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Accounts Payable Manager
The New York Foundling
New York, NY
Serves as a key liaison to Agency program staff and leadership at all levels, providing guidance and addressing matters related to employee reimbursements, Accounts Payable policies and…
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Clinical Supervisor - Foster Care MHS/SCPS
The New York Foundling
Brooklyn, NY
The Foster Care Mental Health program utilizes evidenced-based, trauma-informed therapeutic models to provide mental health treatment to youth and adolescents enrolled in foster care. The…
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Program Manager II
ULSA University of Louisville
United States
The RMOCC Program Manager at the University of Louisville supports the RMOCC Director in the development, implementation, and operation of Kentucky's Regional Medical Operations…
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Financial Analyst II
ULSA University of Louisville
United States
Assist in the development of financial analyses and presentations for management and senior leadership.
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Assistant Director, Alumni Engagement
ULSA University of Louisville
United States
…reports/metrics. This position will work in coordination with assigned development colleagues to coordinate outreach/engagement efforts that align with philanthropic goals. This position…
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Financial Center Manager - TN South Region
Fifth Third Bank, National Association
Brentwood, TN
The Financial Center Manager will participate in a comprehensive, customized on-boarding and education program. This includes rotations in Operations, Sales & Service, Lending, Small…
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LH
RN | Behavioral Health
Logan Health Medical Center
Kalispell, MT
- From $41.78 USD / hour
Grow your career, strengthen your practice, and have a voice through professional development, RN fellowships, career advancement, and shared governance. With Planetree Person-Centered…
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EH
Global Program Operations Manager
EXOS Human Capital, LLC
Remote, United States
- $80,000 to $110,000 USD / year
Based in our Center of Excellence, the Program Manager partners with regional leadership to establish and scale standards across key platforms and programs-including, but not limited to:…
Added just now
LH
RN | Behavioral Health
Logan Health Medical Center
Kalispell, MT
- From $41.78 USD / hour
Grow your career, strengthen your practice, and have a voice through professional development, RN fellowships, career advancement, and shared governance. With Planetree Person-Centered…
Added 1 min ago
07 Manager - MP - Marketing
USA-NILIN Nilfisk, Inc.
Remote, United States
Present marketing results, insights, and strategic recommendations to leadership.
Added 1 min ago
Senior Director of Development for Special Projects - MSUAASF Range E
Southwest Minnesota State University
United States
…meaningful and mutually beneficial ways. The Senior Director of Development for Special Projects leads major and principal gift fundraising for assigned university and project areas. This…
Added 1 min ago
NH
Executive Analyst to VP of IT
North Hennepin Community College
United States
- $28.75 to $42.16 USD / hour
…Vice President of Information Technology and the division’s leadership team. This position will perform fiscal and budgetary functions, including procurement, contract management, data…
Added 1 min ago
Manager, Plant Health & Safety
Arcwood Environmental, LLC
Indianapolis, IN
Builds a behavior-based safety culture through communications, employee involvement, and program ownership
Added 1 min ago
Intern, Sustainability - Indianapolis, IN
Arcwood Environmental, LLC
Indianapolis, IN
Intern, Sustainability This internship opportunity with Arcwood Environmental is a 12-week program where you are immersed in your assigned department gaining real hands-on experience.
Added 1 min ago
Assistant Slot Shift Manager
Spokane Tribe Resort & Casino
Airway Heights, WA
Train team members on the floor using the department training program; mentor team members to build their guest service and player development skills.
Added 1 min ago
Physical Therapist Assistant - PRN
Advantage
Media, PA
Applicants must have graduated from a CAPTE-accredited Physical Therapist Assistant (PTA) program and hold a current Pennsylvania PTA license or be eligible to obtain the required…
Added 1 min ago
Assistant Property Manager
Highmark Residential, LLC
North Port, FL
Help you achieve your goals by continuous professional development and regular career progression sessions
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Operations Leader
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…environmental stewardship, quality, production, cost, and people development. You’ll partner closely with Value Stream Leaders to shape and execute the operations strategy, drive continuous…
Added 1 min ago
Director I, AP Physics C: Electricity & Magnetism Curriculum and Assessment
College Board
Remote, United States
…preserving and improving the quality and validity of the AP Program’s core deliverables within the subject domain: the exam, the course curriculum, and the professional development content.…
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Director, Higher Education Data Strategy & Analytics
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…group with big impact, delivering insights to colleagues across program delivery, product development, and strategic outreach. The team drives clear visibility on student and higher ed…
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Associate Director, AP Music Theory, Curriculum and Assessment
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…staff) collaborates with colleagues across all aspects of the AP Program to develop, manage, and deliver AP’s 43 courses in a wide variety of subject areas. AP® is a rigorous academic…
Added 2 mins ago
Internal Communications Manager
Rockland Trust
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Lead the development and execution of a comprehensive internal communications and content strategy that aligns with the Bank's strategic priorities, culture, growth objectives, and…
Added 2 mins ago
Division Vice President, Land Acquisition & Development
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This role provides strategic and operational leadership for the division’s land acquisition and development function, ensuring a disciplined and sustainable pipeline of land opportunities…
Added 3 mins ago
Grooming Salon Manager
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Senior HR Business Partner
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Identify leadership capability needs and partner with Organizational Development and other resources to develop appropriate strategies and interventions.

