- CareFirst (Baltimore, MD)
- …work activities/deliverables that week. **PURPOSE:** This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health ... Services and across the company to provide communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted, in-network… more
- City of New York (New York, NY)
- …The employees of Employment & Support Services Administration- Career Services help provide unique individual services to eligible New Yorkers aimed towards the ... achievement of long-term self-sufficiency. The Provider -Client Services & Special Projects Units are the cornerstone of the agency-mandated services that help ensure… more
- Point32Health (NH)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the… more
- MyFlorida (Fort Lauderdale, 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 - 67052259 Date: Jan 10, 2026...to complete business processes. Ability to: + Demonstrate and provide responsive customer service. + Work with individuals with… more
- Point32Health (Canton, MA)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... of all of our colleagues, which helps us to provide service with empathy and better understand and meet...This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
- Humana (Jefferson City, MO)
- …first** We are looking for a dynamic Strategy & Operations Lead - Provider Practice Management to develop clinical solutions for our members and providers, with ... strategy to execution. The Strategy & Operations Lead - Provider Practice Management role is a critical member of...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- The Cigna Group (Richmond, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of ... the Provider Contracting...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …account and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide input and/or ... our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network Executive (PNE… more
- Humana (Oklahoma City, OK)
- …and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- St. Luke's Health System (Boise, ID)
- …and Analytics department and Physician Compensation leaders, support services for provider compensation functions to provide consistent, high quality reporting ... teams to achieve the credibility necessary to enable challenging discussions around provider compensation. + Provide ongoing education for front-line leaders and… more
- Sea Mar Community Health Centers (Lakewood, WA)
- …providers dedicated to serving underserved and diverse communities. Job Summary The Pediatric Provider (MD, DO) will provide primary medical care services to ... practice at Sea Mar and its mission statement. The provider will work collaboratively with staff to provide... provider will work collaboratively with staff to provide team-based coordinated care. The physician prescribes and/or dispenses… more
- The Cigna Group (Columbus, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting Team and ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Humana (Indianapolis, IN)
- …put health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2) who is ... Humana's Healthy Horizons Indiana Medicaid market, as well as responsible for provider onboarding, training, education, responding to provider inquiries, and… more
- Elevance Health (Grand Prairie, TX)
- **JR177060 Provider Relationship Account Manager** Responsible for providing quality, accessible and comprehensive service to the company's provider community in ... law. **How will you make an impact:** + Develops and maintains positive provider relationships with the provider community by regular on-site and/or… more
- HCA Healthcare (Texas City, TX)
- …individual is recognized. Submit your application for the opportunity below: Provider Solution Specialist -HCA Houston Healthcare Mainland **Benefits** HCA Houston ... benefits may vary by location._** We are seeking a Provider Solution Specialist for our team to ensure that...for our team to ensure that we continue to provide all patients with high quality, efficient care. Did… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, ... performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity… more
- Centene Corporation (New York, NY)
- …policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, ... **Position Purpose:** This position will oversee approximately 10 individual contributors ( Provider Engagement Account Managers - PEAM). This role has overall… more
- Centene Corporation (Nashville, TN)
- …reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider... Provide issue resolution support for most complex provider contracts by researching and partnering to resolve … more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Manager, Provider Engagement/Relations will lead and support a team of Provider Relationship ... Oklahoma Medicaid plan. This leader will oversee relationship management, provider engagement, training, onboarding, issue resolution, and operational compliance,… more
- CareFirst (Baltimore, MD)
- …work activities/deliverables that week. **PURPOSE:** This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health ... stakeholders, by ensuring regular communications and timely problem resolution. Leverages provider relationships to drive and influence provider behavior towards… more
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