- 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 Fleet Management System Manager is responsible ... moment matters. And this is*your moment.* **Job:** **Non-Medical* **Organization:** **Hartford HealthCare Corp.* **Title:** *Fleet Management System Manager *… more
- Manulife (Boston, MA)
- … Administration, Public Policy, or related field preferred + 8 -15+ years in provider network management , healthcare contracting, or payer strategy ... long-term care providers to our customers when they need it. The Director, Provider Network Development & Relationship Management , is responsible for… 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
- Commonwealth Care Alliance (Boston, MA)
- …have): * 8-10 years of progressively responsible experience in provider relations, network management , or healthcare operations within a managed care ... quality, compliance, medical management , and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience:** + 5-7 years of experience in healthcare quality improvement, provider network performance and management , population health, or related ... of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align… 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
- 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
- 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
- The Cigna Group (Columbus, OH)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Dallas, TX)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (Detroit, MI)
- **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
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