- 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
- 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
- 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
- Elevance Health (Columbus, OH)
- ** Provider Network Manager ** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Provider Network Manager ** will be...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… 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
- Danaher Corporation (New York, NY)
- …reimagine healthcare, one diagnosis at a time. You will be a part of the Network Security Team and report to the Manager , Network Security responsible ... for architecture and service delivery of Network Security covering 150 remote sites globally,...service engines: Aruba ClearPass, Cisco ISE, Pulse Secure Policy Manager It would be a plus if you also… more
- Pearl Interactive Network (Washington, DC)
- **Pearl Interactive Network is sourcing a Program Manager for a future opportunity.** The **Program Manager ** is responsible for coordinating and monitoring ... Ensures projects are completed on time and within budget. The Program Manager interacts with the Contracting Officer and the Contractor Officer Representative with… more
- Molina Healthcare (AZ)
- …existing healthcare quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality ... analytic insights. * Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and...with other departments. * Acts as a lead for provider relations, quality and network development. *… 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 (Grand Rapids, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider… more
- Humana (Columbus, OH)
- …and improves processes and performance. The Senior Project Manager (Medicaid Network Implementation) translates network and provider strategies into ... us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working with the… 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
- CoStar Realty Information, Inc. (Washington, DC)
- Enterprise Network Manager Job Description CoStar Group (NASDAQ: CSGP) is a leading global provider of commercial and residential real estate information, ... designing, managing, and maintaining our large US & European network infrastructure. The manager will take full...a hybrid schedule of 3 days onsite, 2 days remote . **Responsibilities** . Build the Network Monitoring… more