- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...* Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or… more
- EssilorLuxottica (Mason, OH)
- Manager - Provider Relations ( Network Strategy) Date: Mar 30, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 837269 ... support the provider network and provider economics functions. The Manager will partner...and develop recommendations for high priority Provider Relations projects and initiatives related to network … more
- CVS Health (Richmond, VA)
- …activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Sacramento, CA)
- … experience for the network . Position will lead a team of Provider Relations Network Consultants across the US. Required Qualifications Bachelor's ... care for members ; foster growth of and enhance network for the First Health Network . Joining...skills. Experience in the healthcare industry in customer service, provider services. Understanding of medical and billing/ some contractual… more
- CVS Health (Harrisburg, PA)
- … request to enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA ... design, contract language, service, claims or compensation issues, and provider education needs. + Research and handle contract related...prior to your first day of employment and to provide proof of your vaccination status or apply for… more
- Modivcare (Ridgeland, MS)
- …the right fit for you! Modivcare is looking for an experienced Provider Relations Manager to drive ongoing network development and ensure available ... or other Network Health-related actions. As a Provider Relations Manager , you will...outside agencies relevant to network health and provider business support. + Provide weekly … more
- Guardian Life (Columbus, OH)
- …quality programs to support Recruiting, Provider Relations , and Provider Operations ensuring consistent adherence to network best practices, and ... the Network Strategy and Enablement team, the Network Training and Quality Assurance Manager will...initially on new hire onboarding across our recruiting and provider relations teams. + Create a robust… more
- Elevance Health (Topeka, KS)
- …send you a check, or ask you for payment as part of consideration for employment. ** Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND > ... Kansas, Topeka + Kansas, Overland Park + Kansas, Kansas City **Description** ** Network Relations Consultant, LTSS Provider Representative** **Location:**… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of Network Development and Provider ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/director-of- network -development-and- provider - relations /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- CVS Health (New York, NY)
- …convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider / Network Relations representatives ... location listed + Minimum of 3 years recent Managed Care experience in Provider Relations , Network Operations, and/or Network Management + Experience… more
- Molina Healthcare (Springfield, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… 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 ... enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP +...+ Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories… more
- Highmark Health (Charleston, WV)
- …Description :** **JOB SUMMARY** This job manages a team of provider relations ' representatives and staff to provide high quality service to providers ... participating in the organization's network . The incumbent motivates a team through the creation...in the office** **ESSENTIAL RESPONSIBILITIES** + Manage team of provider relations representatives and support staff in… more
- TEKsystems (Honolulu, HI)
- …issues, gather provider market intelligence, contract related concerns and provide education to ensure and strengthen relations with providers. Position ... ALOHA! Seeking a " Provider Relations Representative" in Honolulu, Hawaii....on Oahu and Kauai!! Description: Manages individual and group provider relationships in network for provider… 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...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… 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...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… 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...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or… more
- TEKsystems (Honolulu, HI)
- …issues, gather provider market intelligence, contract related concerns and provide education to ensure and strengthen relations with providers. Position ... ALOHA! Seeking a " Provider Relations Representative" in Honolulu, Hawaii....Office visits on Oahu!! Description: Manages individual and group provider relationships in network for provider… more
- Elevance Health (Indianapolis, IN)
- …send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND > Network Contracting ... Supports (LTSS) provider delivery system through the provider relations representatives. **How you will make...providers, members, and the public + Ensures the LTSS provider network has the resources, tools, and… 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