- EssilorLuxottica (Mason, OH)
- Manager - Provider Relations ( Network Strategy) Date: Apr 28, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 837269 ... support the provider network and provider economics functions. The Manager will partner...and develop recommendations for high priority Provider Relations projects and initiatives related to network … more
- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...* Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or… more
- CVS Health (Hartford, CT)
- …as research and analysis to inform solutions, close gaps and maximize the provider network .Required Qualifications - 4+ years' experience Medicaid servicing or ... research and analysis to inform solutions, close gaps and maximize the provider network .Preferred Qualifications - Proven advanced problem-solving skills, proven… more
- CVS Health (Harrisburg, PA)
- … request to enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA ... design, contract language, service, claims or compensation issues, and provider education needs. + Research and handle contract related...prior to your first day of employment and to provide proof of your vaccination status or apply for… more
- Guardian Life (Columbus, OH)
- …quality programs to support Recruiting, Provider Relations , and Provider Operations ensuring consistent adherence to network best practices, and ... the Network Strategy and Enablement team, the Network Training and Quality Assurance Manager will...initially on new hire onboarding across our recruiting and provider relations teams. + Create a robust… more
- CVS Health (Sacramento, CA)
- … experience for the network . Position will lead a team of Provider Relations Network Consultants across the US. Required Qualifications Bachelor's ... care for members ; foster growth of and enhance network for the First Health Network . Joining...skills. Experience in the healthcare industry in customer service, provider services. Understanding of medical and billing/ some contractual… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of Network Development and Provider ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/director-of- network -development-and- provider - relations /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- CVS Health (New York, NY)
- …convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider / Network Relations representatives ... location listed + Minimum of 3 years recent Managed Care experience in Provider Relations , Network Operations, and/or Network Management + Experience… more
- Molina Healthcare (Springfield, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… more
- CVS Health (Lansing, MI)
- …and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource ... enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP +...+ Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories… more
- Highmark Health (Charleston, WV)
- …Description :** **JOB SUMMARY** This job manages a team of provider relations ' representatives and staff to provide high quality service to providers ... participating in the organization's network . The incumbent motivates a team through the creation...in the office** **ESSENTIAL RESPONSIBILITIES** + Manage team of provider relations representatives and support staff in… more
- Elevance Health (Woodland Hills, CA)
- ** Provider Network Manager (JR108624)**...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or ... - 2 days/week working in the local office. The ** Provider Network Manager ** develops the...of judgment and discretion. + Leads special projects/initiatives, or network planning. + May provide work direction… more
- Dignity Health (Oxnard, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining ... performance standards and ensure customer service objectives are continually met. The Provider Relations Representative must have the ability to handle various… more
- Elevance Health (Atlanta, GA)
- The Provider Network Manager Sr...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Columbus, OH)
- ** Provider Network Manager ** **Location:**...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or ... of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager ** will be...any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Columbus, GA)
- The Provider Network Manager develops the...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...combination of education and experience, which would provide an equivalent background. Travels to worksite and other… more
- Elevance Health (Denver, CO)
- …commute each way of a relevant Elevance Health location. **Develops the 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 (Indianapolis, IN)
- …Long Term Services and Supports (LTSS) provider delivery system through the provider relations representatives. **How you will make an impact:** + Directs ... providers, members, and the public + Ensures the LTSS provider network has the resources, tools, and...to members + Represents the Anthem's LTSS program and provider relations team in various external stakeholders… more
- University of Colorado (Aurora, CO)
- Alumni Relations Program Manager - 33141 University...+ Works closely with CU Anschutz Office of Alumni Relations team to provide best practice services ... Anschutz Medical Campus** **Department: Office of Advancement** **Job Title:** **Alumni Relations Program Manager ** **Position: #00786379 - Requisition: #33141**… more
- Bandwidth (Dallas, TX)
- Apply Now Carrier Relations Manager (LATAM) at Bandwidth Dallas, TX Who We Are: Bandwidth (NASDAQ: BAND) is a global communications software company that helps ... cloud-ready voice, messaging and emergency services. Backed by a network reaching 60+ countries covering 90 percent of global...selves. #jointheband What We Are Looking For: The Carrier Relations & Interconnections Manager preferably based in… more