- Centene Corporation (New York, NY)
- …flexibility. **Position Purpose:** Responsible for maintaining existing and developing new provider relations , and assisting with contracting activities + Manage ... contracting area including work flow, training and communication standards + Manage day-to-day provider relations activities and provider relations … more
- CareOregon (Portland, OR)
- …Requisition # 25025 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Provider Relations Supervisor Department Provider ... requirements. + Autonomously develop and lead group training sessions and presentations. Provider Relations + Cultivate relationships with providers to enhance… more
- UGI Corporation (King Of Prussia, PA)
- Manager - ESG & Investor Relations Location: King Of Prussia, PA, US, 19406 Workplace Environment: Hybrid Company: UGI Corporation Requisition Number: 26051 UGI ... with a generous company match * Tuition Reimbursement * Assistance with Professional Credentialing * Referral Bonuses * Employee Discount Programs Job Summary The … more
- CVS Health (Tallahassee, FL)
- …limited to claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. Supports or assists with ... are not limited to, database management, and contract coordination. Performs credentialing support activities as needed. Educates providers to ensure compliance with… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible… more
- Elevance Health (Cincinnati, OH)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and ... health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** This… more
- Elevance Health (Ashburn, VA)
- …a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience should include prior contracting ... ** Provider Network Manager Senior** Carelon Behavioral...fee schedule development using actuarial models strongly preferred. + Provider Credentialing Process experience preferred. + … more
- Arkansas Children's (Little Rock, AR)
- …the philanthropic profile of Arkansas Children's by implementing the media relations program for Arkansas Children's Foundation and its related entities. ... Arkansas Department of Motor Vehicles **Recommended Certifications:** Accreditation in Public Relations (APR) - Public Relations Society of America… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: SUNY Upstate is seeking a highly motivated Advance Practice Provider Manager to join Upstate Advanced Practice Service Team whose role will have a ... organizational & interpersonal skills required. + Ability to maintain good public relations with patients, visitors, co-workers and other individuals. + 1-2 years… more
- Munson Healthcare (Traverse City, MI)
- …and/or provider relations + Certified Professional Medical Staff Manager (CPMSM) and/or Provider Credentialing Specialist (CPCS) is preferred. ... MHC medical staff organization and executive physician leadership team regarding credentialing , privileging and provider data tracking services. What's Required:… more
- GEHA (Lee's Summit, MO)
- …in an actionable, comprehensive format. + Partners with appropriate departments (eg, Provider Relations , Claims, IT, Credentialing , Customer Service, vendor ... provider experience. **SKILLS** **Duties and Responsibilities:** + Support the Provider Experience Director and Manager in regularly providing updates to… more
- Molina Healthcare (Columbia, SC)
- …to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * Receives ... a bordering state _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Trinity Health (Des Moines, IA)
- …geographic area or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will maintain a portfolio of ... ready to make a difference and do the right thing. **Position Purpose:** The Market Manager - Provider Relations and Network Development is responsible for… more
- SSM Health (Oklahoma City, OK)
- …patients, staff, physicians, and other departments. + Manages staff relations including performance management, staff satisfaction, and conflict management. Oversees ... of departmental budgets, regulatory compliance, departmental contracts, and vendor relations . + Ensures on-going compliance with regulatory agencies. + Maintains… more
- Houston Methodist (Sugar Land, 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
- Fallon Health (Worcester, MA)
- …(ie Claims, Finance, Care Management Services, Patient Relations , Marketing, Credentialing , Provider Relations , etc.). + Researches, analyzes and ... carve out vendor as assigned by Senior Director or Manager . + Prepares, updates and maintains files and database...teams as assigned by Senior Director. + Assists in Provider Relations activities including servicing, educating and… more
- Baystate Health (Springfield, MA)
- …leader in healthcare quality and safety, is looking for a Full Time Manager to join our Food and Nutrition Services team in Springfield, MA.** **SCHEDULE:** ... health Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous learning and improvement.… more
- CommonSpirit Health Mountain Region (Colorado Springs, CO)
- …HS GED License/Certifications Requirement Current certification as a NAMSS Certified Provider Credentialing Specialist (CPCS) required, or achieve certification ... leadership and oversight of all aspects of Medical Staff governance to include credentialing , peer review, medical staff relations , medical staff meetings, 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 ... opportunities for process improvement and facilitate issue resolution Identify and provide recommendations for provider participant's quality and utilization… more
- Northern Light Health (Portland, ME)
- …and on-going review of Medical Staff programs as they relate to credentialing /privileging, regulatory compliance and provider relations . The incumbent ... credentialing protocols. + Oversees the management of all provider data for members of the Medical Staff, Health...Health Professional Affiliate Staff and promotes and enhances positive provider relations with the organization. + Responds… more
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