- Area Agency On Aging 1-b (Southfield, MI)
- Senior Provider Relations Network Manager (SPRNM) oversees the provider network , provider relationships, and quality of service delivery ... network trainings and additional activities to support/improve provider network functions and relations ....claim issue resolutions. + Act as a liaison with provider agencies to provide info on services,… more
- CVS Health (Trenton, NJ)
- …Jersey. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Tallahassee, FL)
- … request to enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA ... limited to claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. Supports or assists with… more
- Goodwill of Greater Cleveland and East Central Ohi (Canton, OH)
- …stay on track. + Network Partner Relations + Work with the Network Manager and the Unite Us Social Care platform team to conduct outreach, onboarding, ... of and attending community events. + Working with the Network Director and Manager in coordinating grant... partners and their technology and/or software partners. + Provide technical assistance to prospective and current network… more
- CareOregon (Portland, OR)
- …n/a Direct Reports n/a Manager Title Provider Relations Manager Department Provider Network Operations Pay and Benefits Estimated hiring range ... design, graphic design, and photography + Understanding of provider network development, education, operations, and relations + Understanding of health… more
- Elevance Health (Los Angeles, CA)
- ** Manager , LTSS Provider Relations and Network Management** **Location:** Woodland Hills CA, Costa Mesa CA **Hours:** M - F Standard Working hours ... adaptable workplace. Alternate locations may be considered. The ** Manager , LTSS Provider Relations and Network Management** directs the activities… more
- Health Plans, Inc. (Dallas, TX)
- …as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care provider ... customers. The Manager of Provider Relations will also oversee day to day network... groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate… more
- Molina Healthcare (Joliet, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- CVS Health (Williamsport, PA)
- …all with heart, each and every day. Provides strategic leadership and oversight for network management and provider relations . Develops and implements ... network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates...high-quality provider relationships. + **** Manages local provider relations staff to ensure Market Leading… more
- Centene Corporation (Trenton, NJ)
- …field or equivalent experience. Master's degree preferred. 5+ years of contracting, network development and/or provider relations experience. Project ... providers. Negotiate contracts and develop strategies and methodologies for specific network development initiatives. + Monitor business processes related to … more
- CareOregon (Portland, OR)
- …Requisition # 25025 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Provider Relations Supervisor Department Provider ... eligibility and maintains effective working relationships across a high performing provider network . + Develops and effectively communicates expert understanding… 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 ... Plan, organize and conduct educational training seminars for assigned provider network to include newly contracted and...initiatives, policy, procedure, and operations + Escalates conflicts to Manager of Provider Relations and… more
- Elevance Health (Mason, OH)
- … network , ensuring robust network demographics, and leading the provider relations (PR) teams. This role will focus on fostering strong partnerships ... **Director of LTSS Provider Relations ** **Preferred Location: Ohio. This... network 's effectiveness (internal company title is **Director Network Relations ** ) **How will you make… more
- Providence (Mission Hills, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... upon request. + 3 years of experience in a Provider Relations role working with physicians in...advancement. **Requsition ID:** 353840 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services… more
- DISH Network (Englewood, CO)
- …organization's stories to journalists, thought leaders and industry experts. From media relations to internal message building, they tell DISH's unique story of ... outlets for coverage of Retail Wireless news and competitor developments. Provide strategic communications counsel and constructive feedback to executives; develop… more
- Elevance Health (Port Charlotte, FL)
- ** Network Relations Consultant** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... Additional hours or days may be required based on operational needs. The ** Network Relations Consultant** is responsible for develops and maintains positive … 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, ... 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… more
- Elevance Health (Cincinnati, OH)
- …physical health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** ... and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or… more
- Health Plans, Inc. (Westborough, MA)
- …and hours of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on ... and area providers. This position combines responsibilities across care coordination, provider relations , and account management. The individual will serve… more
- Elevance Health (Ashburn, VA)
- ** Provider Network Manager Senior**...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience ... insightful analytics to improve the delivery of care. The ** Provider Network Manager ** develops the...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
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