- Molina Healthcare (Joliet, IL)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are...provider network . They are responsible for network management including provider education,… more
- Baylor Scott & White Health (Dallas, TX)
- …Master's degree preferred. - 7+ years of experience in healthcare network development, provider relations management , or related area. - 5+ years of ... gathering, negotiation, implementation, and reporting through provider relations and network management activities. - Ensures that all contracts… more
- TEKsystems (Honolulu, HI)
- …physician and facility claims. This role bridges claims processing, provider relations , and network management , ensuring accurate reimbursement practices ... changes in reimbursement practices. + Deliver sensitive messages tactfully and gather provider feedback. + Provide in-person support as needed-must have reliable… more
- CVS Health (Williamsport, PA)
- …heart, each and every day. Provides strategic leadership and oversight for network management and provider relations . Develops and implements network ... growth and ensure high-quality provider relationships. + **** Manages local provider relations staff to ensure Market Leading Provider Satisfaction… more
- Area Agency On Aging 1-b (Southfield, MI)
- Senior Provider Relations Network Manager...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... provider network trainings and additional activities to support/improve provider network functions and relations . Duties Include: + Oversee… more
- CVS Health (Hartford, CT)
- …of Provider Contracting/ Relations . Provides strategic leadership and oversight for network management and provider relations . Develops and ... implements network strategies. Manages provider contracts and negotiations. Monitors provider performance metrics. Leads dispute resolution processes, and… more
- Elevance Health (Los Angeles, CA)
- …our team and eager to connect with professionals experienced in healthcare administration, network management , provider relations , and program support. ... and a minimum of 2 years healthcare experience in Provider Relations , Contracting, or other area of...Relations , Contracting, or other area of Health Care Management ; or any combination of education and experience, which… more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a ** Provider Relations Specialist** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally ... up to date with the latest advancements in diabetes management and treatment to provide informed assistance...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
- Elevance Health (Mason, OH)
- … network , ensuring robust network demographics, and leading the provider relations (PR) teams. This role will focus on fostering strong partnerships ... **Director of LTSS Provider Relations ** **Preferred Location: Ohio. This...deliver high-quality care to members. + Participates and supports network development strategies with management staff of… more
- Molina Healthcare (Santa Fe, NM)
- …and must live in New Mexico _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Molina Healthcare (Los Angeles, CA)
- …must live in Los Angeles County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Highmark Health (Wilmington, DE)
- …of experience in the health care/health insurance industry to include value-based care and provider relations / network management + Experience with data ... and maintenance of positive, collegial relationships between the corporation and the provider and health system community. The incumbent is responsible for engaging… more
- Humana (Lynchburg, VA)
- …a part of our caring community and help us put health first** The Provider Relations Representative ( Provider Engagement Professional 2) is responsible for ... day-to-day front line relationship management of network providers in Humana's Healthy...compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims… 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 ... license and auto insurance upon request. + 3 years of experience in a Provider Relations role working with physicians in a Managed Care/IPA, Medical Group,… more
- Elevance Health (Port Charlotte, FL)
- ** Network Relations Consultant** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... Additional hours or days may be required based on operational needs. The ** Network Relations Consultant** is responsible for develops and maintains positive … more
- Humana (Akron, OH)
- …of health care or managed care experience with provider relations , provider contracting, or network management + Experience in measure-based gap ... first** Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our… more
- Centene Corporation (Trenton, NJ)
- …degree preferred. 5+ years of contracting, network development and/or provider relations experience. Project management experience. Experience in ... issues. + Review redline contract language and provide accept/decline recommendations to management . + Travel up to 50% for provider meetings and team… more
- Prime Therapeutics (Little Rock, AR)
- …fuels our passion and drives every decision we make. **Job Posting Title** Provider Relations Specialist Associate **Job Description** The Associate Provider ... time frame and triaging inquires received in the Pharmacy Network Management email box. **Responsibilities** + Research...Research, assign and escalate inquiries received through the Pharmacy Provider Relations email box + Process pharmacy… more
- Centene Corporation (Latham, NY)
- …related field. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed ... in NY or relocate. Relocation Assistance is available. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects of… more
- DISH Network (Englewood, CO)
- …organization's stories to journalists, thought leaders and industry experts. From media relations to internal message building, they tell DISH's unique story of ... outlets for coverage of Retail Wireless news and competitor developments. Provide strategic communications counsel and constructive feedback to executives; develop… more
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