- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category:...the right place at the right time. Mission: LA Care 's mission is to provide access to quality ... Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, CA,...III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management… more
- The Cigna Group (Los Angeles, CA)
- …Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models + Team player with proven ... either in Office or Travel out to in-person meetings with Providers._** The **AVP, Network Management** serves as an integral member of the Network Management &… more
- Trinity Health (Clive, IA)
- …**Description:** Reporting directly to the PHSO Director of Operations, the PHSO Provider Network Lead maintains and evolves MercyOne's Partnered Provider ... MercyOne Partnered Provider organizations and their clinicians. **ESSENTIAL FUNCTIONS** 1. Provider Network Management & Planning Under the direction of the … more
- The Cigna Group (Newton, MA)
- **LOCATION: Based in Newton, MA office** The **Manager, Provider Network Contracting** serves as an integral member of the Provider Contracting Team and ... loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide ...partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team… more
- The Cigna Group (Bloomfield, CT)
- …**_Must reside in_** _East Tennessee_ **_area - Knoxville/Chattanooga_** The **Director, Provider Network Contracting** serves as an integral member of ... loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide ...partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team… more
- Trinity Health (Boise, ID)
- …**Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as the MediGold point ... of contact within the Provider network ; Act as the MediGold Subject...MediGold Subject Matter Expert and brand ambassador. + Addresses customer complaints by directly handling the issue, working with… more
- The Cigna Group (Seattle, WA)
- LOCATION: This position supports the Seattle, WA market. The **Director, Provider Network Management** serves as an integral member of the Provider ... and management of the day to day contracting and network management activities for a local given territory. **DUTIES...partners. . Intimate understanding and experience with hospital, managed care , and provider business models. . Team… more
- Elevance Health (Topeka, KS)
- …you a check, or ask you for payment as part of consideration for employment. ** Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND > Provider ... Topeka + Kansas, Overland Park + Kansas, Kansas City **Description** ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This… more
- The Cigna Group (Overland Park, KS)
- … site visits._** **_Must reside in_** **_Kansas City or St. Louis_** The **Director, Provider Network Management** position reports to the Mid America market VP ... of Network Management. This role assists in developing, coordinating and...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care . The Talent Acquisition Sourcing Specialist ( Provider Recruitment) supports and ... Performance Improvement in the following areas as appropriate: Clinical Care /Outcomes, Customer /Service Improvement, Operational System/Process, and Safety. +… more
- AmeriHealth Caritas (Dublin, OH)
- **Coord Provider Network ** Location: Dublin, OH Primary Job Function: Medical Management ID**: 34161 Your career starts now. We are looking for the next ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Coordinator, Provider Network Operations supports the Provider … more
- Community Health Network (Indianapolis, IN)
- …is calculated and paid in accordance with provider contract and Network compensation guidelines and will provide analytical support for compensation ... will be responsible for calculating provider compensation in accordance with provider contracts and network compensation guidelines. This role works directly… more
- Prime Healthcare (Ontario, CA)
- …Administration, or related field. + 10+ years of experience in customer service and provider relations in a health care or managed care environment. + ... Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Director of Network Development and Provider Relations would be… more
- UNC Health Care (Mayodan, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs ... to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares… more
- UNC Health Care (Chapel Hill, NC)
- …team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients within the APPs scope ... to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one's work. Shares… more
- LA Care Health Plan (Los Angeles, CA)
- …Data Quality Auditor II is responsible for the timely and accurate uploading of LA Care 's provider network data, including identification and remediation of ... responsible to conduct ongoing data quality auditing of LA Care 's provider network data, including...handle Provider and Member inquiries, and to provide optimal customer service for internal and… more
- St. Luke's University Health Network (Bethlehem, PA)
- …requirements. 15. Provides patients, visitors, and co-workers with outstanding customer service. Demonstrates/models the network 's service excellence standards ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...documented in the electronic medical record or on the network paper nutrition assessment form. Other duties may include… more
- UNC Health Care (Chapel Hill, NC)
- …team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients within the APPs scope ... (APP) intensivist is a member of the UNC critical care team. Their primary responsibility is to provide...care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes… more
- UNC Health Care (Chapel Hill, NC)
- …with outreach and inreach in support of our Transplant and LVAD programs** + ** Provide outpatient care , including coordination of care , for patients in ... team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients within the APPs scope… more
- UNC Health Care (Chapel Hill, NC)
- …team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients within the APPs scope ... to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one's work. Shares… more