6 provider network jobs at 5 companies in Delaware

2w
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Provider Partnership Associate
Philadelphia or Delaware
OnsiteFull Time
Independence Blue Cross
Independence Blue Cross: Provides health insurance plans and managed care services.
5+ YOEBachelor's degree or equivalent experience and 5+ years in a healthcare organization required. Provider networks, contracting, claims, managed care, billing, reimbursement, medical policy, and benefits knowledge preferred.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Outlook, Navinet, INSINQ, OCWA, OSCAR, 4UM, 310 Database, Provider Profiles, PGRS
1mo
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Senior Provider Partnership Associate
Philadelphia or Pennsylvania or Delaware
OnsiteFull Time
Independence Blue Cross
Independence Blue Cross: Provides health insurance plans and managed care services.
5+ YOEBachelor's degree or equivalent experience, 5+ years healthcare experience (provider networks, contracting, claims, or managed care preferred), knowledge of billing/reimbursement/medical policy, proficiency with Outlook/Word/Access/Excel, experience with IBC/enGen systems, strong communication and analytical skills.
Microsoft Outlook, Microsoft Word, Microsoft Access, Microsoft Excel, Microsoft Authenticator, enGen, INSINQ, OCWA, OSCAR, HRP, Aerial, OneHub, Provider Profiles, PGRS
2mo
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Mgr, Network & Physician Contracting
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$110k-$150k/yr HybridFull Time
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
5+ YOE3+ MgmtMinimum 5 years provider finance/network contracting experience, 3+ years supervisory experience, knowledge of FFS/DRG/APC/Medicaid/Medicare/value‑based models, strong analytical and negotiation skills, BS preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1d
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Senior Hospital Contracting Strategist
Florida or Utah or Washington or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Oregon or West Virginia or New York or Ohio or Wisconsin or North Carolina or New Mexico or New Jersey or New Hampshire or Nevada or Nebraska or Missouri or Massachusetts or Montana or Mississippi or Minnesota or Louisiana or Michigan or Kentucky or Maryland or Kansas or Iowa or Indiana or Illinois or Idaho or Georgia or Colorado or California or Arizona or Arkansas or Alabama or Oklahoma or Wyoming or Vermont or Rhode Island or North Dakota or Maine or Delaware or Connecticut
$78k-$108k/yr RemoteFull Time
Humana
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
5+ YOEBachelor's degree and 5+ years of hospital negotiation and progressive network management experience, including managed care contracting, reimbursement analysis, hospital contract interpretation, and provider negotiations.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
3d
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Field Battery Performance Specialist - East Territory
Philadelphia or Laurel or Manassas or Hamilton or Manchester or New Castle or Freehold or Newington or Pennsylvania or Virginia or New Jersey or Maryland or Delaware
$54k-$76k/yr FieldFull Time
AAA Club Alliance
AAA Club Alliance: Provides roadside assistance, insurance, and travel services for members.
5+ YOEBachelor's degree preferred or equivalent experience; 5+ years in automotive, fleet, roadside assistance, provider networks, sales performance, or related operations; valid driver's license and strong business analysis skills.
Microsoft Office
1w
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Claims Negotiation Manager
California or Idaho or Arkansas or Vermont or Georgia or Minnesota or New Mexico or Montana or Iowa or Michigan or Oregon or Maine or Wisconsin or New York or North Dakota or Kansas or New Jersey or Hartford or Nebraska or Indiana or Nevada or Rhode Island or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Arizona or Virginia or South Dakota or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$66k-$146k/yr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE2+ MgmtRequires 5+ years in healthcare claims, reimbursement, provider contracting, network management, or negotiation; 2+ years leading teams; healthcare claims expertise; analytical, communication, and negotiation skills; Microsoft Office proficiency.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Outlook