- CVS Health (Frankfort, KY)
- …we do it all with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation and ... be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability monitoring as… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... MNR Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington… more
- Molina Healthcare (Queens, NY)
- …must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
- Molina Healthcare (Bellevue, WA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist ... care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience. **Preferred Qualifications:** + Bachelor's Degree in… more
- UPMC (Erie, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Provider Relations Representative to support the team in Erie, PA! This position will work in a ... is housed within a call center setting. The Provider Relations Rep will initiate and develop working relationships with...Implement use of quality indicators for use within the network , including work with providers as necessary to assure… more
- Aston Carter (Allendale, NJ)
- Job Title: Customer Relations Representative Job Description The Customer Relations Specialist is responsible for facilitating and coordinating all services ... Team Members. Primary responsibilities are assigned by the Customer Relations Manager, and the role involves proactively ensuring smooth...We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients… more
- Pacific Medical Centers (Renton, WA)
- **Description** Under the supervision of the USFHP leadership team, the Provider Relations Representative functions as a liaison among the contracted ... care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience. **Preferred Qualifications:** + Bachelor's Degree -… more
- Hartford HealthCare (Bridgeport, CT)
- …* **Organization:** **St. Vincent's Medical Center* **Title:** *Guest Relations Representative (Per Diem)* **Location:** *Connecticut-Bridgeport-St Vincents ... here. We invite you to become part of Connecticut's most comprehensive healthcare network . St. Vincent's Medical Center in Bridgeport has more than 3,200 employees.… more
- UPMC (Dubois, PA)
- …about building strong relationships and supporting healthcare providers? As a Provider Relations Representative , you'll be the go-to contact for a panel ... to resolve provider issues and share feedback. + Travel within the network for face-to-face meetings and community engagement events. + Facilitate meetings with… more
- Methodist Health System (Dallas, TX)
- …members to provide the very best care for patients. The Patient Representative will investigate complaints and grievances and use complaint and conflict resolution ... health systems in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical… more
- CareFirst (Baltimore, MD)
- …resolution and support of managing all of CareFirst's contracted in- network providers including independent professional practices, health systems, hospitals, and ... correspondence, e-mail, and/or phone as appropriate. **PROJECT MANAGEMENT:** + Supports network projects and outreach initiatives that must be special handled by… more
- St. Luke's University Health Network (Bethlehem, PA)
- …a patient's ability to pay for health care. The Physician & Community Relations Representative represents the management, staff, and outpatient facilities of ... area physicians both in and outside St. Luke's Health Network . The Physician & Community Relations position...By enhancing communication, collecting feedback, and solving issues, the Representative will act as a strategic partner to maximize… more
- Apex Health Solutions (Houston, TX)
- …position assists in contract negotiations, contract management and optimizing a high-performing network of both PCP and Specialty physicians. The role develops and ... and Full Risk-Based Initiatives Provider Information and Credentialing; Provider Relations , Account Management & Education; Data Exchange and Integrity;… more
- Sunrise Senior Living (Mclean, VA)
- …ID** 2025-233607 **JOB OVERVIEW** The Vice President, People Experience & Employee Relations is a strategic leadership role responsible for building and leading ... comprehensive employee experience, organizational culture, and employee relations capabilities while establishing robust HR policy governance during a critical… more
- Mount Sinai Health System (New York, NY)
- …correlation to brand loyalty, membership retention and renewal revenue. The Senior Member Relations Manager must identify and address the needs of CAPC members to ... candidate must also demonstrate the high value proposition of CAPC to our membership network . They will help members understand how to use CAPC products to reach… more
- Dignity Health (Santa Maria, CA)
- **Job Summary and Responsibilities** JOB SUMMARY / PURPOSE The Client Relations Executive (CRE) makes essential contributions to the achievement of the ... organization's objectives as a field-based business development representative , consistently meeting the volume expectations for referrals and admissions. The CRE is… more
- CommonSpirit Health at Home (Omaha, NE)
- **Job Summary and Responsibilities** Now Hiring Full-Time Client Relations Executive! CHI Health at Home Infusion Pharmacy - Servicing Nebraska and SW Iowa ... Pharmacy, you will serve as a field-based business development representative , helping to maintain and grow current market share...Infusion Pharmacy is part of an expansive health care network that is committed to providing better patient care,… 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
- US Anesthesia Partners (Dallas, TX)
- …SUMMARY:This position provides advice and counsel in all areas surrounding certain out-of- network issues and payor contracting. This position is also responsible for ... of the job with or without a reasonable accommodation) Out-of- Network Payment Disputes + Advises internal stakeholders on No...and regulations, preferred. *The physical demands described here are representative of those that may need to be met… more