- WMCHealth (Valhalla, NY)
- Manager , Managed Care Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Managed Care-WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26158) Internal Applicant link Job Details: Job Summary: The Manager of Managed Care will report directly to… more
- EssilorLuxottica (Mason, OH)
- …and day to day management to support the provider network and provider economics functions. The Manager will partner with the Provider Contracting ... Manager - Provider Relations ( Network...intake, analyze, and provide recommendations on Strategic Provider needs and custom network builds +… more
- AmeriHealth Caritas (Dublin, OH)
- ** Manager Provider Network Management** Location: Dublin, OH Primary Job Function: Medical Management ID**: 31608 Your career starts now. We are looking for ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. Ensures that… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures… more
- Elevance Health (Alameda, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND > Network Contracting ... - Friday, 8:00 am - 5:00 pm PST** The Provider Network Manager develops the...providers in areas with strong competition or where greater provider education around managed care concepts is… 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 ... reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Atlanta, GA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager Sr** + Job Family: PND > Network ... + Reference: JR113518 **Location:** + GA, ATLANTA **Description** The Provider Network Manager Sr develops...providers in areas with strong competition or where greater provider education around managed care concepts is… more
- Elevance Health (Costa Mesa, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND > Network Contracting ... one of our California Elevance Health office locations._ The ** Provider Network Manager ** will develop...providers in areas with increased competition or where greater provider education around managed care concepts is… more
- Prime Healthcare (Denville, NJ)
- …skills Connect With Us! (https://careers-primehealthcare.icims.com/jobs/159689/regional- manager managed -care ... contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Regional Manager , Managed Care is responsible for … more
- Elevance Health (Denver, CO)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager Sr.** + Job Family: PND > Network ... commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing.… more
- Elevance Health (Panama City, FL)
- …send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND > Network Contracting ... Florida, Ocala + South Carolina, North Charleston **Description** The Provider Network Manager develops the...providers in areas with increased competition or where greater provider education around managed care concepts is… more
- Medical Mutual of Ohio (OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Manager, Provider Network Informatics_ **Location:** _Ohio_ **Requisition ID:** ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...Provider Contract Analyst or equivalent experience in health care/ managed care, 3 years of which are in a… more
- Fallon Health (Worcester, MA)
- …contractual information to appropriate departments within FCHP. + Maintains assigned provider network ; physician, hospital, ancillary, and/or carve out vendor ... as assigned by Senior Director or Manager . + Prepares, updates and maintains files and database...not required. **Experience:** Minimum of three years experience in managed healthcare environment(s) with related work in provider… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …educational topics, methods, and strategies to enhance compliance throughout the provider network \. + Implementing, supporting, and monitoring provider ... or equivalent work experience required _Experience_ + 3 years \- Experience in provider relations and network development with emphasis on healthcare education… more
- SHI (Columbus, OH)
- **Job Summary** The ASG Managed Services Engineer is responsible for supporting, building, managing, configuring and implementing solutions within the customers ... managed platform or services under SHI's management. They must...of this role. This role will report to the Manager of ASG Engineering role in the ASG Product… more
- KPMG (Columbus, OH)
- **Business Title:** Manager or Senior Manager , Managed Services **Requisition Number:** 111916 - 72 **Function:** Tax Services **Area of Interest:** ... culture that empowers your success. Work with KPMG's extensive network of specialists & enjoy access to our Ignition...for as a firm KPMG is currently seeking a Manager or Senior Manager to join our… 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 ... 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
- 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
- Netsync Network Solutions (Tampa, FL)
- Detailed Description Description: Under the direction of the Practice Manager , Managed Services (IT), the Network Operations Center (NOC) Manager - ... ongoing operations, and insuring reliable delivery of our clients Network Infrastructure services. The NOC manager will...and lower human intervention time on any task + Provide support for complex issues that require escalation +… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of Network Development and Provider ... opportunities for policy and procedure development. + Managing the provider directory, executing contracts to address network ...+ 10+ years of experience in customer service and provider relations in a health care or managed… more