- CVS Health (Richmond, VA)
- …activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Indianapolis, IN)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Network Performance/Oversight . ... settlement negotiations . Manages contract performance . Contributes to provider compensation and pricing development activities and recommendations, submission of… more
- CVS Health (Des Moines, IA)
- …to make health care more personal, convenient and affordable. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution ... groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- TEKsystems (Salt Lake City, UT)
- Description: Title: Network Construction Manager This is a remote role but will be traveling to field sites Any other details that would be helpful: There is ... precon walk in progress site visits punch walks and construction closeout. Provide direction to general contractors when doing ground work. * Understand prevailing… more
- AmeriHealth Caritas (Dublin, OH)
- ** Manager Provider Network Management** Location: Dublin, OH Primary Job Function: Medical Management ID**: 31608 Your career starts now. We are looking for ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. Ensures that… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. + Ensures… more
- The Cigna Group (Sandy, UT)
- …position aligned to the Utah markets. Must reside in Salt Lake City, UT_** The ** Manager , Provider Network Management** serves as an integral member of the ... Provider Contracting Team. This role assists in developing the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Guardian Life (Columbus, OH)
- …Summary** As a member of the Network Strategy and Enablement team, the Network Training and Quality Assurance Manager will be responsible for designing and ... training and quality programs to support Recruiting, Provider Relations, and Provider Operations ensuring consistent adherence to network best practices, and… more
- Elevance Health (Costa Mesa, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Provider Network Manager ** + Job Family: PND > Network Contracting ... Creek. ** _this position will work a hybrid model ( remote and office) which requires working in the nearest...one of our California Elevance Health office locations._ The ** Provider Network Manager ** will develop… more
- Medical Mutual of Ohio (OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Manager, Provider Network Informatics_ **Location:** _Ohio_ **Requisition ID:** ... **_This is a remote position. Eastern Time Zones preferred. Note, quarterly...the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …educational topics, methods, and strategies to enhance compliance throughout the provider network \. + Implementing, supporting, and monitoring provider ... or equivalent work experience required _Experience_ + 3 years \- Experience in provider relations and network development with emphasis on healthcare education… more
- Molina Healthcare (Las Vegas, NV)
- …**Required Experience:** + Min 5 years' experience in managed healthcare administration and/or Provider Services. + Provider contract network development & ... accuracy for all government lines of business. Supports robust provider engagement to achieve positive operational and financial outcomes.… more
- CareFirst (Baltimore, MD)
- …other internal areas affected by network changes. + Provide ongoing network management support to the Departmental Manager , Supervisor, team staff, VP of ... with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality...networks and day to day, while still capable to provide assistance to Department Manager , and represent… more
- Elevance Health (Topeka, KS)
- …you a check, or ask you for payment as part of consideration for employment. ** Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND > Provider ... Topeka + Kansas, Overland Park + Kansas, Kansas City **Description** ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This… more
- Medical Mutual of Ohio (West Chester, OH)
- … community via email, telephonic and face-to-face outreach. Develops the provider network through contracting activities, relationship development, and ... groups, ancillary) via e-mail, telephonic and face to face outreach. Develops the provider network and national network offerings through contracting… more
- Molina Healthcare (Richmond, VA)
- …and must live in Virginia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- Molina Healthcare (Springfield, IL)
- …and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages and coordinates the … more
- University of Utah Health (Murray, UT)
- …quality and trust that are integral to our mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is ... and financial level of reimbursement in collaboration with our provider partners. This position monitors network adequacy...with all departments and providers throughout the state. The Manager of Provider Contracting must be highly… more
- Oriental Bank (San Juan, PR)
- The Associate, Remote Network will be responsible for promoting and/or selling OFG banking/financial services and products received or made by telephone or ... Ensure quality in all inbound and outbound calls to provide constructive feedback, ensure compliance requirements, and ensure customer...and outbound calls. + Prepare reports requested by Sales Manager and ensure that these are rendered on a… more
- Centene Corporation (Tampa, FL)
- …and produce reports for state or other reporting needs, including GeoAccess and provider network reports. + Develop reports to assure data integrity among ... Durham, NC or Tampa, FL offices. **Position Purpose:** The Manager of Provider Data Automation, Analysis &...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more