- NVA (Tilton, IL)
- …health care to veterans while the OSF, Christie Clinic, Aunt Martha's and Carle healthcare systems provide local comprehensive health care to the community. Part ... Our family of doctors, technicians, and support staff work in tandem to provide a full range of general practice services which include surgery, dentistry,… more
- Molina Healthcare (New York, NY)
- …the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... Experience** + 5+ years of analytics experience in financial analysis, healthcare pricing, network management , healthcare economics or related… more
- ChenMed (Lakeland, FL)
- …+ 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. The… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management ** serves as an integral member of the Network Management & ... Affordability Team and reports to the VP, Network Management . This role is a key...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- Molina Healthcare (Madison, WI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (GA)
- …and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for ... staff are the primary point of contact between Molina Healthcare and provider network and...provider inquiries. + In conjunction with the Director, Provider Network Management & Operations,… more
- Molina Healthcare (GA)
- …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
- Molina Healthcare (GA)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Required Experience** * Min. 7 years' healthcare management experience. * Previous health plan provider ... management experience. * Previous health plan provider network administration experience. **Preferred Education** Master's… more
- Molina Healthcare (GA)
- …or equivalent combination of education and experience **Preferred Experience** 10+ years ** Provider Network & Operations experience.** ** Provider Contracting ... in Georgia _** **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional… more
- Molina Healthcare (Haverhill, MA)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (St. Petersburg, FL)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- ChenMed (St. Petersburg, FL)
- …+ 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 ...List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate… more
- The Cigna Group (Charlotte, NC)
- …Hybrid position aligned to the Charlotte, North Carolina Market._** The **Manager, Provider Contracting Network Management ** serves as an integral ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management ** serves as an integral member ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… 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 ... and compliance. This role ensures the provider network meets regulatory standards and supports the healthcare...reports to address outliers. + Collaborate with the Quality Management team on initiatives such as Healthcare … more
- AmeriHealth Caritas (Manchester, NH)
- …+ Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ensure network adequacy. + ... As the Manager of Provider Network , you will build and...bachelor's degree in business or health-related disciplines, such as healthcare administration or healthcare management ,… 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
- Elevance Health (Overland Park, KS)
- …promoting a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... Serves as business unit representative on enterprise initiatives around network management and leads projects with significant... development planning to include gap fill projects and network adequacy reporting + May provide work… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network ... highly visible role, the **PNE IV** is responsible for the negotiation and management of Premera's most complex and critical provider relationships across the… more
- OhioHealth (Columbus, OH)
- …And Duties:** Serve as strategic partner to providers and CIN payers (15%): * Provide services to provider network offices for issues related to ... with those parties, on unresolved issues/questions. Network Management Activities (15%): * Assist in provider ...Healthcare provider experience (billing, claims, authorization, provider network relations, etc.), + Clear and… more
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