- CVS Health (Springfield, IL)
- …it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... with others at all levels * Minimum of 2 years' experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider… more
- CVS Health (Lawton, OK)
- …**Required to reside in Oklahoma** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, ... by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service,...Provider Appeals & Disputes, and Network Performance Standards. + Experience in Medical Terminology, CPT,… more
- Molina Healthcare (GA)
- …in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... and in compliance with all relevant federal, state and local regulations. Provider Network staff are the primary point of contact between Molina Healthcare and… more
- Elevance Health (Mason, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare ... **Shift & Hours:** Monday-Friday, 8:00 AM - 5:00 PM Eastern Time The ** Network Relations Consultant Senior** (Value-Based Program Specialist) is responsible for… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various ... such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care and self-insurance products and… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff ... to enhance claims submission and auto-adjudication processes. **Provider Recruitment, Retention, & Relations ** + Ensure network adequacy in accordance with state… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** **Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... unless an accommodation is granted as required by law._ The **Senior P** **rovider Network Manager ** is responsible for developing the provider network … more
- Elevance Health (Seattle, WA)
- …dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship development, ... BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and experience, which would… more
- Elevance Health (Overland Park, KS)
- …dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing for ... Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning + Serves as a subject matter expert for local… more
- Bassett Healthcare (Cooperstown, NY)
- …340B Drug Pricing Program for all qualified entities throughout the Bassett Health Network . The 340B Manager serves as the primary institutional compliance ... the best quality of life possible. What you'll do Reporting to the Chief Pharmacy Officer, the 340B Manager is responsible for compliance and administration of the… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply MANAGER ... 23 health centers and four hospitals - and expanded network of community partner clinics - DHS annually provides...and administrative space. Acts as first assistant to a Manager IV, Facilities Operations and Crafts. Essential Job Functions… more
- Magellan Health Services (Albuquerque, NM)
- …Engagement Manager Grade 23 Work Experience - Required Community Relations /Outreach Work Experience - Preferred Education - Required Associate Education - ... Collaborates with multiple departments, including peers, business development, marketing, network contracting, and provider liaison teams. + Participates as a… more
- Emory Healthcare/Emory University (Duluth, GA)
- …programs + And more **Description** We're seeking a **Registry Care Manager ** responsible for coordinating clinically complex patients' care across a continuum; ... aggressive; + Conveys an impression which reflects favorably upon the public relations of the organization. + Reinforces and ensures appropriate patient education is… more
- AdventHealth (Davenport, FL)
- …been serving the community for over 50 years. As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new ... contribute:** The ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to… more
- AdventHealth (Lake Wales, FL)
- …been serving the community and surrounding areas. As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, ... contribute:** The ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to… more
- Sanford Health (Hillsboro, ND)
- …and report to the Director of Facilities for Sanford Fargo & North Network . The position will also support Sanford's facilities in Grand Forks/East Grand Forks ... for maintenance, repair and improvement of physical systems and equipment, vendor relations , and cost control. Maintains various facility systems such as water,… more
- Bluestone Physician Services (Stillwater, MN)
- …as marketing strategy (B2B and B2C), brand management, content marketing, public relations , paid media (eg, PPC, social media advertising), SEO, social media ... + Proven ability to build and maintain a strong network of trusted relationships with stakeholders at all levels....of compliance and marketing and Centers for Medicare & Medicaid Services (CMS) industry regulations. Bluestone Benefits : +… more
- Molina Healthcare (Dayton, OH)
- …Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers. **Strategic Business ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant ... positions within the Business Office. This position assists the Department Manager with maintaining productivity and with meeting the department's goals. Resolves… more
- Humana (Springfield, IL)
- …LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, training, ... and LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience with Humana's… more