Lifetime Workforce Solutions, LLC

Network Management & Contract Analyst

United States

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Job details

Posting language: English
Posted: Nov 5, 2026

Original job description

Job Description:

Summary:

As a professional within the network contracting and administration team, the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis, evaluating provider reimbursement, and negotiating provider contracts in accordance with corporate strategy. As such, the role requires a multifaceted understanding of provider types, applicable legal and regulatory requirements, pricing methodologies, industry and regional provider impacts & trends, provider reimbursement and related programs, and product lines.

Essential Accountabilities:

Establishes and maintains network adequacy for assigned provider types, regions and/or lines of business. Serves as provider network contracting and administration subject matter expert for assigned areas.
Analyzes, develops, and proposes formal provider reimbursement recommendations within approved budgets and according to health plan strategies.
Identifies, investigates, and analyzes issues and questions. Collects and interprets data and information to support provider network contracting and administration activities. Applies applicable contract terms, regulatory and legal requirements, and other information to produce accurate and actionable analysis.
Effectively prepares and presents information, findings, and recommendations to internal and external stakeholders.
Serves as liaison with assigned stakeholders to identify and coordinate provider network contract and administration work items. Executes initiatives; tracks, forecasts and reports on progress including qualitative and quantitative measures.
Engages in provider contract negotiations. Works routinely and directly with providers, clinical, and operational leadership.
Assist in the preparation of provider contracts, amendments, and communications.
Maintains knowledge of relevant legislative and regulatory mandates to ensure compliance.
Responds to and resolves inquiries from providers and colleagues related to provider network contracting and administration. Leads issue resolution with internal and external stakeholders.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
Regular and reliable attendance is expected and required.
Performs other functions as assigned by management.

Minimum Qualifications:

Six (6) years of provider network reimbursement or related experience required. Or a Bachelor’s degree in Health Care Administration or relevant field.
Two (2) years of experience directly performing provider contracting or reimbursement analysis required.
Demonstrated experience of provider reimbursement methodologies.
Ability to draft, interpret and apply contractual language.
Technical skills including modeling and financial analysis.
Understanding of medical care delivery, industry trends, and regional market dynamics.
Strong, persuasive, and effective verbal and written communication skills.
Knowledge of health care products and services offered to members.
Excellent problem-solving skills.

Physical Requirements:

Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.
Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

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In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Grade E3: Minimum $62,400 - Maximum $106,929

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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Skills

Network administration
Leadership
Regulatory compliance
Financial analysis
Communication skills
Problem solving

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