• Director, Provider -Client Services…

    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
    City of New York (05/23/25)
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  • Ops Provider Enrollment Coordinator

    MyFlorida (Miami, FL)
    …unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and ... providers only if general revenue payments will be issued to the provider . Provide technical assistance to providers in regard to service provision requirements.… more
    MyFlorida (06/28/25)
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  • Provider Relations and Contracting…

    Avera (Sioux Falls, SD)
    …and serves as a liaison between the health plan and its providers. The Provider Relations and Contracting Specialist will provide direct support to local and ... provider visits to build and maintain strong relationships, provide education on plan policies, and assess provider... provide education on plan policies, and assess provider satisfaction. + Identify trends in provider more
    Avera (06/27/25)
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  • Provider Liaison

    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 - 67016244 Date: Jun 23, 2025...to complete business processes. Ability to: + Demonstrate and provide responsive customer service. + Work with individuals with… more
    MyFlorida (06/24/25)
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  • Consulting Provider Solutions Specialist

    HCA Healthcare (Henderson, NV)
    …is recognized. Submit your application for the opportunity below:Consulting Provider Solutions SpecialistHCA Healthcare **Benefits** HCA Healthcare, offers a total ... may vary by location._** We are seeking a(an) Consulting Provider Solutions 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
    HCA Healthcare (06/21/25)
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  • Manager of Provider Relations…

    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 groups ... delivery. + Ensure health care groups are compliant with EHN provider manual and provide education around topics within the manual, plan guidelines, and clients… more
    Health Plans, Inc. (06/10/25)
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  • Provider Data Quality Auditor II (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …to perform root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide optimal customer service ... Provider Data Quality Auditor II (ALD) Job Category:...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
    LA Care Health Plan (05/13/25)
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  • VP, National Provider Network Management

    Humana (Albany, NY)
    …seeking an accomplished healthcare leader for the position of Vice President, National Provider Network Management. At a high level, this highly visible role will be ... responsible for defining the strategy for how we negotiate contracts with provider organizations. This position will foster the development of national strategic … more
    Humana (07/04/25)
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  • Provider Engagement Professional…

    Humana (Columbus, OH)
    …first** Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our ... Medicaid team. The Senior Provider Engagement Professional develops and grows positive, long-term relationships...a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
    Humana (07/04/25)
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  • Provider Relationship Account Manager…

    Elevance Health (Richmond, VA)
    …metrics, provider assignments and oversight of daily activities and provide feedback to manager on performance management, day-to-day training, guidance, and ... ** Provider Relationship Account Manager Senior - Carelon Behavioral...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
    Elevance Health (07/02/25)
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  • Provider Contracting Manager

    Humana (Madison, WI)
    …our caring community and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. The ... Contracting Manager will oversee a talented group of Provider Contracting Professionals as they lead change in how...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
    Humana (06/28/25)
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  • Provider Dispute Analyst

    Avera (Sioux Falls, SD)
    …and our patients. Work where you matter.** **A Brief Overview** The Provider Dispute Analyst is responsible for overseeing and continuously enhancing the processes ... related to provider disputes management, qualified payment amount (QPA) determinations, open...established timelines, and collaborate with cross functional teams and provide training and guidance to staff on dispute resolution… more
    Avera (06/27/25)
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  • Provider Contract Manager

    Avera (Minneapolis, MN)
    …be eligible for a relocation bonus. The optimal candidate has experience with Provider Contracting. **You Belong at Avera** **Be part of a multidisciplinary team ... for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) Network… more
    Avera (06/14/25)
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  • RVP I Provider Solutions

    Elevance Health (Nashville, TN)
    …of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue ... shield plans. **Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee **Summary** The Regional Vice President (RVP) of Provider more
    Elevance Health (05/28/25)
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  • Pediatric Provider (MD, DO)

    Sea Mar Community Health Centers (Monroe, 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
    Sea Mar Community Health Centers (05/10/25)
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  • Provider Relationship Account Manager,…

    Elevance Health (Shreveport, LA)
    ** Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub** **Field:** This field-based role enables associates to primarily operate in the ... business leaders passionate about transforming American healthcare delivery. The ** Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub**… more
    Elevance Health (07/04/25)
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  • Provider Relationship Account Cons (US)

    Elevance Health (Grand Prairie, TX)
    ** Provider Relationship Account Consultant** **Location:** Field: This field-based role enables associates to primarily operate in the field, traveling to client ... direct, hands-on engagement. Must reside in the state of Texas. The ** Provider Experience Consultant** will be responsible for providing quality, accessible and… more
    Elevance Health (07/04/25)
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  • Provider Solutions Specialist

    HCA Healthcare (Charleston, SC)
    …and integrity. We care like family! Jump-start your career as a Provider Solutions Specialist today with Trident Medical Center. **Benefits** Trident Medical Center, ... vary by location._** Come join our team as a Provider Solutions Specialist. We care for our community! Just...execute testing procedure training plans, conduct pilot trainings, and provide feedback to project lead to better serve our… more
    HCA Healthcare (07/04/25)
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  • Manager, Provider Contracting Network…

    The Cigna Group (Fort Lauderdale, FL)
    …to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
    The Cigna Group (07/04/25)
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  • Behavioral Health Provider Quality Manager

    Elevance Health (Walnut Creek, CA)
    **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role enables associates ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health (BH) … more
    Elevance Health (07/04/25)
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