- CVS Health (OH)
- …**Position Summary: Candidates must reside in Ohio** This position assesses overall network composition and potential provider partners in order to identify ... in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with… more
- Elevance Health (Atlanta, GA)
- ** Provider Relationship Account Manager ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Relationship Account Manager ** is...and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes,… more
- Elevance Health (Concord, NH)
- Provider Relationship Account Manager (New Hampshire) JR168320 **Location** : **Hybrid 1:** This role requires associates to be in our **Manchester, NH ... an accommodation is granted as required by law._ The ** Provider Relationship Account Manager ** is...and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes,… more
- Bon Secours Mercy Health (Richmond, VA)
- …with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network utilization through ... and/or changes in care delivery to optimize care coordination of in- network offerings for empaneled patients. + Identifies barriers and facilitates resolution… more
- Molina Healthcare (GA)
- …are the primary point of contact between Molina Healthcare and provider network and are responsible for end-to-end relationship and management. They are ... live in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network … more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... of provider request to enhance quality metrics and relationship building. + Coordinate with Network Management to issue provider CAP + Monitor Grievances… more
- Elevance Health (Las Vegas, NV)
- …**rovider Network Manager ** is responsible for developing the provider network through contract negotiations, relationship development, and ... **Be Part of an Extraordinary Team** **Senior Provider Network Manager ** **Location:**...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Denver, CO)
- … Provider Network Mgr develops the provider network through contract negotiations (language and rates), relationship development, and servicing. ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- CVS Health (TX)
- …all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level review ... contracting, provider issues/resolutions, related systems and information contained. * Provide guidance and share expertise to others on the team. *… more
- Elevance Health (Seattle, WA)
- …and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship development, ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required + Contracts may… more
- Ascension Health (Wichita, KS)
- …growing team. This is a critical role responsible for expanding our referral network and increasing patient volume within the outpatient medical community. The ideal ... and drive business growth. Key Responsibilities: + Strategic Outreach & Relationship Building: + Identify, target, and cultivate relationships with referring… more
- ChenMed (Clearwater, FL)
- …The Network Representative is responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care services to our patients ... This individual will report to and work with the Network Director to develop the CPL and serve as...Representative is responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care… more
- Elevance Health (Wichita, KS)
- …the quality-of-service delivery + Research issues that may impact future provider contract negotiations or jeopardize network retention **Required ... for providing quality, accessible and comprehensive service to the company's provider community. Develops and maintains positive provider relationships with… more
- Point32Health (MA)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Elevance Health (Overland Park, KS)
- …promoting a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations, relationship development, ... development planning to include gap fill projects and network adequacy reporting + May provide work...in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include… more
- Molina Healthcare (Jackson, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- Molina Healthcare (Detroit, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including… more
- PNC (Charlotte, NC)
- …opportunity to contribute to the company's success. As a Managing Director, Senior Relationship Manager within PNC's Corporate Banking organization, you will be ... & Technologies, and Pharma Supply Chain clients and prospects across the US. Relationship Managers within PNC's Specialty Industry teams focus on a specific industry… more
- TD Bank (Richmond, VA)
- …Personal & Commercial Banking **Job Description:** The Middle Market (MM) Senior Relationship Manager (RM), Commercial Banking, is an external sales role ... have an open dialogue with your recruiter who can provide you more specific details for this role. **Line...that proactively executes integrated sales, service, and relationship strategies with responsibility for obtaining new and growing… more
- PNC (Milwaukee, WI)
- …valued and have an opportunity to contribute to the company's success. As a Relationship Manager III within PNC's Treasury Management organization, you will be ... regular basis. Some responsibilities may be performed remotely, at manager 's discretion. Who We Are PNC is a trusted...'s discretion. Who We Are PNC is a trusted provider of shareholder representation, escrow agent, and paying agent… more