Contract Negotiation Manager
2 days ago
CVS Health is seeking a skilled Contract Negotiation Manager to join our team. As a key member of our organization, you will be responsible for negotiating, executing, reviewing, and analyzing contracts with healthcare providers.
Key Responsibilities- Negotiate and execute fee-for-service contracts with physician groups in the California market for Medicare and Commercial lines of business.
- Manage contract performance to ensure alignment with accessibility, compliance, quality, financial, and cost goals.
- Recruit providers to expand and maintain a high-quality network.
- Collaborate with cross-functional teams to develop provider compensation and pricing strategies.
- Identify and recommend cost-saving initiatives and settlement activities.
- Develop and implement strategic network configurations to optimize interactions with providers and internal business partners.
- 5+ years of experience in managed care network negotiation and contract management.
- Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
- Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
- Ability to influence and collaborate with providers and partners at all levels.
- Provider Data Management experience.
- Claim and/or Customer Service experience.
Bachelor's Degree or equivalent professional work experience. The typical pay range for this role is $66,145,860.00 per year, plus bonus, commission, or short-term incentive program.
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Contract Compliance Specialist
7 days ago
California, Missouri, United States DataSF Full timeJob SummaryDataSF is seeking a highly motivated and experienced Compliance Officer I to join our team. The successful candidate will be responsible for administering programs of compliance with labor laws, workforce policies, equal opportunity/affirmative action/non-discrimination in contracting, and performing related duties as required.Key...
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Senior Risk Management Director
1 week ago
California, Missouri, United States Northwestern Mutual Investment Services, LLC Full timeCompany OverviewAt Northwestern Mutual Investment Services, LLC, we are committed to innovation and growth. We prioritize our employees and strive to make a positive impact in the community. Position SummaryThe Senior Risk Management Director is responsible for providing both strategic and operational oversight of the organization's property, casualty, and...
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Strategic Account Manager
2 weeks ago
California, Missouri, United States Finlinkgroup Full timePosition: B2B Account ManagerAre you a motivated and enthusiastic professional with a strong affinity for sales and fostering enduring client partnerships? Finlinkgroup is in search of a seasoned B2B Account Manager to enhance our team. In this pivotal role within our sales department, you will be instrumental in propelling revenue expansion by overseeing...
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Sourcing and Procurement Expert
2 weeks ago
California, Missouri, United States SetPoint Medical Full timeOverview: SetPoint Medical is seeking a dedicated Sourcing and Procurement Expert to oversee the acquisition process for medical device products. This role encompasses identifying potential suppliers, negotiating agreements, and ensuring the prompt delivery of high-quality materials. Key Responsibilities: Develop and execute procurement strategies to meet...
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Marketing Solutions Manager at GetGenAI
2 weeks ago
California, Missouri, United States Hire5 Full timePosition: Sales Manager at GetGenAICompany Overview:GetGenAI is an innovative marketing agency that leverages artificial intelligence to streamline the review processes of marketing content in highly regulated sectors. Our mission is to enhance compliance and efficiency through cutting-edge technology.We are supported by leading venture capitalists and our...
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Geospatial Project Manager
2 weeks ago
California, Missouri, United States Psomas Full timeJoin Psomas as a Geospatial Project ManagerAs a leading firm recognized for excellence in Surveying & Mapping, Psomas offers a unique opportunity to engage in high-profile geospatial, surveying, mapping, subdivision, and transportation initiatives, including significant projects in rail, freeway, and utility sectors.Why Choose Psomas?At Psomas, we empower...
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Facilities Operations Manager
2 weeks ago
California, Missouri, United States Atria Senior Living Full timePosition Overview: The Facilities Operations Manager is responsible for overseeing a dedicated team focused on maintenance and preventative upkeep for a designated community. This role encompasses the management of various physical systems within the buildings, including HVAC, electrical, plumbing, carpentry, painting, major appliances, and amenities, along...
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Project Management Associate
2 weeks ago
California, Missouri, United States JLL Full timeOverview of the Role:As a key member of our Project & Development Services (PDS) division, you will play an essential role in overseeing and executing Minor and Capital works projects throughout Queensland.Key Responsibilities:Assist in the management of multiple projects, typically ranging from 5 to 8, at various stages of development.Take charge of the...
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Vice President of Risk Management
2 weeks ago
California, Missouri, United States Northwestern Mutual Investment Services, LLC Full timeCompany OverviewAt Northwestern Mutual Investment Services, LLC, we pride ourselves on being a robust and forward-thinking organization that prioritizes the growth and development of our employees. We are committed to making a positive impact in our industry. Position SummaryThe Senior Director will provide both strategic and operational oversight of the...
