- GEHA (Lee's Summit, MO)
- …workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, ... plus. Work-at-home requirements + Must have the ability to provide a non-cellular High Speed Internet Service such as...their families. Offering one of the largest medical and dental benefit provider networks available to federal… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …+ May also be the lead for PNE team in resolution of escalated provider concerns/issues, distribution of workload, and provide peer review for contract accuracy. ... that we serve through our Healthsource blog: https://healthsource.premera.com/ . As the ** Provider Network Executive III** , you will develop and maintains effective… more
- MyFlorida (Miami, FL)
- …Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of deficiencies needing correction and provide a plan of remediation ... PROVIDER LIAISON - 67053539 Date: May 23, 2025...+ State Group Insurance coverage options, including health, life, dental , vision, and other supplemental insurance options. + Retirement… more
- Bright Horizons (Broomfield, CO)
- …as ** Provider Accounts Specialist** at **Bright Horizons** , where you will provide support for Provider Accounts team to complete the daily transactional ... to successfully manage and grow the nationwide backup care provider network + Provide new provider...this position, subject to applicable eligibility requirements: + Medical, dental , and vision insurance + 401(k) retirement plan +… more
- Health Plans, Inc. (Dallas, TX)
- …as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care provider groups ... + Ensure health care groups are compliant with EHN provider manual and provide education around topics...We offer a comprehensive benefits package, including medical, HAS, dental and vision plans as well as life and… more
- MyFlorida (Fort Lauderdale, FL)
- …unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and ... PROVIDER ENROLLMENT COORDINATOR - 67073573 Date: Jun 4,...+ State Group Insurance coverage options, including health, life, dental , vision, and other supplemental insurance options. + Retirement… more
- MyFlorida (Daytona Beach, FL)
- …Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of deficiencies needing correction and provide a plan of remediation ... OPS PROVIDER LIAISON - 67901007 Date: Jun 3, 2025...+ State Group Insurance coverage options, including health, life, dental , vision, and other supplemental insurance options. + Retirement… more
- LA Care Health Plan (Los Angeles, CA)
- …to perform root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide optimal customer service ... Provider Data Quality Auditor II (ALD) Job Category:...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- Humana (Akron, OH)
- …first** Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our ... Medicaid team. The Senior Provider Engagement Professional develops and grows positive, long-term relationships...a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Humana (Madison, WI)
- …our caring community and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. The ... Contracting Manager will oversee a talented group of Provider Contracting Professionals as they lead change in how...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Elevance Health (Nashville, TN)
- …of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue ... shield plans. **Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee **Summary** The Regional Vice President (RVP) of Provider … more
- Sea Mar Community Health Centers (Monroe, WA)
- …providers dedicated to serving underserved and diverse communities. Job Summary The Pediatric Provider (MD, DO) will provide primary medical care services to ... in the principles of practice at Sea Mar and its mission statement. The provider will work collaboratively with staff to provide team-based coordinated care. The… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . The ** Provider Experience Strategist IV** plays a critical role in enhancing ... provider interactions, streamlining workflows, and driving strategic initiatives to...emotional, and community benefits, including: + Medical, vision, and dental coverage with low employee premiums. + Voluntary benefit… more
- AmeriHealth Caritas (Washington, DC)
- …accurate implementation through stakeholder collaboration. ;They handle complex and escalated provider service issues, negotiate resolutions, and provide timely ... in-office work in our District of Columbia office.; ;The Provider Network Account Executive II is a self-starter and...of Value-Based Contracting is highly desired.;; + ;Knowledge of Dental Contracting is highly desired.; + Minimum of 3;years… more
- HCA Healthcare (Dallas, TX)
- …is recognized. Submit your application for the opportunity below: Provider Enrollment Credentialing SpecialistParallon **Benefits** Parallon, offers a total ... services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts,… more
- The Cigna Group (Mclean, VA)
- …area.** This **Manager, Hospital Contracting** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Elevance Health (Columbus, GA)
- Provider Success Consultant Sr. (Georgia Market) **Location:** This role requires associates to be in-office (Atlanta or Columbus) 1 - 2 days per week, fostering ... **in the** **state of Georgia** , and travel to provider locations in Georgia at a minimum of 50%...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Nashville, TN)
- ** Provider Experience Manager** **Location: Nashville, Tennessee** Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Experience Manager** is responsible for providing quality, accessible and… more
- Elevance Health (Los Angeles, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health (BH) … more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health _Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... and insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the expertise in managing negotiated… more
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