- Daiichi Sankyo, Inc. (Bernards, NJ)
- …co-development (Alliance) partners. The Early Development (ED) Asset Lead will provide operational expertise for early oncology studies including FIH trials and ... the priorities and needs of the assets within Early Development. They will provide operational insight to Program strategies across multiple assets with one or more… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
- Pacific Medical Centers (Renton, WA)
- …concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:** ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… more
- Molina Healthcare (Buffalo, NY)
- …service area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or ... York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Ramapo, NY)
- …service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or ... visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Molina Healthcare (WA)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Avera (Sioux Falls, SD)
- …have proper documentation to join and remain in the network . + Maintain provider manual and policies and maintain contract database and associated files. + ... Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) … more
- Magellan Health Services (Albuquerque, NM)
- …includes managing provider contracting activities in coordination with the Network team and processing all necessary contract -related updates. Key ... provider contracting functions in collaboration with the Network team + Process contract -related updates including:...network management. The job duties listed above are representative and not intended to be all-inclusive of what… more
- Methodist Health System (Dallas, TX)
- …Day Job Description: Job Description: The purpose of the **Associate Provider Services Representative ** is multifaceted; it requires excellent interpersonal ... share information, and facilitate relationships with Dallas Methodist Physicians Network (DMPN) physicians and their office personnel; Methodist Patient Centered… more
- Apex Health Solutions (Houston, TX)
- …* Required 3+ years of experience in managed care environment, health plan finance, provider network management or managed care consulting. * At least one year ... and their office staff. The position assists in contract negotiations, contract management and optimizing a high-performing network of both PCP and… more
- Elevance Health (Overland Park, KS)
- …promoting a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations, relationship development, ... large scale, multi-faceted negotiations + Serves as business unit representative on enterprise initiatives around network management... development planning to include gap fill projects and network adequacy reporting + May provide work… more
- Centene Corporation (Frankfort, KY)
- …relates to provider set up. + Provide support to the external provider representative to resolve provider data issues + Research and effectively ... claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment...data + Identify adds, deletes and updates to key provider groups and model contract + Research… more
- CACI International (Jacksonville, FL)
- Field Systems Representative / Network Engineer Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... to Tindal, Australia. Periodic travel between operational sites within Australia to provide systems support and execute hardware and software upgrades will be… more
- PruittHealth (Norcross, GA)
- …approval to plan Medical Director for review and approval 15. Meeting bi-weekly with Provider Network Management representative to review gaps and solutions ... Conducts outreach by phone or email to providers to provide plan overview and request to contract ...order to complete credentialing 10. Manages emails received from Provider Network team for requests to join… more
- Molina Healthcare (Detroit, MI)
- …and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- AIG (Jeffersonville, IN)
- …management administration, extended service programs, customer service support, service network management, claims processing services, and service contract ... Customer Service Representative - Warranty Our Customer Service Representative ,...mark in General Insurance General Insurance is a leading provider of insurance products and services - focused on… more
- MTA (New York, NY)
- …Chairman within specified time limitations set forth in collective bargaining agreements. + Provide prompt and accurate responses to labor contract questions or ... Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters...arbitration sanctioned by the National Mediation Board for all contract grievance and employee discipline cases. + Provide… more
- Transdev (Pearl City, HI)
- …to establish superior partnerships between Transdev Health Solutions and the Transportation Provider Network . The Network Specialist provides support to ... providers. This position is remote supporting the Ohana, HI contract . + Competitive starting pay of $18.00 - $19.00...+ Develops and maintains positive working relations with the Provider Network + Respond to emails, phone… more
- Cardinal Health (Helena, MT)
- …responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service ... accounts and providing resolutions in a high-volume call center. The Representative II, Customer Service Operations processes orders for distribution centers and… more
- R2 Logistics (Westerville, OH)
- …'strive to win' competitive mentality. As a third-party logistics (3PL) company, we provide our customers access to our network of contracted transportation ... the following questions to see if the Account Service Representative at R2 Logistics is the right role for...providers. With no trucks of our own, we contract asset-based transportation companies to provide the… more
