- Molina Healthcare (MA)
- …must reside in Massachusetts or surrounding state **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
- Molina Healthcare (Jackson, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Health plan and the Plan 's Complex Provider… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Health plan and the for non-complex Provider Community… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Level II (in addition to Level I Accountabilities) + Represents the Provider Relations department on Health Plan projects/initiatives. + Represents the ... Provider Relations department at Regional and Health Plan meetings as assigned by management. + Develops, coordinates, and leads provider educational… more
- Community Health Systems (Springdale, AR)
- **Job Summary** The Provider Relations Market Director is responsible for developing and maintaining strategic relationships with providers, community partners, ... barriers to satisfaction. Through strategic outreach and data-driven insights, the Provider Relations Market Director contributes to organizational growth… more
- WellSense (MA)
- … plan of choice. Serves as the primary liaison between WellSense Health Plan (" Plan ") and key provider organizations, taking the lead and promoting ... community health centers. Works closely with the Provider Relations Supervisor to identify issues and...provider data in Onyx and Facets** . **Represents Provider Relations and the plan … more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Manager, Provider Engagement/ Relations will lead and support a team of Provider ... and enforce compliance with Oklahoma managed care contractual requirements, including provider relations processes such as claims dispute resolution within… more
- CareFirst (Baltimore, MD)
- …guidance and assistance to entry level professionals within or outside of Provider Relations teams. **ESSENTIAL FUNCTIONS:** **TRAINING AND EDUCATION:** + ... experience serving as a primary liaison with stakeholders within Health Services and across the company to provide...and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk… more
- Northern Light Health (South Portland, ME)
- …Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Provider Relations Liaison/RN is a sales professional and acts as a business ... to detail the organization's products and service lines provided. The Provider Relations Liaison/RN coordinates scheduled meetings, prospecting, and… more
- CareFirst (Baltimore, MD)
- …Supports network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity**… more
- WellSense (NH)
- … Relations Consultant - NH will act as the primary liaison between Provider Relations Consultants and internal Plan departments such as Claims, Benefits, ... Full-Time/Regular It's an exciting time to join the WellSense Health Plan , a growing regional health...Plan initiatives . Facilitates problem resolution . Initiates Plan interdepartmental collaboration to resolve complex provider … more
- System One (Baltimore, MD)
- Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR ... Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing and maintaining positive relationships with healthcare… more
- Modivcare (AR)
- …be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, ... quality standards are met and swiftly addresses any deficiencies. + Leads provider relations efforts across markets in alignment with regional and corporate… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Project Coordinator MI, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully ... of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a… more
- Modivcare (Greenville, SC)
- …may be the right fit for you! Job Description Modivcare is looking for an experienced Provider Relations Manager I to join our team. This role is responsible for ... and external partners to ensure high-quality service delivery, drive provider performance, and implement process improvements that support key operational… more
- TEKsystems (Lincoln, NE)
- TEKsystems is hiring for a Provider Relations Representative in Lincoln, Nebraska! Start Date: January 26th, 2026 Description * Provide quality customer ... they are educated on all contractual issues. * Strengthen provider loyalty and ensure required persistency of network is...targeted areas and keep abreast of the current recruitment plan to provide accurate information to our… more
- TEKsystems (Lincoln, NE)
- Description * Provide quality customer service through daily contact with providers ensuring they are educated on all contractual issues. * Strengthen provider ... related experience required. * Ability to develop and interpret provider contracts. Job Type & Location This is a...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) ... Apply MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Salary $141,907.20...prior notice. SPECIAL SALARY INFORMATION: Management Appraisal of Performance Plan (MAPP): This position is subject to the provisions… more
- Elevance Health (Mason, OH)
- …Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant ... **Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare...AM - 5:00 PM Eastern Time The MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally… more
- Trinity Health (Langhorne, PA)
- …relations activities and accountabilities. Works in conjunction Colleague and Labor Relations COE leadership and HRBPs, to provide local direction, ... performance quality. Ensures implementation of the vision for Trinity Health 's colleague and labor relations strategy, policies,...Ability to read the subtle nuances of situation and react/ plan accordingly. + Experience in a health … more