- CareFirst (Baltimore, MD)
- …work activities/deliverables that week. **PURPOSE:** This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health ... Services and across the company to provide communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted, in-network… more
- City of New York (New York, NY)
- …The employees of Employment & Support Services Administration- Career Services help provide unique individual services to eligible New Yorkers aimed towards the ... achievement of long-term self-sufficiency. The Provider -Client Services & Special Projects Units are the cornerstone of the agency-mandated services that help ensure… more
- Point32Health (Canton, MA)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... of all of our colleagues, which helps us to provide service with empathy and better understand and meet...This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
- MyFlorida (Miami, FL)
- …unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and ... PROVIDER ENROLLMENT COORDINATOR - 67016149 Date: Dec 5,...year. Resumes and other documentation can be attached to provide additional information but will not replace the required… more
- Point32Health (RI)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the… more
- CareFirst (Baltimore, MD)
- …Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality ... Virginia and continuous counties. **ESSENTIAL FUNCTIONS:** + Responsible for improving provider experience; anticipates provider issues and develops a plan… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …account and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide input and/or ... our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network Executive (PNE… more
- The Cigna Group (Salem, OR)
- …+ Respond to provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff + Work to achieve ... in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider… more
- Humana (Oklahoma City, OK)
- …and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- Humana (Baton Rouge, LA)
- …from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical ... role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into… more
- St. Luke's Health System (Boise, ID)
- …and Analytics department and Physician Compensation leaders, support services for provider compensation functions to provide consistent, high quality reporting ... teams to achieve the credibility necessary to enable challenging discussions around provider compensation. + Provide ongoing education for front-line leaders and… more
- Sea Mar Community Health Centers (Lakewood, WA)
- …providers dedicated to serving underserved and diverse communities. Job Summary The Pediatric Provider (MD, DO) will provide primary medical care services to ... practice at Sea Mar and its mission statement. The provider will work collaboratively with staff to provide... provider will work collaboratively with staff to provide team-based coordinated care. The physician prescribes and/or dispenses… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of ... the Provider Contracting...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
- Elevance Health (FL)
- ** Provider Relationship Account Consultant** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law._ The ** Provider Relationship Account Consultant** will be responsible for providing quality, accessible… more
- Banner Health (Tucson, AZ)
- **Primary City/State:** Mesa, Arizona **Department Name:** Provider Relations **Work Shift:** Day **Job Category:** Marketing and Communications Banner Plans & ... to employment settings by including remote and hybrid opportunities. As a ** Provider Experience Representative** for Banner Plans & Networks you will take inbound… more
- Humana (Springfield, IL)
- …us put health first** Humana Gold Plus Integrated is seeking a Provider Engagement, Clinical Executive who will develop and grow positive, long-term relationships ... outcomes within the contracted working relationship with the health plan. The Provider Engagement, Clinical Executive works on problems of diverse scope and… more
- Elevance Health (Hanover, MD)
- ** Provider Relationship Account Manager** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The ** Provider Relationship Account Manager** is responsible for providing quality, accessible and… more
- Guardian Life (Bethlehem, PA)
- As the ** Provider Retention Leader** , you will be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to ... inquiries, identifying and addressing pain points, and driving continuous improvement in provider experience. On day one this will be an individual contributor role,… more
- CenterWell (Phoenix, AZ)
- …our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ... contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- The Cigna Group (Oakland, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the VP, Network...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more