- TEKsystems (Honolulu, HI)
- …initiative involving physician and facility claims. This role bridges claims processing, provider relations, and network management , ensuring accurate ... changes in reimbursement practices. + Deliver sensitive messages tactfully and gather provider feedback. + Provide in-person support as needed-must have reliable… more
- Elevance Health (Los Angeles, CA)
- …and eager to connect with professionals experienced in healthcare administration, network management , provider relations, and program support. With this ... ** Network Support Consultant** **Location:** _Hybrid1:_ This role requires...a BA/BS degree and a minimum of 2 years healthcare experience in Provider Relations, Contracting, or… more
- Bassett Healthcare (Oneonta, NY)
- …What you'll do The Facilities Coordinator II is a user of the Bassett Healthcare Network 's Computerized Maintenance Management System, including review and ... direction of the Facilities Director. User for the Bassett Healthcare Network 's Computerized Maintenance Management ...for all shops on a daily basis and will provide customer service calls as required. Completes designated monthly… more
- Baylor Scott & White Health (Dallas, TX)
- …preferred. Master's degree preferred. - 7+ years of experience in healthcare network development, provider relations management , or related area. - 5+ ... and contracting, including information gathering, negotiation, implementation, and reporting through provider relations and network management activities. -… more
- ChenMed (Richmond, VA)
- …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment. + Network Management experience/understanding. + ... medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare ...of products, services, standards, policies and procedures in a healthcare environment + Network Management … more
- ChenMed (Chicago, IL)
- …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment + Network Management experience/understanding + ... doctors and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to all patients. **ESSENTIAL… more
- ChenMed (Philadelphia, PA)
- …Knowledge of products, services, standards, policies and procedure s in a healthcare environment * Network Management experience/understanding * ... medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare ...any customer service issues. * Works closely with the Management Team and Administrators in relation to strategic business… more
- Molina Healthcare (Layton, UT)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider … more
- AmeriHealth Caritas (Newtown Square, PA)
- …of the Vice President - Network Pricing, provides analytical support to the Provider Network Management team by performing analysis of provider ... recommendations.; + Facilitates partnerships with Vendors, IT, Payment Systems, Operations Services, Provider Network Management , Market, and Clinical teams… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management ** serves as an integral member ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management ** serves as an integral member of ... be considered in lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/ Provider /Ancillary** **group… more
- AmeriHealth Caritas (Manchester, NH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all ... with claim payment methodologies - Maintain provider network adequacy standards to meet the healthcare ...bachelor's degree in business or health-related disciplines such as healthcare administration or healthcare management … more
- Elevance Health (Los Angeles, CA)
- **Manager, LTSS Provider Relations and Network Management ** **Location:** Woodland Hills CA, Costa Mesa CA **Hours:** M - F Standard Working hours ... and adaptable workplace. Alternate locations may be considered. The **Manager, LTSS Provider Relations and Network Management ** directs the activities… more
- Health Plans, Inc. (Westborough, MA)
- …AND EDUCATION REQUIREMENTS + Bachelor's degree preferred. + Minimum of 7 years in healthcare provider relations, care management / coordination, or account ... Employers Health Network , LLC. provides comprehensive healthcare plans, which allow employers to provide exceptional quality healthcare benefits at the… more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director, Provider Network Management , you will be responsible for creating and maintaining ... Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** *Director, Provider Network Management * **Location:** *Central San Diego… more
- CareOregon (Portland, OR)
- …Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Provider Relations Manager Department Provider Network Operations Pay and ... and management of regulatory requirement deliverables related to provider network communications, ensuring communication-related regulatory compliance and… more
- LA Care Health Plan (Los Angeles, CA)
- … Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....contracts for renewals and expirations. Acts the liaison between Provider Network Management (PNM) and… more
- Elevance Health (Cincinnati, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** This ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS & Contracting** is responsible for… more
- AmeriHealth Caritas (Dublin, OH)
- … implementation and maintenance. + Manage ongoing projects or programs within the Provider Network Management organization. + Develop and implement ... now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about... groups + 3 to 5 years in VBC, Provider Services, including network management … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . As the ** Provider Network Executive III** , you will develop and maintains ... network stability and cost containment. Monitor and analyze network performance. + Develop and maintain effective provider...the lead for PNE team in resolution of escalated provider concerns/issues, distribution of workload, and provide … more
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