- Trinity Health (Columbus, OH)
- …before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
- CVS Health (Providence, RI)
- …needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. - ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. - Supports or assists… more
- Area Agency On Aging 1-b (Southfield, MI)
- …support the network and improve provider relations . Compliance/Quality: Provider Network Manager coordinates, manages and audits the provider ... Provider Network Manager oversees... Provider Network Manager oversees the provider... Manager will act as a liaison with provider agencies to provide info on services,… more
- CVS Health (Plantation, FL)
- …on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicates relevant information to ... of agreement, presenting to external clients overview of our network capabilities. The position is hybrid and being hired...rules. + 2-3 years contract building + 2-3 years provider relations + Excellent internal and external… more
- Molina Healthcare (Aurora, 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
- Modivcare (Edison, NJ)
- …work environment for all.* Creates and influences adoption of solutions that improve our provider network and provide a great member experience.* Identifies, ... root cause and take action to resolve within the network .* Makes decisions relating to provider relationships.*...and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to… more
- Elevance Health (Columbus, 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
- Humana (Fairfax, VA)
- …of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship management ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
- DISH Network (Littleton, 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
- Access Dubuque (Dubuque, IA)
- …Posted On 04/16/2025 **Job Overview** **Position Overview:** The Provider Relations Specialist role involves handling pharmacy network operations and ... Provider Relations Specialist **MedOne Pharmacy Benefit...and serving as a liaison between the pharmacy benefit manager and various stakeholders, with opportunities to work remotely… 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
- 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
- Providence (Anaheim, CA)
- …Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 PROVIDER RELATIONS CA HERITAGE SERVICES **Address:** CA Anaheim 200 W ... **Description** Under the direction of the Manager , Health Informatics, this position serves as a...the development, design and reporting analysis for the Affiliated Network and requires a strong knowledge of business operations… more
- Elevance Health (Cincinnati, OH)
- Provider Network Manager (Contract...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or ... other will preferrably work Central Time business hours. The ** Provider Network Manager ** develops the...any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Costa Mesa, CA)
- …each way of the listed Elevance Health locations. **Develops the PPO provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- Elevance Health (Topeka, KS)
- **LTSS Provider Network Manager , Contracting**...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or ... will live within 50 miles of an Elevance Health PulsePoint office location. The **LTSS Provider Network Manager , Contracting** develops the provider … more
- UNC Health Care (Raleigh, NC)
- … relations and activities at UNC Health Care. **Responsibilities** : Physician Relations : Serve as a relationship manager , ambassador, and single point of ... intelligence, business development, clinical integration opportunities identified from referring provider and staff interactions. Provide information to service… more
- Elevance Health (Los Angeles, CA)
- …+ Identifies key opportunities for provider training + Conducts virtual and in-person provider visits to support LTSS network + Functions as a high level ... occasional office milestone/meetings)** **Position Overview:** Develops and maintains positive provider relationships with provider community by regular on-site… more