- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our ... Managed Care Network Value Based Contacting experience with 2-3 years Medicaid Network experience + Must have Microsoft Office experience with intermediate… more
- CVS Health (Nashville, TN)
- …within 3 hours of the capital.** **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. + Professional experience in behavioral health… more
- Molina Healthcare (Saginaw, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- Abbott (Livermore, CA)
- …health and get on with their lives. This position leads payor relations (including payor contracting) and regulatory affairs, which are foundational functions to ... payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/ Medicaid enrollment, state licensing, and Joint Commission accreditation +… more
- Commonwealth Care Alliance (Boston, MA)
- …provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and ... network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. *… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including ... By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA… more
- Elevance Health (Indianapolis, IN)
- **Community Relations Representative II** **Location:** Indianapolis, Indiana Travel throughout the state is essential. Field: This field-based role enables ... unless an accommodation is granted as required by law. The **Community Relations Representative II** is responsible for developing and maintaining new contacts… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus ... requiring collaboration with other key areas or serve on enterprise projects around network management. + Serves as key resource for other contracting staff. + Works… more
- CVS Health (Boise, ID)
- …thinking, problem resolution and interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new locations, general ... or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and… more
- Commonwealth Care Alliance (Boston, MA)
- …One Care) populations preferred. * Experience in healthcare program management, provider relations , or network management * Knowledge of Massachusetts BH ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Commonwealth Care Alliance (Boston, MA)
- …job. **Required Experience (must have):** + 5+ years of experience in provider relations , healthcare communications, or network management within a health plan ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... One Care) populations preferred. + Experience in healthcare program management, provider relations , or network management + Knowledge of Massachusetts LTSS… more
- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development and network ... Specialty Partnership team. You will work collaboratively across the Network and Clinical organizations to ensure speed to market...with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make an impact by:**… 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
- 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
- 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
- City and County of San Francisco (San Francisco, CA)
- …through the work of multiple divisions - the San Francisco Health Network , Population Health, Behavioral Health Services, and Administration. The San Francisco ... Health Network is the City's only complete system of care...and Trauma Center, the Hospital Support Services Administrator (0941 Manager VI) directs the planning, budgeting, evaluation, quality, selection,… 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 ... creativity, and resource management to achieve quality performance, positive employee relations , and compliance with hospital and American College of Cardiology… 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
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... and LOBs. **KNOWLEDGE/SKILLS/ABILITIES** + Works directly with assigned market network leaders to identify providers for value-based contracting, support local… more