• Senior Manager, Behavior Provider

    CVS Health (Richmond, VA)
    …in your next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will ... Promote collaboration with internal partners. . Evaluate, formulate, and implement the provider network strategic plans to achieve contracting targets and manage… more
    CVS Health (10/20/24)
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  • Provider Network Account Manager II

    LA Care Health Plan (Los Angeles, CA)
    Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....information about additions, deletions, or changes to the LAC Provider Network Management (PNM) … more
    LA Care Health Plan (08/30/24)
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  • Provider Network Account Manager III

    LA Care Health Plan (Los Angeles, CA)
    Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....contracts for renewals and expirations. Acts the liaison between Provider Network Management (PNM) and… more
    LA Care Health Plan (11/06/24)
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  • Market Manager - Provider Relations…

    Trinity Health (Columbus, OH)
    Network Development may also manage a team/function within the broader Network Management arena. **What you'll do:** Responsible for supporting Clinically ... offer:** + Competitive compensation and benefits packages including medical, dental , and vision coverage + Retirement savings account with...relations . Responsible for the daily activities of the provider network staff, which may include … more
    Trinity Health (09/18/24)
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  • Provider Network Manager Sr

    Elevance Health (Atlanta, GA)
    ** Provider Network Manager Senior** **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 Senior** will be responsible...other key areas or serve on enterprise projects around network management . + May collaborate with sales… more
    Elevance Health (11/06/24)
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  • Provider Network Manager Sr

    Elevance Health (Middletown, NY)
    ** Provider Network Manager Sr** **Location:** Latham, NY; Middletown, NY & New York, NY. This position will work a hybrid model (remote and office). The Ideal ... of the Elevance Health PulsePoint location listed above. The ** Provider Network Manager Sr** will be responsible...other key areas or serve on enterprise projects around network management . + May collaborate with sales… more
    Elevance Health (10/27/24)
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  • Provider Network Relationship…

    CVS Health (Columbus, OH)
    …in, multiple child-serving systems. **Position Summary:** This position assesses overall network composition and potential provider partners in order to ... expansion and adequacy targets. + Assists with the design, development, management , and or implementation of strategic network configurations and integration… more
    CVS Health (11/08/24)
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  • Specialty and Provider Network

    CVS Health (Nashville, TN)
    …and presentation skills is a must. + Responsible for the implementation of new network product offerings. This requires project management + Manage assigned ... are current. + Collaborates cross-functionally to ensure optimal implementation of large provider systems. + Support our custom network capability requests and… more
    CVS Health (11/01/24)
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  • Provider Network Manager Sr.

    Elevance Health (Indianapolis, IN)
    …(1 - 2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... other key areas or serve on enterprise projects around network management + May collaborate with sales...between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider more
    Elevance Health (10/26/24)
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  • Provider Network Manager Sr

    Elevance Health (New Hyde Park, NY)
    …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... other key areas or serve on enterprise projects around network management + May collaborate with sales...between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider more
    Elevance Health (10/24/24)
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  • Provider Network Manager Sr (US)

    Elevance Health (FL)
    …1-2 days onsite per manager discretion)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... other key areas or serve on enterprise projects around network management + Serves as key resource...between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider more
    Elevance Health (10/24/24)
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  • Provider Network Manager Sr (US)

    Elevance Health (Grand Prairie, TX)
    …the designated Pulse Point 1 time per week .** **Develops the provider network through contract negotiations, relationship development, and servicing.** ... other key areas or serve on enterprise projects around network management . + May collaborate with sales...between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider more
    Elevance Health (11/05/24)
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  • Provider Network Manager Sr (US)

    Elevance Health (Wallingford, CT)
    …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... other key areas or serve on enterprise projects around network management . + May collaborate with sales...between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider more
    Elevance Health (10/25/24)
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  • Delivery Lead, Senior Manager Provider

    CVS Health (Hartford, CT)
    …for a Sr. Manager role who will serve as a Delivery Lead for the Provider Network Platform Solutions organization. This strategic role will be responsible for ... solutions to overcome project challenges + Implement robust project management methodologies, tailoring them to the specific needs of...health insurance industry, preferably in a role related to network , provider , or payer operations + Deep… more
    CVS Health (10/19/24)
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  • Provider Relations Specialist

    Health Advocates Network (Coral Springs, FL)
    Health Advocates Network is hiring a ** Provider Relations Specialist** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally recognized ... up to date with the latest advancements in diabetes management and treatment to provide informed assistance...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
    Health Advocates Network (10/08/24)
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  • Senior Provider Network Contracting…

    CVS Health (Columbus, OH)
    …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
    CVS Health (11/02/24)
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  • Director of Dental Product…

    Equitable (Charlotte, NC)
    …experience with concentration in management of and/or direct work with group dental product and network development, compliance and management + In-depth ... Director of Dental Product Management ( 240000KC )...our Employee Benefits team. This leader will oversee the Dental product portfolio, roadmaps, dental network more
    Equitable (10/09/24)
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  • Case Manager (CTCM) - Brooklyn Community Re entry…

    EAC Network (Brooklyn, NY)
    …Nonprofit - Social Services Exciting Opportunity: Case Manager - Community Transitional Case Management (CTCM) at EAC Network ! Are you passionate about making a ... Case Manager (CTCM) - Brooklyn Community Re entry Assistance Network (CRAN) Job Details Job Location 175 Remsen Street 5th Floor, Brooklyn, NY, 11201 - Brooklyn, NY… more
    EAC Network (08/28/24)
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  • Case Manager (CTCM) Bilingual Preferred - Bronx…

    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
    EAC Network (08/28/24)
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  • Provider Reimbursement Analyst

    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
    Medical Mutual of Ohio (08/22/24)
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