- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- Molina Healthcare (Lexington, KY)
- **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 (Lexington, KY)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those… more
- Molina Healthcare (Lexington, KY)
- …business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information (using… more
- Molina Healthcare (Lexington, KY)
- …business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more
- Molina Healthcare (Lexington, KY)
- …health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) +… more
- Molina Healthcare (Lexington, KY)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) *… more