- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... Responsible for managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for assisting the Leader… 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. ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring that… more
- Prime Therapeutics (Cheyenne, WY)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network ... Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more
- HCA Healthcare (Campbell, CA)
- …Management Associates both in house and remotely, and a Network Management Coordinator whose primary function is to provide provider support/education ... like family! Jump-start your career as a Manager of Network Management Services today with HCA Healthcare....Health Plans (HMO and PPO) + Responsible for managing network provider education of applicable policies and… more
- CACI International (Sterling, VA)
- Network Management Systems (NMS) ServiceNow Developer Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... in enhancing and automating request fulfillment workflows, integrating ServiceNow with network management systems, ensuring seamless workflows across various… more
- HCA Healthcare (Salt Lake City, UT)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Director Network Management for our team to ensure that we continue to ... to apply! **Job Summary and Qualifications** The Director of Network Management is responsible for leading the...Guide onboarding and integration of new practices into the network . + Promote provider engagement in … more
- CACI International (Sterling, VA)
- Network Management Systems (NMS) Database Admin Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph ... designing, implementing, optimizing, and maintaining the databases that support our network management systems, ensuring high performance, availability, and… more
- Magellan Health Services (Albuquerque, NM)
- …and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities. + Assesses ... and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network...draft, clarify and recommend changes to policies which impact network management . The job duties listed above… more
- CACI International (Las Cruces, NM)
- Network Management Systems (NMS) Operations Tier 3 Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... Continental US * * * **The Opportunity** : We are seeking an experienced Network Management Systems (NMS) Engineer to oversee the operations of the production… more
- Trace Systems Inc (Shaw AFB, SC)
- Job Overview Job Title: Network Management Lead Location: Shaw AFB, SC This position is pending contract award. Job Responsibilities Trace Systems is seeking a ... dynamic Network Management Lead to join our team...to: + Communications Security (COMSEC) Support. The contractor shall provide cryptographic equipment/COMSEC support, as required, as an alternate… more
- AmeriHealth Caritas (Baton Rouge, LA)
- … management of provider satisfaction. + Contractors will work with Corporate Provider Network Management to manage the annual contracting schedule as ... contracts consistent with claim payment methodologies. + Augments and modifies the existing provider network to accommodate new products or clients as necessary.… more
- AmeriHealth Caritas (Southfield, MI)
- … comprehensive senior leadership and strategic direction to the market network management teams in developing and maintaining effective, high-performing ... contract all hospital, physician, ancillary, facility, and physician extender network development and management for all products...related aspects of state contract. + Leads and manages provider network team to ensure high performance,… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …in Healthcare Administration, Finance or Business Management . + Previous network development and provider contracting experience. + Possesses a valid ... Day. Aspirus Health in Wausau, WI is seeking a NETWORK MANAGEMENT PARTNER to join our team!...all Aspirus Health Plan products. Maintain active communication with provider network and act of point of… more
- CACI International (Sterling, VA)
- Network Management Systems (NMS) Linux Engineer Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph ... our team with a background in automation to join our dynamic team supporting Network Management Systems (NMS). The successful candidate will be responsible for… more
- Leidos (Fort Belvoir, VA)
- **Description** Leidos is seeking a Network Management Systems (NMS) Engineer at Fort Belvoir, VA to support operations on a large, high-profile DOD contract. ... I3TS program provides enterprise-wide IT support to enable DTRA's Information Management & Technology Directorate (ITD) to consolidate, modernize, and continuously… more
- Corewell Health (Grand Rapids, MI)
- …+ Preferred Master's Degree (MBA, MHA, MHP) + 5 years of relevant experience within provider network management , health care insurance or other health care ... costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. + Support market specific… more
- CVS Health (Annapolis, MD)
- …options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid program. ... network expansion, identifies gaps in the existing network , and proactively seeks new provider relationships...that may include, but are not limited to, database management and contract coordination. + Provides ongoing recommendations to… more
- Molina Healthcare (Spokane, WA)
- …years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… more
- Health Care Service Corporation (Chicago, IL)
- …Units, Utilization Management , Medical, Delegation Oversight, Core Credentialing, Provider Automation and other divisions within the company.9. Provide ... on local and corporate committees and task forces that require input from Network Management Department. Participate in trade association meetings, as required.… more
- TEKsystems (Canoga Park, CA)
- Position: Network Management Specialist Location: On-site, Northridge, CA - 8510 Balboa Blvd Suite 170, Northridge, CA 91325 About the Role In this role, you ... be vital in maintaining efficiency and continuity within our network . Key Responsibilities + Manage provider data...within our network . Key Responsibilities + Manage provider data and credentialing processes to ensure accuracy and… more
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