- Children's Hospital Los Angeles (Los Angeles, CA)
- …issues resolution, education/orientation, clinical integration, evaluation of network adequacy , quality, and performance metrics. Collaborates with provider ... by fostering strong relationships with providers, resolving patient issues, evaluating network adequacy , and maintaining referral, quality, and performance… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs ... + Remote **Responsibilities** + Generates reports used to analyze network adequacy , perform gap analysis and support...new product + Manages the new business continuum for provider network reports and deliverables to monitor… 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. Responsible ... assisting in the development and execution of annual provider network strategy to include network adequacy standards, as well as a marketable network… more
- AmeriHealth Caritas (Washington, DC)
- …**Recruitment** + Responsible for compliance with State and accrediting agencies' network adequacy standards. + Ensures the provider network meets the ... satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy , Joint Operating Committees, and delegation… more
- Aflac (FL)
- Provider Network Analyst The Company: Aflac Columbus... adequacy reports and deliver results to Network Manager to determine if any network ... gaps exist. + Act as Team Lead for Sales department in Network Adequacy and Disruption Analysis. Train sales account manager on analytics software, act as… more
- Molina Healthcare (MA)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages and coordinates the … more
- Molina Healthcare (Jackson, MI)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Molina Healthcare (Bellevue, NE)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… more
- Molina Healthcare (St. Clair Shores, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... provider databases. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy , issue escalations and JOCs on exception. Able… more
- Unum Group (Portland, ME)
- …team. Help us help others, and join Team Unum today! **General Summary:** The Manager , Network Development, is responsible for leading the Network Recruiting ... the Recruiter Support Specialists to maintain and reach Unum's network goals and objectives. The Manager will... are tracked and communicated + Respond to escalated provider fee negotiations and provide support to… more
- CVS Health (Sacramento, CA)
- …+ Oversee and manage all network -related filings in DMHC filings, including network adequacy , timely access, and new product filings. This includes material ... do it all with heart, each and every day. **Job Summary** The Senior Manager , Network Compliance is responsible for managing business projects and programs,… more
- Integra Partners (Troy, MI)
- …surveys, aimed at improving NPS. + Be the voice of the customer for the Provider network so that we can drive better operational processes, improve our technical ... Organization; lead contracting efforts on new vendors/programs and drive engagement within provider network . + Assist with member transitions. What will you… more
- CVS Health (Lansing, MI)
- …physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute,...+ Recruit providers as needed to ensure attainment of network expansion and adequacy targets. + Responsible… more
- Cardinal Health (Jackson, MS)
- …leaders and employees to proactively identify and address compliance risks, provide guidance on regulatory requirements, and ensure our practices reflect the ... Cardinal Health is seeking a driven, self-starter and highly skilled manager with expertise in healthcare regulatory compliance, including third party billing… more
- Amazon (Redmond, WA)
- Description Amazon Leo is Amazon's low Earth orbit satellite network . Our mission is to deliver fast, reliable internet connectivity to customers beyond the reach of ... into the US as a refugee or granted asylum. As an Electrical Engineering Manager for Launch Vehicle Integration, you will lead a team responsible for electrical… more
- CVS Health (Denver, CO)
- …each and every day. **Position Summary** + Recruits providers as needed to ensure network adequacy and achievement of network expansion goals. + Negotiates ... and activities related to execution, loading, and ongoing maintenance of provider contracts. + Supports the negotiation and implementation of value-based contract… more
- Penn State Health (State College, PA)
- …and staffing levels needed to assist the assigned facility. + Monitor adequacy and multi competencies of staffing levels; implement appropriate in-service training ... + Recruit, hire, coach and evaluate staff, determining salary. + Provide progressive discipline for all specialties/disciplinaries, if applicable. In conjunction… more
- Jabil (Monument, CO)
- …Process Engineering.. Provide regular updates to BUM, WCM, and Operations Manager on the execution of the strategy.. Manage technical support globally to sustain ... 50 years of experience across industries and a vast network of over 100 sites worldwide, Jabil combines global...communities around the globe. JOB SUMMARY The Engineering Services Manager is the "site technology leader" of Jabil's manufacturing… more
- Jabil (Salisbury, NC)
- …Develop an understanding of the Workcell business strategy as it pertains to EHS. + Provide regular updates to Facilities Manager and Operations Manager on ... 50 years of experience across industries and a vast network of over 100 sites worldwide, Jabil combines global...cost and cost trends. Forecast Development and Accuracy + Provide feedback to Facilities Manager and Operations… more
