- Fresenius Medical Center (Waltham, MA)
- …contracting, quality outcomes, and marketing strategies. + Manages contracting and relations with managed care organizations. + Develops long-term strategies ... **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:**...physical demands and work environment characteristics described here are representative of those an employee encounters while performing the… more
- Providence (Eureka, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...+ Bachelor's Degree in Healthcare Management. + 2 years Managed care Provider Relations experience.… more
- Fresenius Medical Center (Franklin, TN)
- … managed health care programs (HMO, PPO, POS, etc.) for Payor Relations . Oversees contractual relationships with managed care organizations and other third ... such as facility list updates and amendments. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Provide strategic leadership of short- and long-term goals through the use of… more
- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Provider Relations Representative to support the Network Management team. This position follows a ... defined panel of providers. + Work with the Director, Provider Relations and other staff as appropriate...environment. + 2 years of experience in healthcare or managed care environment. + Drivers license strongly preferred. +… more
- Molina Healthcare (Saginaw, MI)
- …SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working ... in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy… more
- Centene Corporation (Topeka, KS)
- …field or equivalent experience. required 2+ years of marketing, sales or community relations or outreach experience, preferably in a managed care or Medicaid ... on workplace flexibility. **Candidates must reside in Kansas.** **Position Purpose:** Provide sales coverage and develop best possible market penetration for all… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …maintenance of the business. + Assists with training and mentoring of peer Provider Relations Representatives as needed to ensure departmental success. + ... Level II (in addition to Level I Accountabilities) + Represents the Provider Relations department on Health Plan projects/initiatives. + Represents the… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed… more
- Elevance Health (San Juan, PR)
- Customer Care Representative - Bilingual (English/Spanish) (Hybrid) **Location:** Hybrid 2: This role requires associates to be in-office 3 days per week, fostering ... Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations… more
- ASM Global (Oklahoma City, OK)
- …is looking for an energetic and friendly individual to fill a part-time Guest Relations Representative role for LEGENDS GLOBAL-OKC. Under the supervision of the ... Guest Relations and Event Security Managers, the primary focus of this representative is to provide World-Class customer service to all guests at Paycom… more
- Centene Corporation (Queens, NY)
- …, GED or equivalent required 1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Provide sales coverage and develop best possible market penetration for all… more
- Elevance Health (Carroll, IA)
- …and conducts provider training including developing and distributing provider relations materials. Responsible for providing quality, accessible and ... Relations Consultant, West Iowa** develops and maintains positive provider relationships with provider community by regular...comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- Comcast (Scottsdale, AZ)
- …Core Responsibilities + Maintains expertise on Comcast Business strategic products and managed solutions to effectively coach and manage a team selling into ... and incentives to meet business goals and objectives. Ensures team and Individual Rep achievement of all sales, plus quality, goals and standards. + Ensures… more
- Dignity Health (Santa Maria, CA)
- **Job Summary and Responsibilities** JOB SUMMARY / PURPOSE The Client Relations Executive (CRE) makes essential contributions to the achievement of the ... organization's objectives as a field-based business development representative , consistently meeting the volume expectations for referrals and admissions. The CRE is… more
- CVS Health (Annapolis, MD)
- …skills, and attention to detail are important for this position, understanding the managed care arena to provide guidance and resolve problems. . Must ... This individual will be selling and promoting CVS Specialty Pharmacy Services to provide patients and providers with a competitive and supportive pharmacy team. This… more
- Humana (Oklahoma City, OK)
- …interpretation and independent determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front ... Ensure compliance with Oklahoma's managed care contractual requirements for provider relations , such as claims dispute resolution within specified timeframes… more
- Commonwealth of Pennsylvania (PA)
- Human Services Program Representative 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5176664) Apply Human Services Program ... Representative 1 Salary $67,736.00 - $102,905.00 Annually Location Montgomery...as monitoring the contract provisions of the behavioral health managed care program within the Southeast Region. In addition… more
- Fallon Health (Worcester, MA)
- …to be completed through review of data integrity reports, and working closely with Provider Partners, Provider Relations , Contracting and Account and ... health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program… more
- Mass Markets (Killeen, TX)
- …care representativeswho enjoys tech support in support of an internet service provider (ISP). In this role, you will identify customers' needs, research every ... issue, provide solutions, and deliver a world class customer service...timely, and professional manner + Knowledgeable regarding Internet Service Provider services. Do you know what it means to… more
- Banner Health (Mesa, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options ... meal selections and preferences for multiple facilities and patient units. You will provide a high level of customer service to callers. You will be accessing… more