- Molina Healthcare (Jacksonville, FL)
- … Management and Operations jobs are responsible for dental network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and maintains data… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Provider Network Account Manager II is responsible...and Strategy; Data Management; and, Operations). Assist in the development and distribution of provider engagement material… more
- Trinity Health (Columbus, OH)
- …issues, and MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider ... offer:** + Competitive compensation and benefits packages including medical, dental , and vision coverage + Retirement savings account with...and onsite visits. + Collaborates with the Director - Provider Contracting and Network Development … more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job...all of the LAC PNM groups; assist in the development and distribution of provider engagement material ... Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA,...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- The Cigna Group (Hartford, CT)
- …+ 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Atlanta, GA)
- …Manager Senior** will be responsible for developing the provider network through contract negotiations, relationship development , and servicing. Primary ... ** Provider Network Manager Senior** **Location:** This...contracting staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- Elevance Health (Manchester, NH)
- …Provider Network Management Director** develops the provider network through contract negotiations, relationship development , and servicing for large ... Provider Network Management Director (JR136035) **Location**...projects with significant impact. + May assist management in network development planning. + May provide… more
- Elevance Health (Atlanta, GA)
- …Provider Network Manager** Sr. develops the provider network through contract negotiations, relationship development , and servicing. Primary focus of ... Provider Network Manager Sr. - Contract...contracting staff and provides mentoring and on-the-job training and development . + Works independently and requires high level of… more
- Elevance Health (Woodbridge, NJ)
- …of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary focus ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Woodbridge, NJ)
- …days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Point32Health (Canton, MA)
- …RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as a project manager ... and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Responsible for ongoing… more
- Elevance Health (Waukesha, WI)
- …1-hour commute each way of the above Elevance Health location. **Develops the provider network through contract negotiations (language and rates), relationship ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- St. Luke's University Health Network (Easton, PA)
- …our PCA's to provide top quality care to our patients. The Network Float (Central Staffing) PCA is an experienced professional motivated by the challenge of ... every situation. The St. Luke's Central Staffing Department provides support to the Network Campuses as necessary to ensure appropriate staffing levels which allow… more
- EAC Network (Bronx, NY)
- Case Manager (CTCM) Bilingual Preferred - Bronx Community Re entry Assistance Network (CRAN) Job Details Job Location 1020 Grand Concourse N. Professional Wing, ... Category Nonprofit - Social Services Case Manager (CTCM) Bilingual Preferred EAC Network , a not-for-profit social service agency that empowers, assists, and cares… more
- VNS Health (Manhattan, NY)
- …This includes the development and execution of plans for expansion of provider network opportunities as well as maintaining existing networks. Works under ... based on product line requirements, provider specialty, member benefit, network adequacy and market development input. Manages the recruitment process… more
- Guardian Life (Boston, MA)
- …success. Through direct ownership of many of the core functions and activities within the dental provider value chain, the Network Operations team sits at ... strength of the relationships we build with our valued dentists. As the **Head of Dental Network Operations** , you will be responsible for a team of… more
- Medical Mutual of Ohio (OH)
- …routine to moderately complex financial analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with ... with typically moderately complex financial analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with… more
- Guardian Life (Columbus, OH)
- …to expand Guardian's dental networks and its subsidiaries? In the role of **Senior Dental Network Recruiter,** you will be a part of a team that actively ... independently to achieve individual and team goals. **You have** + 5+ years in provider relations, dental recruitment, or other dental industry experience. +… more
- CareFirst (Baltimore, MD)
- …contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals. ... details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment… more
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