- Keurig Dr Pepper (Irving, TX)
- …Reliability Excellence, ensuring top performance in equipment reliability measured by safety, quality , customer fill rate, OEE2, and downtime. The SME will develop ... include creating a skills development program, improving safety and quality , planning and executing overhauls, managing projects, delivering productivity, solving… more
- Amazon (Atlanta, GA)
- …for a large-scale service provider . The successful candidate will be expected to provide high quality network event management for Amazon's global ... most innovative and progressive technology companies anywhere. Key job responsibilities * Provide critical network operations support to internal customers, dive… more
- Amazon (Denver, CO)
- …for a large-scale service provider . The successful candidate will be expected to provide high quality network event management for Amazon's global ... most innovative and progressive technology companies anywhere. Key job responsibilities * Provide critical network operations support to internal customers, dive… more
- CVS Health (Columbus, OH)
- …area experience. **Required Qualifications** + A minimum of 10 years professional work experience in provider network management . + A minimum of 3 years in a ... each and every day. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements … more
- AmeriHealth Caritas (Raleigh, NC)
- …services. Discover more about us at www.amerihealthcaritas.com . The Vice President, Provider Network Management , is responsible for developing and ... + Serve as a strategic advisor to executive leadership on emerging trends in provider network management , reimbursement policy, regulatory shifts, and market… more
- The Cigna Group (Cleveland, 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...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … 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 ... assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...+ Supports initiatives that improve total medical cost and quality . + Drives change with external provider … 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 ... Develop and implement strategic plans for hospital and physician network development and management - Ensure compliance...policies are consistent with claim payment methodologies - Maintain provider network adequacy standards to meet the… more
- UPMC (Pittsburgh, PA)
- …of care and maximal use of community supports and resources. + Works with Member Services, Network Management and Quality Management staff to assure that ... problem solving based on sophisticated knowledge of in-plan services, the provider network , member services policies, members' rights and responsibilities,… 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 ... the right time. Mission: LA Care's mission is to provide access to quality health care for...contracts for renewals and expirations. Acts the liaison between Provider Network Management (PNM) and… more
- Area Agency On Aging 1-b (Southfield, MI)
- Provider Network Manager oversees the provider network , provider relationships, and quality of service delivery through coordination of long-term ... network and improve provider relations. Compliance/ Quality : Provider Network Manager coordinates,...Network Manager will act as a liaison with provider agencies to provide info on services,… more
- AmeriHealth Caritas (Washington, DC)
- …for network implementation and maintenance.; + ;The AE II;manages an ongoing Provider Network Management organization project or program.; + ;Will ... responsible for developing the strategic direction and management of the;day-to-day; network management activities for all provider types, including… more
- Health Plans, Inc. (Westborough, MA)
- …of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on enhancing ... and specialty care resources. + Member Education: Educate members about their provider network options, including in- network providers, specialist access,… more
- Avera (Sioux Falls, SD)
- …for accurate provider database management and regular updates to the provider data source of truth that supports network adequacy, disruption and access ... for you and our patients. Work where you matter.** **A Brief Overview** The Provider Network Development Analyst is responsible for maintaining a current and… more
- AmeriHealth Caritas (Dublin, OH)
- … implementation and maintenance. + Manage ongoing projects or programs within the Provider Network Management organization. + Develop and implement ... Assist with credentialing, re-credentialing, and investigating member complaints and quality issues. + Maintain knowledge of Facets and relay... groups + 3 to 5 years in VBC, Provider Services, including network management … more
- Trinity Health (Columbus, OH)
- …targets. **Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as ... payment and reimbursement terms. + Maintains excellent working relationships with MediGold's provider network , internal department management , other business… more
- AmeriHealth Caritas (Southfield, MI)
- … implementation and maintenance. + Manage ongoing projects or programs within the Provider Network Management organization. + Develop and implement ... to ensure service accessibility and compliance with mandates. + Provide risk adjustment reporting training to providers. Monitor and...provider groups + 3 to 5 years in 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 ... Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment....the lead for PNE team in resolution of escalated provider concerns/issues, distribution of workload, and provide … more
- CVS Health (Lansing, MI)
- …all with heart, each and every day. In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level ... development, maintenance, and refinement activities and strategies in support of cross market network management unit. + Assists with the design, development, … more
- CVS Health (Oklahoma City, OK)
- …budgeting, cost analysis, and financial forecasting, to manage the financial aspects of provider network management . + Consults with internal teams, ... Summary** + Highly developed project management skill set specific to provider networks and contracts that drives overall network performance, innovation,… more
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