- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...* Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or… more
- CVS Health (Sacramento, CA)
- …- Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets - ... IPAs, and/or large healthcare systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Boston, MA)
- …needs. -Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. -Supports or assists with… more
- CVS Health (Oklahoma City, OK)
- …design, contract language, service, claims or compensation issues, and provider education needs.-Optimizes interactions with assigned providers andinternal business ... limited to,claims payment, contract interpretation or parameters,and accuracy of provider contract or demographicinformation are resolved- Supports or assists with… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of Network Development and Provider ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/director-of- network -development-and- provider - relations /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- Molina Healthcare (Chicago, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- CVS Health (New York, NY)
- …convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider / Network Relations representatives ... location listed + Minimum of 3 years recent Managed Care experience in Provider Relations , Network Operations, and/or Network Management + Experience… more
- Molina Healthcare (Springfield, IL)
- …Remote and must live in Illinois _** **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...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… more
- Evolent Health (Columbus, OH)
- …for better health outcomes and a more connected care journey. We are hiring for a Provider Solutions/ Relations Manager to join our Provider Relations ... markets (both UM and VBI programs/ interventions and APMs); provide insights into the effectiveness of deployed initiatives as...Minimum of 4 years of experience working in in provider operations, practice/ network management, provider … more
- CVS Health (Lansing, MI)
- …and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource ... enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP +...+ Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories… more
- CareOregon (Portland, OR)
- … Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... group training sessions and make presentations. Provider Relations + Work with provider network...and review provider application data; submit to provider contracting staff. Administration + Provide input… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist II Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor ... & Education + Develop and maintain effective working relationships across the provider network . + Develop and effectively communicate strong understanding of… more
- CareOregon (Medford, OR)
- … Relations Exemption Status Exempt Requisition # 24280 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... and must comply with all federal laws. Job Title Provider Relations Specialist I Department 116 -...serves as a primary liaison between CareOregon and the provider network , which includes contracted, non-contracted, and… more
- Dignity Health (Oxnard, CA)
- …local human resources that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services ... Health, you will enjoy the developing relationships as you provide process and system education and training to providers...processing of eligibility, authorizations and claims adjudication to the provider network + Are capable of continually… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager Sr...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …field or equivalent work experience required _Experience_ + 3 years \- Experience in provider relations and network development with emphasis on healthcare ... educational topics, methods, and strategies to enhance compliance throughout the provider network \. + Implementing, supporting, and monitoring provider… more
- Elevance Health (Wallingford, CT)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- Elevance Health (Topeka, KS)
- …state travel to clients as needed** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- CVS Health (Trenton, NJ)
- …ERA submissions, W9 requests, contracting inquiries, etc. Assigning needed escalations to Provider Engagement Manager . Assist the health plan with provider ... collect provider rosters, and validate for accuracy, coordinate with external Provider Engagement Manager , travel within Market, as requested, other Duties… more
- Elevance Health (Jacksonville, FL)
- …Bay, Calhoun, Franklin, Liberty, Gulf and Jackson counties. **Develops the provider network through contract negotiations (language and rates), relationship ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and… more