- Medical Mutual of Ohio (West Chester, OH)
- …as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Provider Contract Manager I Under direct supervision, develops and ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...and external projects. . Performs other duties as assigned. Provider Contract Manager II Under general supervision,… more
- EssilorLuxottica (Mason, OH)
- Manager - Provider Relations (Network Strategy) Date: Apr 28, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 837269 ... management to support the provider network and provider economics functions. The Manager will partner...fee schedules support the objectives of those initiatives. The Manager will provide recommendations to leadership and… more
- The Cigna Group (Miramar, FL)
- **Role Summary** The Provider Performance Enablement (PPE) Manager is a key member of a cross-functional, collaborative organization (which includes Market ... Relations, and Network Development & Solutions). Reporting to the Provider Performance Senior Manager /Operations Director/Operations Senior Director (Market… more
- CareFirst (Baltimore, MD)
- …(ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth ... implementation with a focus on client satisfaction. The Program Manager will be on the Value and Sales Enablement...ensure all custom network requests are implemented in the provider data system and data flows downstream to necessary… more
- The Cigna Group (Fort Worth, TX)
- …office or at a clients. Ability for local travel to meet with Providers.** The ** Manager , Provider Network Contracting** serves as an integral member of the ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Reporting to the Manager , Credentialing & Provider Data, the Provider Directory Manager will perform advanced ... within CCA. It will be the responsibility of the manager to conduct UAT and data analysis on a...You'll Be Doing:** + Design and Documentation for CCA's Provider Directory + Provider Directory monitoring and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity 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....net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible… more
- University of Utah Health (Murray, UT)
- …and trust that are integral to our mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible ... will work closely with all departments and providers throughout the state. The Manager of Provider Contracting must be highly collaborative and relationship… more
- Elevance Health (Grand Prairie, TX)
- …considering candidates who reside in the Corpus Christi/East Texas locations. The ** Provider Relationship Account Manager ** is responsible for providing quality, ... accessible and comprehensive service to the company's provider community. + Develops and maintains positive ...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills:** + Commercial and… more
- Elevance Health (Denver, CO)
- The ** Provider Relationship Account Manager ** is responsible for responsible for providing quality, accessible and comprehensive service to the company's ... provider community. **How you will make an impact:** +...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Molina Healthcare (Grand Rapids, MI)
- …live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
- Medical Mutual of Ohio (OH)
- …oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, ... Manages operations and staff performing analytics for health plan provider contract negotiations, including Institutional, Ancillary and Professional modeling,… more
- Elevance Health (Woburn, MA)
- Provider Collaboration Manager - Quality & Cost Program Management (JR112829) **Location:** Must reside within 50 miles or 1 hour commute to one of the following ... 3 days per week: Monday, Tuesday and Thursday. The ** Provider Collaboration Manager ** supporting New Hampshire receives...or any combination of education and experience, which would provide an equivalent background. + Ability to multi-task and… more
- Elevance Health (Nashville, TN)
- The ** Manager Provider Experience** oversees the Provider Relationship Account Management team responsible for the development and maintenance of the ... company's physician and provider delivery system through positive provider relationships....relations experience; 3 years leadership/management experience; or any combination of education and experience, which would provide an equivalent… more
- Molina Healthcare (Richmond, VA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... live in Virginia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible… more
- CVS Health (Oklahoma City, OK)
- …health care more personal, convenient and affordable. Position Summary The Medicaid Sr. Manager , Provider Engagement manages and oversees compliance with our ... * Manages local PR staff to ensure Market Leading Provider Satisfaction scores * Co-facilitates provider Advisory Group and JOC meetings to work with management… more
- CVS Health (New York, NY)
- …to make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider /Network ... Develops processes to collect and maintain accurate and current provider databases relating to provider facilities and provider information. Assists in the… more
- CVS Health (Northbrook, IL)
- …to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional leadership ... opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna Better Health Plans.… more
- Centene Corporation (Tampa, FL)
- …a drivable distance to Durham, NC or Tampa, FL offices. **Position Purpose:** The Manager of Provider Data Automation, Analysis & Audit will oversee development ... of automated batch loads of provider data, all reporting and data... data, all reporting and data submissions related to provider records, and development and implementation of audit processes… more
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