- Humana (Boise, ID)
- …with internal and external constituents on all areas of contracting ; network management; adequacy and gaps; provider education; conflict resolution; claim ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital,… more
- Magellan Health Services (Boise, ID)
- …to unmet needs, and adequacy of the provider network to provide member choice of providers, and contracting with qualified service providers in ... in the successful development of the provider network including network development, contracting ,...activities as assigned. The job duties listed above are representative and not intended to be all-inclusive of what… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you… more
- Magellan Health Services (Boise, ID)
- …outreach and engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. ... include provider site visits, in-person & virtual provider meetings, and representing network on client... adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide… more