- Trinity Health (Columbus, OH)
- …/ Certification: None . Experience: 5 or more years of relevant work experience in health plan provider relations including experience in leadership ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...needed. . Enhance the engagement and partnership between the plan and its provider partners through effective… more
- Emanate Health (Covina, CA)
- …college education preferred **b. Minimum Experience Requirement :** 5 years of provider relations experience in an IPA or Health Plan setting. Knowledge ... **Current Emanate Health Employees - Please log into your Workday...ranked company in the country. **J** **ob Summary** Physician Relations Specialist work as liaisons to healthcare providers. Responsible… more
- Molina Healthcare (Farmington, NM)
- …within LTSS or Behavioral Health **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...serves as the primary point of contact between Molina Health plan and the Plan 's… more
- Molina Healthcare (Chicago, IL)
- …must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Health plan and the Plan 's Complex Provider… more
- Molina Healthcare (Escondido, CA)
- …live in San Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for facility ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
- Molina Healthcare (Port Arthur, TX)
- …Harris or Jefferson County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
- Molina Healthcare (Columbus, OH)
- …the Columbus, Ohio area _** **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 Health plan and the for non-complex Provider Community… more
- Magellan Health Services (Boise, ID)
- …systems. Other Job Requirements Responsibilities 7+ years' experience in a Provider Relations role for a managed care plan . Bachelor's degree in a related ... markets nationally. Works daily to improve the relationships with health plan partners and resolves any outstanding...behavioral health required. General Job Information Title Provider Relations Manager (Remote - must be… more
- Magellan Health Services (Hodge, LA)
- …Other Job Requirements Responsibilities 10+ years of experience in a Provider Relations role for a managed care plan . 2+ years' experience or demonstrated ... health plan operations required. General Job Information Title Senior Provider Relations Manager- Louisiana ECSS Grade 26 Work Experience - Required… more
- Dignity Health (Bakersfield, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of ... **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health ...Physician Network Contracting. The Provider Relations Supervisor is responsible for overseeing… more
- Elevance Health (Topeka, KS)
- …one of our Kansas Elevance Health PulsePoint locations. The **Network Relations Consultant, LTSS Provider Representative** develops and maintains positive ... and conducts provider training including developing and distributing provider relations materials. + Responsible for providing quality, accessible… more
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant- (MA residents)-$5,000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members ... the primary liaison between Well Sense Health Plan (" Plan ") and key provider ...community health centers. Works closely with the Provider Relations Supervisor to identify issues and… more
- VNS Health (Manhattan, NY)
- …+ Monitors contract performance of network providers and serves as a liaison between the Health Plan and the Provider to ensure the flow of information ... OverviewManages all aspects of provider relations within a specified geographic...addresses provider issues. + Updates and maintains provider manuals with current Health Plan… more
- Avera (Sioux Falls, SD)
- …providing exceptional service to the Avera Health Plans delivery network. + The Provider Relations Specialist is responsible for the expansion of the Avera ... specific provider issues and educates providers on health plan policies and procedures. + The... plan policies and procedures. + The Provider Relations Specialist builds positive business relationships… more
- J&J Family of Companies (Albany, NY)
- Associate Director, HEMA Provider Relations - 2406216278W **Description** Johnson & Johnson is currently seeking an Associate Director, HEMA Provider ... Johnson, we all belong. The US Associate Director of Provider Relations is a critical customer facing...years of experience in the Medical Device, Pharmaceutical or Health plan industry and track record delivering… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Specialist to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of...compliance with such. Supports all contracting activities of the Provider Relations Team, including required follow up… more
- VNS Health (Manhattan, NY)
- …serve as a resource and addresses provider issues. + Updates and maintains provider manuals with current Health Plan policies and procedures. Updates and ... of paid time off and 9 company holidays + Health insurance plan for you and your...health care experience, required + Prior experience in Provider Relations and contracting, preferred + Knowledge… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead contact for providers and provider groups. Responsible for engaging ... Member Education:_** + _Responds to inquiries from contracted health plan members; serve as a subject...and experience. + Minimum three to five years of provider relations , healthcare contracting or practice management… more
- Dignity Health (Bakersfield, CA)
- …that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), ... business services that will leverage economies of scale across provider types and geographies and will lead the effort...as an account manager in a direct to employer health plan preferred. The position is remote/work… more
- CDS Life Transitions (Webster, NY)
- Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... and servicing physicians, hospitals and ancillary providers within established guidelines. Provider Relations works closely with all other internal departments… more