Director, Provider Contracting Jobs in New York, NY

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Lead the charge in overseeing clinical operations across multiple medical offices, ensuring high-quality patient care and efficient resource management while collaborating with physicians and administ...

Manage clinical oversight and mentorship in a remote role, guiding enterprise-wide medical decisions, reviewing complex cases, and ensuring evidence-based coverage determinations while collaborating a...

Lead the charge in clinical oversight and mentorship, providing strategic support across various departments. Collaborate with teams to ensure evidence-based decision-making and enhance patient care t...

Champion exceptional member experiences by leading operations and care teams. Design scalable systems that ensure consistent quality across all interactions, driving efficiency and accountability in a...

Drive operational excellence by leading care team operations and enhancing member experiences. Build scalable systems and processes to ensure consistent, high-quality interactions across all touchpoin...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

The Executive Director, Market Access will lead the development and scaling of a high-performing team focused on market access strategies for life sciences companies. This role involves defining the a...

Lead the strategic design and management of comprehensive benefits programs, ensuring alignment with employee needs and company objectives. Drive innovation and compliance while enhancing employee eng...

Drive your career forward by leading a dynamic PMO team, overseeing complex projects in healthcare technology. Collaborate cross-functionally to ensure strategic alignment and successful execution of...

Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...

Lead the negotiation and administration of Branded & Specialty Rx contracts, ensuring alignment with business strategies and stakeholder interests. Collaborate with internal teams to optimize processe...

Unlock potential by leading financial analysis for Managed Care Contracts. Collaborate with cross-functional teams to enhance operational performance and deliver insights that drive effective decision...

Empower a high-performing product team to define and execute a strategic roadmap, ensuring alignment across departments while prioritizing patient access to therapies. Lead discovery and decision-maki...

Champion innovative clinical strategies in specialty pharmacy, overseeing services and solutions to enhance client value and outcomes. Collaborate with cross-functional teams to drive program performa...

Elevate community oncology practices by driving growth and retention through strategic sales initiatives. Collaborate with cross-functional teams to enhance market presence and deliver tailored soluti...

Drive the authorization processes in a dynamic environment, ensuring compliance and efficiency. Collaborate with clinical teams to enhance workflows and maintain high standards in ABA documentation wh...

Oversee authorization workflows, ensuring compliance and efficiency while collaborating with clinical teams to enhance service delivery and documentation integrity in a dynamic environment...

Drive new business growth by acquiring large employer accounts through consultative sales strategies, collaborating across teams to deliver healthcare solutions that enhance client outcomes and align...

Drive new business growth by acquiring large employer accounts through strategic sales initiatives. Collaborate across teams to deliver innovative healthcare solutions that enhance client outcomes and...

Join a dynamic team to drive new business growth in healthcare solutions. Leverage consultative sales strategies to build relationships and open markets, delivering impactful results aligned with orga...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Lead the charge in shaping a skills-powered talent ecosystem, driving strategy and governance for enterprise skills and talent marketplace initiatives that enhance workforce planning and career growth...

Lead the sales strategy for a healthcare Payer business unit, driving market penetration, revenue growth, and client satisfaction. Collaborate with leadership to shape go-to-market strategies and buil...