- EssilorLuxottica (Mason, OH)
- …Account Management team to intake, analyze, and provide recommendations on Strategic Provider needs and custom network builds + Partner with Configuration & ... analytics, and day to day management to support the provider network and provider economics... network management, network health, and provider economics + Lead efforts and provide … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- The Cigna Group (Anaheim, CA)
- …either in Office or Travel out to in-person meetings with Providers._** The **AVP, Network Management** serves as an integral member of the Network Management & ... Affordability Team and reports to the VP, Network Management. This role is a key contributor to...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- The Cigna Group (Newton, MA)
- **LOCATION: Based in Newton, MA office** The **Manager, Provider Network Contracting** serves as an integral member of the Provider Contracting Team and ... and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures… more
- AmeriHealth Caritas (Washington, DC)
- ** Provider Network Account Executive II** Location: Washington, DC Primary Job Function: Medical Management ID**: 34148 **Job Brief** The Provider Network ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II)is responsible… more
- The Cigna Group (Seattle, WA)
- LOCATION: This position supports the Seattle, WA market. The **Director, Provider Network Management** serves as an integral member of the Provider ... Team and reports to the Assistant Vice President of Provider Contracting. This role assists in developing the strategic...and management of the day to day contracting and network management activities for a local given territory. **DUTIES… more
- The Cigna Group (New York, NY)
- …to work 3 days per week in our Manhattan office._** **Assistant Vice President, Network Management, NY Market** This position serves as an integral member of the ... Provider Contracting Team and reports to the Vice President, Network Management, NY/NJ. This role is a key contributor to the development of the strategic… more
- Elevance Health (Wichita, KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal ... miles of one of our Kansas Elevance Health PulsePoint locations. The ** Network Relations Consultant, LTSS Provider Representative** develops and maintains… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Data Associate II Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Provider Network Data Associate II is in...Risk Medical Insuarence Board (MRMIB) and Geo Access. Duties Provide support to the Provider Relations Department.… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate ... within the network ; and to expand and develop provider network . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Negotiates fee-for-service durable medical… more
- Elevance Health (Costa Mesa, CA)
- ** Provider Network Manager (JR108624)** **Location** : Must reside within 50 miles/1 hour commute to one of the following offices: Woodland Hills, Walnut Creek, ... - 2 days/week working in the local office. The ** Provider Network Manager** develops the provider...of judgment and discretion. + Leads special projects/initiatives, or network planning. + May provide work direction… more
- CVS Health (Richmond, VA)
- …convenient and affordable. Position SummaryIn this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level ... groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and… more
- Guardian Life (Columbus, OH)
- …training and quality programs to support Recruiting, Provider Relations, and Provider Operations ensuring consistent adherence to network best practices, and ... high standards set for the teams that interface with and support Guardian's 135,000+ provider dental network . You must ensure best practices are being adhered to… more
- AmeriHealth Caritas (Charlotte, NC)
- ** Provider Network Account Executive II** Location: Charlotte, NC Primary Job Function: Medical Management ID**: 34159 **Job Brief** AmeriHealth Caritas North ... Carolina seeks an experienced Provider Network Account Executive II. You will take a lead role in improving Provider Relations & Contracting. Serve the… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Talent Acquisition Sourcing Specialist ( Provider Recruitment) supports and works closely with the provider recruitment ... and is responsible for lead and applicant generation. The provider talent acquisition sourcing specialist uses a broad range...+ Maintains confidentiality of all materials handled within the Network / Entity as well as the proper release of… more
- AmeriHealth Caritas (Thibodaux, LA)
- ** Provider Network Account Executive I** Location: Thibodaux, LA Primary Job Function: Medical Management ID**: 34232 **Job Brief** AmeriHealth Caritas Louisiana ... provider orientation sessions, making educational visits, and resolving provider issues. Ensure that network provider...visits, and resolving provider issues. Ensure that network provider perspectives and feedback are included… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Coordinator Provider Network ** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34226 Your career starts now. We are looking for the ... for addressing provider issues and maintaining the provider tracking databases. In addition, the Network ...the provider tracking databases. In addition, the Network Coordinator supports the Network Management Department… more
- Community Health Network (IN)
- …Facility Indiana IN United States Shift N/A **Job Location** This Advanced Practice Provider will join Community Health Network , a multispecialty group with over ... maintains its place as one of the top 5 provider friendly states. **Highlights** Community Health Network ...and benefit package + Epic **Job Duties** Advanced Practice Provider will provide healthcare, including assessment, diagnosis,… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics.** **Position** Director Provider Network **Location** US:IL:Chicago **Req ID** 8416 ... **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** RushHealth Network Development **Work Type:** Full Time (Total FTE between 0.9… more
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