- CVS Health (Chicago, IL)
- …Audits conducted by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations. Recruits, develops, and ... work with others at all levels * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+ years' experience in Medicaid… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of ... provider relations for Commonwealth Care Alliance's SCO...retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed… more
- Commonwealth Care Alliance (Boston, MA)
- …access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider ... performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role… more
- Amazon (Seattle, WA)
- …develop and execute foundational submission, reporting, risk analysis, and management for provider credentialing . This position will be heavily involved in ... This individual will build and scale operational processes for pharmacy credentialing and launches while ensuring alignment with 3P risks and regulatory… more
- Medtronic (San Antonio, TX)
- …locations/functions, and following established ELR processes, as well as building manager skill sets. In addition to Employee Relations responsibilities, ... easier. Our portfolio of innovative solutions is designed to provide customers with greater freedom and better health, helping...in San Antonio, TX As the Sr Principal Employee Relations - Project Management Partner, you will be responsible… more
- CVS Health (Coral Gables, FL)
- …Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claim Lifecycle, Provider Appeals & Disputes, and Network ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Centene Corporation (Queens, NY)
- …flexibility. **Position Purpose:** Responsible for maintaining existing and developing new provider relations , and improving provider performance and ... physicians optimize care delivery and meet key performance targets + Manage day-to-day provider relations activities and provider relations department… more
- Medtronic (North Haven, CT)
- …in restructuring initiatives, resulting in successful employee transitions. As people manager , you'll provide motivational, thought, and technical leadership ... and North Haven, CT. In this Employee & Labor Relations Director role, you will serve as a trusted...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Medtronic (Minneapolis, MN)
- …a global leader in medical technology, is seeking a Senior Director of Investor Relations , Finance, to join its award-winning investor relations (IR) team and ... will report to the Vice President, Head of Investor Relations , will also serve as an interface between Medtronic...requires an articulate and analytical professional leader who can provide work direction and develop talent, including managing one… more
- Elevance Health (Waukesha, WI)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and ... **LTSS Provider Network Manager , Contracting** **Location:** WI-Waukesha,...fee schedules is strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge… more
- Guthrie (Sayre, PA)
- …ability to mentor and guide junior team members. Thorough understanding of provider credentialing , licensing, and regulatory compliance Education A high school ... Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as… more
- The Cigna Group (Mclean, VA)
- …Hospital/ Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting… more
- Trinity Health (Maywood, IL)
- …**Shift:** Day Shift **Description:** On-site position The Department Administrator and Manager for the Departments of Radiology and Pathology at Loyola University ... Medical Center is responsible for supporting the Physician and Advanced Practice Provider management functions for their assigned department(s) and will serve as the… more
- Houston Methodist (Cypress, TX)
- …REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **OR** + CPMSM - Certified Professional ... At Houston Methodist, the Manager Medical Staff Services position is responsible for...of this position may include many of the following: credentialing ; Medical Staff governance, including peer review; accreditation and… more
- LifePoint Health (Las Cruces, NM)
- …work. * Proficiency with Microsoft Office applications and web-based technologies Strong provider relations skills and experience. * Familiar with payment ... *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At...for process improvement and facilitate issue resolution Identify and provide recommendations for provider participant's quality and… more
- Urology Clinics of North Texas (Mesquite, TX)
- …billing departments as necessary. Physician Support + Maintain licensure, dues, and credentialing records. + Provide operational and administrative support to ... Clinic Manager Float Job Details Job Location 1650 Republic...a liaison between physicians and support services (surgical assist, credentialing , hospital, etc.). Patient Experience & Relations … more
- Intermountain Health (Broomfield, CO)
- …Health Care Operations + Building Relationships + Resource Management + Provider Relations + Continuous Improvement **Physical Requirements:** **Required ... **Job Description:** This Operations Service Line Senior Manager position is an integral position within the...be responsible for operations specific to ambulatory clinicians who provide therapy services (LCSW, LMFT, LPC, LAC, etc.) within… more
- Walgreens (Wentzville, MO)
- …Store Manager to manage career progression. + Addresses employee relations concerns. Maintains team member morale by checking on employee welfare, addressing ... events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and… more
- STG International (Savannah, TN)
- …OPENING** Clinic Manager STG International (STGi) is currently seeking a Clinic Manager to provide services at our Community Based Outpatient Clinic. The ... Excellence program initiatives. The general duty of the Clinic Manager is to provide professional clinical services...Peer Review Programs. + Perform, under the Primary Care Provider 's and STGi Program Manager 's supervision, administrative… more
- Walgreens (Whitney, TX)
- …communities we serve as requested by Healthcare Supervisor or District Manager . + Supervises operation of pharmacy, including opening/closing/changing shifts, task ... delegation and scheduling team members. Ensures execution of District Manager operational feedback. + Supervises the control of the pharmacy money including register… more
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