- Centene Corporation (New York, NY)
- … contracts and hospital contracts + Participate in physician and ancillary provider contracting and provider relations in foreign state markets through ... flexibility. **Position Purpose:** Responsible for maintaining existing and developing new provider relations , and assisting with contracting activities + Manage… more
- Fallon Health (Worcester, MA)
- …new hires. + Act as a role model and resource for other Provider Relations Representatives + Support team members and provide support to other territories as ... on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Senior Provider Relations Representative serves as primary liaison for operational matters… more
- CareFirst (Baltimore, MD)
- …healthcare, business or job related field. 1 year experience in contracting, provider recruitment and/or provider relations . **Preferred Qualifications** : ... to the implementation process of projects as it relates to institutional, ancillary , professional, dental and vendor contracting. Provide subject matter… more
- Fallon Health (Worcester, MA)
- …Twitter and LinkedIn. **Brief Summary of purpose:** Respond to physician, hospital, ancillary provider inquiries and requests for services associated with the ... timeframes, PUNKS, QNXT case inventory/assignments, etc.) + Assist and support the Provider Relations Representative on Provider enrollment initiatives. +… more
- Elevance Health (Wallingford, CT)
- …a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience should include prior contracting ... schedule development using actuarial models strongly preferred. + Experience with ancillary provider and/or dialysis facility contracting. + Value-based… 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 position is… more
- Scripps Health (San Diego, CA)
- …contracted provider network to serve SHPS members. * Oversee provider relations functions including training, problem solving and satisfaction for ... millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on...At least seven years combined experience in management of provider relations and contracting at the plan,… more
- Elevance Health (Indianapolis, IN)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and ... ** Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid...hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or… more
- Elevance Health (Latham, NY)
- …a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience should include prior contracting ... work, promoting a dynamic and adaptable workplace. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary… more
- Elevance Health (Seattle, WA)
- …Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and ... is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations (language and rates), relationship development,… more
- University of Virginia (Charlottesville, VA)
- Clinical audiologist will be expected to provide comprehensive diagnostic evaluations for patients that may be unique to an academic medical center with an active ... for rehabilitation. Provides follow-up services as indicated, referring appropriately for ancillary needs. Responds to initial Hospital consults in compliance with… more
- University of Rochester (Rochester, NY)
- …ensure the appropriate appointment/procedure is scheduled with the appropriate provider , ensuring accurate patient demographic and current insurance information is ... record verification. May perform complex appointment scheduling, linking referrals, and ancillary services for the assigned specialty service. Provides patients with… more
- Baylor Scott & White Health (Dallas, TX)
- …(BSWH), which may include provider network development, contracting, credentialing, and provider relations . Responsible for all aspects of the health plan ... contracting, including information gathering, negotiation, implementation, and reporting through provider relations and network management activities. - Ensures… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include but ... is not limited to, contracting strategies; calculation and testing of provider rates; implementation oversight for all regions and monitoring of provider … more
- AdventHealth (Maitland, FL)
- …CPT/HCPCS coding knowledge Preferred . 5 in healthcare, hospital revenue cycle or payer/ provider relations Preferred Our people are passionate about what they ... Cycle leadership including CBO, UR, CM, Patient Access, Revenue Integrity, HIM, Ancillary facilities and other internal departments in order to ensure compliance and… more
- University of Rochester (Rochester, NY)
- …experience of previous authorization requests, denials and approvals. On behalf of the provider and the University, perseveres with the process to ensure as many ... applications are approved as possible without provider intervention. + Determines relevant information needed, based on previous authorization request experience for… more
- Live Nation (Phoenix, AZ)
- …and approximately 10,000 clients worldwide. Live Nation Concerts is the largest provider of live entertainment in the world promoting more than 50,000 events ... have proven experience in various ticketing software, staff management, and guest relations . This position will manage the day-to-day operations of the Box Office… more
- Trinity Health (South Bend, IN)
- …benefit limitations and additions, and employer groups. Acts as liaison between provider offices, physicians, health plans and ancillary departments. Maintains ... cases to ensure clinical and financial clearance. Contacts scheduling and/or ancillary department colleagues for clarification, if cases require clarification of… more
- UNC Health Care (Raleigh, NC)
- …Summary: Implements strategic plans in order to enhance patient experience, patient relations , and advocate for the voice of the patient. Provides data analysis ... various entity and system committees representing patient experience and patient relations . Responsibilities: 1. Incorporates UNC Health values into all aspects of… more
- Penn Medicine (Lancaster, PA)
- …has one location attached to WBH. Given the proximity to WBH, most ancillary services are very accessible to our patients, including radiology, physical therapy, ... in accordance with regulatory requirements and standards of practice. Consults with provider as necessary. + Provides patient specific education including but not… more