- Modivcare (Ridgeland, MS)
- …opportunity may be the right fit for you! Modivcare is looking for an experienced Provider Relations Manager to drive ongoing network development and ensure ... development of all deployments, special projects or other Network Health-related actions. As a Provider Relations Manager , you will report to our Client… more
- University of Massachusetts Amherst (Amherst, MA)
- Manager of Contracting & Insurance Credentialing Apply now ... of the region. Job Summary Under general direction of the Financial Manager of University Health Services responsible for contracts, fiscal management, operations… more
- CVS Health (New York, NY)
- …to make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider ... team to deploy national engagement model. + Manages local Provider Relations staff to ensure Market Leading...+ Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claims Processing, Provider Appeals & Disputes… more
- Centene Corporation (East Syracuse, NY)
- …flexibility. **Position Purpose:** Responsible for maintaining existing and developing new provider relations , and assisting with contracting activities + Manage ... contracting area including work flow, training and communication standards + Manage day-to-day provider relations activities and provider relations … 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 ... plan design, contract language, service, claims or compensation issues, and provider education needs. Additionally, you will: + Research and handle contract… more
- Elevance Health (Topeka, KS)
- …and conducts provider training including developing and distributing provider relations materials. + Responsible for providing quality, accessible ... for payment as part of consideration for employment. **Network Relations Consultant (LTSS Provider Rep)** + Job...and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- CVS Health (Richmond, VA)
- …health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... * Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or...* Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claims Processing, Provider Appeals & Disputes… more
- CareFirst (Baltimore, MD)
- …: 4 years experience in contracting, provider recruitment and/or provider relations 1 year Experience as a Contract Manager in the division. **Preferred ... Provide ongoing network management support to the Departmental Manager , Supervisor, team staff, VP of Networks Management and...projects and lead projects as needed. + Performs the provider credentialing as assigned and data maintenance… more
- CVS Health (Richmond, VA)
- …large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative ... Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have… more
- CareFirst (Baltimore, MD)
- …contracting, and provider relations . + Knowledge and/or experience with provider data, provider credentialing requirements, and common data elements ... development in support of national account sales. The Program Manager will work across two high profile divisions driving...ensure all custom network requests are implemented in the provider data system and data flows downstream to necessary… more
- Elevance Health (Alameda, CA)
- …Key responsibilities will include claims payment and remittance, network management, provider credentialing , data exchange and reporting and quality oversight. ... you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- CVS Health (Oklahoma City, OK)
- …assigned Required Qualifications + Minimum of 5+ years recent Managed Care experience in Provider Relations & Employee Supervision with 2 - 3 years Medicaid ... health care more personal, convenient and affordable. Position Summary The Medicaid Sr. Manager , Provider Engagement manages and oversees compliance with our … more
- Banner Health (Tucson, AZ)
- …Leave of Absence scenarios system-wide; evaluation and assessment of complicated Provider claims and investigations; development of Employee Relations specific ... physician + Regular review of ER case management system + Owning BUMG-T (physician/ provider ) ER cases Your pay and benefits are important components of your journey… more
- Arkansas Children's (Little Rock, AR)
- …Day Shift **Time Type:** Full time **Department:** CC027824 ACF Donor Relations **Summary:** Advances the philanthropic profile of Arkansas Children's by creating ... gratitude and quality customer service. **Additional Information:** **REQUIRED** **Customer Relations Management (CRM) experience** **Data Analysis experience** **Database Management… more
- Fallon Health (Worcester, MA)
- …(ie Claims, Finance, Care Management Services, Patient Relations , Marketing, Credentialing , Provider Relations , etc.). + Researches, analyzes and ... carve out vendor as assigned by Senior Director or Manager . + Prepares, updates and maintains files and database...teams as assigned by Senior Director. + Assists in Provider Relations activities including servicing, educating and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** **Position Summary** **:** The Manager of Physician Practice is responsible for the efficient daily ... and adheres to OSHA, JCAHO and DOH requirements. The Manager of Physician Practice will perform all job functions...office practice. + Manages between 20 and 50 inpatient provider FTEs across multiple service lines and/or hospitals +… more
- Fairview Health Services (St. Paul, MN)
- …for assigned area(s) to achieve quality service and positive employee relations .** + Implements and communicates Human Resources policies and procedures in ... revises clinical systems to assure regulatory compliance. + Promotes effective labor relations practices. + Is familiar with union contracts and participates in… more
- Banner Health (Casa Grande, AZ)
- …Banner **Casa Grande Medical Center** . This is a pivotal role that will provide oversight of medical staff process which include privileging, credentialing and ... medical staff positions. Provides leadership and oversight for peer review, credentialing , and other required medical staff functions. CORE FUNCTIONS 1. Supervises… more
- Walgreens (Columbus, OH)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels' patients ... generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs… more
- Rush University Medical Center (Chicago, IL)
- …activities, related outpatient operations, budgets, finances, marketing, and public relations . Manages the implementation, direction, and policy development in areas ... the department remains on course to meet or exceed operational goals. Provide feedback to department leadership and faculty for any potential corrective actions.… more