing Contract Talent Division! In this role, you will maintain... ...medical cost ($4,800 annually) $200/month Home Office Reimbursement ($2,400 annually) Access to additional add on coverages, such...ReimbursementContract workTemporary workRemote workHome office
$115k - $135k
...Summary The role Associate Director, Programmatic seeks a knowledgeable... ...reviewer in the QA process, providing all systems go approval for... ..., they do not establish a contract for employment and are... ...assistance programs, and fitness reimbursement.SummaryLocation: New York,...ReimbursementFull timeContract workFlexible hours$177k - $237k
...and technology roadmaps.Negotiation & Contract Management: Lead complex supplier negotiations... ...center, hyperscaler, cloud service provider, or AI system hardware supply chain and... ...AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee Stock...ReimbursementPermanent employmentFull timeContract workTemporary workCasual workWork at officeFlexible hours$163.94k - $215.18k
...Oscar. We're hiring a Associate Director, Corporate Events to join... ...priority audiences—brokers, providers, partners, and community... ...vendor sourcing, negotiations, contract management, and performance... ...and paid wellness time and reimbursements.Artificial Intelligence (AI)...ReimbursementFull timeContract workWork at officeLocal areaFlexible hours- Prepares, configures, and maintains provider contract documents and templates in the contract management system. Conducts peer reviews... ...deployment. Implements and coordinates provider contracts and reimbursement with Provider Operations, Provider Pricing, and Provider...ReimbursementContract workWork at office
$110k - $130k
...units to identify and solve any issues Provide education on best practices, social media... .... Furthermore, they do not establish a contract for employment and are subject to... ...fertility assistance programs, and fitness reimbursement.SummaryLocation: New York, New YorkType...ReimbursementFull timeContract workFlexible hours$258k - $348k
...scale, we're looking for a Director of IT to lead and grow three... ...relationships, participate in contract negotiations and budget... ...home stipend, and cell phone reimbursement. Figma also offers sales incentive... ...with disabilities are provided reasonable accommodation to...ReimbursementFull timeContract workWork at officeRemote workWork from home$187.6k - $234.5k
...Judi Health is a health technology company providing benefit administration solutions to... ...Charlotte offices) Position Summary The Director, Actuarial Provider Network Analysis and... ...with the network team to ensure our contract negotiations, network strategy, and understanding...Contract workWork experience placementLocal areaFlexible hours3 days per week$163.6k - $221.3k
..., agencies, and creators worldwide. We provide the UX components, low-code delivery infrastructure... ...ownership or inconsistent API contracts — and drive them to resolution before... ...Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off...ReimbursementWorldwideFlexible hours$141k
...Overview Associate Director, Field Reimbursement is a customer-facing role reporting to the Senior Director... ...Act as an extension of EXPAREL, providing live one-on-one coverage support.... ...negotiation skills with high-value contracts and partnerships. Extensive reimbursement...ReimbursementWork at officeRemote workWork from homeFlexible hours$125k - $150k
...beyond traditional analysis to provide foresight, helping brands... ...stakeholders. The Associate Director, Future of Channel is a critical... ...Help manage Channel-led contracts including cultivating strong... ...assistance programs fitness reimbursement Equal Opportunity Statement...ReimbursementWork at officeShift work$135k - $225k
...product planning, pricing, reimbursement, product commercialization,... ...The Global Market Access team provides commercialization strategy and... ...global markets. Associate Directors are key members of the Global... ...-to-net pricing dynamics, contracting considerations, etc… * Perform...ReimbursementTemporary workWork experience placementImmediate startFlexible hours$140k - $160k
...role of the Associate Creative Director at Blue Hour Studios is to... ..., they do not establish a contract for employment and are subject... ...-based hiring approach. We provide a competitive total rewards... ...assistance programs, and fitness reimbursement.SummaryLocation: New York,...ReimbursementFull timeContract workWork at office$90k - $120k
...employ breakthrough tools, and provide powerful insights that help... ...companies.As Associate Director, Data Privacy, you will act... ...data privacy due diligence, contract review, and post-acquisition... ...up child and elder care, and reimbursement for adoption, surrogacy, tuition...ReimbursementContract workWork at officeLocal areaWorldwide- ...Position name: Director of Contracts Location: Remote with limited travel Position Summary The Director of Contracts is responsible for the administration... ..., and teaming agreements during pursuit activities. · Provide proposal teams with contract review, compliance guidance,...Contract workFor subcontractorWork at officeLocal areaRemote work
$149k - $198k
...role:Reporting to the Senior Director of Technical Accounting, the... ...with accounting standards, provide technical accounting guidance... .../equity financing, customer contracts, business combinations, and... ...AccountHealth Savings AccountTuition Reimbursement Ability to Participate in...ReimbursementPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours
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