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Senior Risk Management Director
1 week ago
California, Missouri, United States Northwestern Mutual Investment Services, LLC Full timeCompany OverviewAt Northwestern Mutual Investment Services, LLC, we are committed to innovation and growth, investing in our people and making a positive impact.Position SummaryThe Senior Director will provide strategic and operational leadership for the Company's property, casualty, and bond risk management initiatives, overseeing the Insurable Risk...
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Senior Commercial Portfolio Manager
1 week ago
California, Missouri, United States Cloud Software Group Full timeJob Description**Job Title:** Senior Commercial Portfolio Manager**Job Summary:**We are seeking a highly skilled Senior Commercial Portfolio Manager to join our team at Cloud Software Group. As a key member of our organization, you will be responsible for creating strategic engagement plans to drive business outcomes and increase adoption of our cloud...
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California, Missouri, United States Anschutz Entertainment Group Inc Full timeAbout the RoleWe are seeking a highly experienced and skilled professional to join our team as the Senior Director of Stadiums and Arenas Operations. This is a key leadership position that will be responsible for overseeing the planning, execution, and management of live events within stadiums and arenas across North America.Key ResponsibilitiesDevelop and...
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Lead Construction Cost Analyst
2 weeks ago
California, Missouri, United States AACE International Full timePosition: Lead Construction Cost AnalystResponsibilities:Oversee and execute detailed quantity takeoffs and develop comprehensive construction cost estimates for various building projects, ensuring accuracy from initial concept through to bid documentation.Direct a team of skilled estimators in providing expert cost estimation services across multiple...
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Senior OEM Sales Territory Manager
2 weeks ago
California, Missouri, United States Life Technologies Full timeWork Schedule:Standard (Mon-Fri)Environmental Conditions:OfficeJob Overview:As a vital member of the Life Technologies team, you will engage in impactful work that contributes positively on a global scale. Join our dedicated colleagues in realizing our mission every day.We equip our international teams with the necessary resources to achieve personal career...
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Sales and Relationship Manager in Space Robotics
2 weeks ago
California, Missouri, United States Lumicity Full timeLocation: Los Angeles County, CAType: On-Site | Full-timeRelocation Assistance: AvailablePosition OverviewJoin Lumicity, a pioneering company in the field of space robotics, as we expand our team. We are seeking a dynamic Sales and Relationship Manager to spearhead our sales initiatives, cultivate client partnerships, and contribute to our strategic business...
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Senior Vice President of Strategic Partnerships
2 weeks ago
California, Missouri, United States Qnnectnow Full timeOverviewQnnectnow is in search of dynamic professionals who are eager to redefine the landscape of interconnect technology. Join our team and elevate your career to new heights.Position SummaryThe Senior Vice President of Strategic Partnerships is instrumental in spearheading growth initiatives and expanding our market presence. This role focuses on...
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Vice President of Sales Strategy
2 weeks ago
California, Missouri, United States Resilience Corp. Full timePosition Overview:A career at Resilience Corp. is not merely a job; it is a chance to influence the future of medicine. Resilience Corp. is a pioneering biomanufacturing firm that is revolutionizing the production of pharmaceuticals.We are constructing a resilient ecosystem of advanced manufacturing solutions that can endure disruptive challenges, support...
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Enterprise Sales Manager
1 week ago
California, Missouri, United States Adobe Full timePosition OverviewDirector of Enterprise Sales - Join a dynamic team at Adobe, where we are committed to revolutionizing digital experiences. We empower everyone—from budding creators to established enterprises—with the tools they need to craft and deliver outstanding digital interactions.As a key player in our organization, you will be instrumental in...
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Territory Sales Executive
2 weeks ago
California, Missouri, United States MillerCoors Brewing Company Full timePosition: Territory Sales ExecutiveCompany: MillerCoors Brewing CompanyOverview: At MillerCoors, our mission is to provide exceptional experiences for beer enthusiasts. As a leading global brewer, we have a rich heritage of crafting and distributing our beverages for centuries. We are dedicated to fostering a vibrant and diverse workplace, where our...
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California, Missouri, United States Georgia Orthopaedic Society. Full timeOverview: We are seeking a dedicated and skilled orthopedic surgeon with a specialization in sports medicine to join a reputable healthcare facility in California. This position offers a unique opportunity to work in a collaborative environment with a focus on providing exceptional patient care. Position Details: Initial employment period of 2 years with the...