- Independent Health (Buffalo, NY)
- …join Independent Health and our family of companies! We are hiring full-time** ** Provider Relations ** **Representatives to start on June** **16** **, 2025.** ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity...+ Identify potential system configuration or billing issues and provide education to the provider to correct… more
- Molina Healthcare (Aurora, IL)
- …in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and… more
- Elevance Health (Columbus, OH)
- **Director of LTSS Provider Relations ** **Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of the 4 Ohio office ... supports, and psychosocial needs._ The **Director of LTSS (Long-Term Support Services) Provider Relations ** will be responsible for spearheading the development… more
- Modivcare (Norton, VA)
- …may be the right fit for you! Modivcare is looking for an experienced Provider Relations Director to help establish compliance for the Transportation Provider ... managing ongoing transportation supplier relationships through communicating with all Provider Relations Managers/Coordinators. Reporting to the Network Regional… more
- Molina Healthcare (Madison, WI)
- …in Wisconsin _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and… more
- Molina Healthcare (Hattiesburg, MS)
- …in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network ... and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and… more
- Humana (Fairfax, VA)
- …of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship management ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
- Trinity Health (Columbus, OH)
- …wide variety of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient ... before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of provider … more
- Molina Healthcare (New York, NY)
- …surrounding area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network ... and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and… more
- Providence (Mission Hills, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...upon request. + 3 years of experience in a Provider Relations role working with physicians in… more
- VNS Health (Manhattan, NY)
- OverviewManages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential ... of government programs, including Medicare and Medicaid preferred + Prior experience in Provider Relations preferred CAREERS AT VNS Health The future of care… more
- Robert Half Accountemps (Commerce, CA)
- Description We are offering a permanent employment opportunity for a Sr. Provider Relations Advocate in Commerce, California. This role involves working closely ... their contracts, and maintaining strong relationships throughout the process. The Sr. Provider Relations Advocate will also be responsible for managing regular… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** The Provider Relations Specialist is responsible for the development and maintenance of ... pull notice program and Sharp HealthCare Driver Guidelines. **Essential Functions** + Provider RelationsPrimary liaison between SRSMG and health plan provider … more
- MVP Health Care (Plattsburgh, NY)
- Professional, Provider Relations Representative Plattsburgh, NY, USA * Vermont, USA Req #2356 Friday, January 24, 2025 At MVP Health Care, we're on a mission to ... and continuous improvement. To achieve this, we're looking for a **Professional, Provider Relations Representative** to join #TeamMVP. If you have a passion for… more
- The Cigna Group (Franklin, TN)
- …or equivalent work experience required 5+ years of experience in provider relations required. Demonstrated excellent oral, written, interpersonal, analytical, ... (Nashville, Franklin, Murfreesboro, etc.)** This position is an external provider facing role with account management responsibilities for a..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Bloomfield, CT)
- …to 4:30pm CST Business Hours: 9:30am to 6:00pm CST + Contributes to the Dental Provider Relations job family in a support capacity. + Supports and maintains ... timelines. Work is subject to frequent review by more experienced professionals in Provider Relations . **Qualifications** + High School Diploma or Equivalent +… more
- Access Dubuque (Dubuque, IA)
- Provider Relations Specialist **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3205805 Posted On 04/16/2025 **Job Overview** **Position Overview:** The ... Provider Relations Specialist role involves handling pharmacy network operations and inquiries, maintaining provider contracts, managing data requests, and… more
- Modivcare (Edison, NJ)
- …the carrier service and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to more junior team members.* ... Creates and influences adoption of solutions that improve our provider network and provide a great member...solutions that improve our provider network and provide a great member experience.* Identifies, develops, and improves… more
- Northern Light Health (South Portland, ME)
- …Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Provider Relations Liaison/RN is a sales professional and acts as a business ... to detail the organization's products and service lines provided. The Provider Relations Liaison/RN coordinates scheduled meetings, prospecting, and… more
- CAI (Columbus, OH)
- …your next career move, apply now! **Job Description** We are looking for a Provider Relations Representative to provide dedicated support to designated ... time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Provider Relations Representative, ready to take us to the next level! If you… more
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