- Sentara Health (Lexington, VA)
- …Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network , ... and surrounding areas!! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates,… more
- Center for Elders' Independence (Oakland, CA)
- …Cloud-managed network devices (eg, Cisco Meraki, Fortinet) End-user device management (eg, Microsoft Intune, Autopilot) Proven ability to lead and develop ... Team Leadership and Development: Lead project team on key milestones, provide technical and collaborative mentorship, and contribute to the development of… more
- PIH Health (Lynwood, CA)
- PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel ... patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified...that come with working for the area's leading community healthcare provider - one that also recognizes… more
- Center for Elders' Independence (Oakland, CA)
- … (Microsoft Entra ID, Active Directory) Device lifecycle and endpoint management tools (eg, Intune, Autopilot) Network monitoring and troubleshooting ... Support the rollout of new IT solutions by contributing to change management , training materials, and communication plans. Assist in user acceptance testing (UAT)… more
- NHS Management (York, AL)
- …enjoys the charm of small-town living combined with the resources of a trusted healthcare network . Make a difference where your work feels personal. Job Summary ... Registered Nurse (RN) to join our interdisciplinary team. The RN will provide exceptional nursing care to residents, ensuring their physical, emotional, and social… more
- Molina Healthcare (New York, NY)
- …the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... Experience** + 5+ years of analytics experience in financial analysis, healthcare pricing, network management , healthcare economics or related… more
- Molina Healthcare (NM)
- …the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... Experience** * 5+ years of analytics experience in financial analysis, healthcare pricing, network management , healthcare economics or related… more
- Hartford HealthCare (Hartford, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Clinical Risk Management Data Analyst is ... Statistics, or related discipline preferred *_Experience:_* . 3 years of recent healthcare data analysis and project management experience. . Demonstrated… more
- ChenMed (Philadelphia, PA)
- …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment. + Network Management experience/understanding. + ... doctors and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to all patients. **ESSENTIAL… more
- Molina Healthcare (Pensacola, FL)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... and will work EST business hours M-F Job Summary Provides support for provider network administration activities. Responsible for accurate and timely validation… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. ... satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by… more
- Molina Healthcare (WA)
- …of education and experience. **PREFERRED EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for...+ 5 years provider contracting/reimbursement experience in healthcare setting. + 3 years of supervisory/ management… more
- AmeriHealth Caritas (Southfield, MI)
- … comprehensive senior leadership and strategic direction to the market network management teams in developing and maintaining effective, high-performing ... related aspects of state contract. + Leads and manages provider network team to ensure high performance,...bachelor's degree in Business or health-related disciplines such as Healthcare Administration or Healthcare Management … more
- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** The Provider Network Management Contractor is responsible for developing, contracting, and maintaining provider relationships within ... + Structures contracts that support quality initiatives such as: Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment... provider satisfaction. + Works with CPNM (Clinical Provider Network Management ) to manage… more
- ChenMed (Miami, FL)
- …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment + Network Management experience/understanding + ... medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare ...List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate… more
- Molina Healthcare (Jackson, MI)
- …: * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working experience servicing complex ... staff are the primary point of contact between Molina Healthcare and contracted provider network ....provider network . They are responsible for network management including provider education,… more
- The Cigna Group (Cleveland, OH)
- …be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management , Cleveland and Northern OH (inclusive of Toledo, ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,... Contracting Team and reports to the Vice President, Network Management , Liberty Valley. This role is… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network .... network . They are responsible for the provider training, network management and… more
- Molina Healthcare (MA)
- …outreach and resolving provider inquiries. * In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific ... staff are the primary point of contact between Molina Healthcare and contracted provider network ...., corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job… more
