- CVS Health (Frankfort, KY)
- …make health care more personal, convenient and affordable. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CVS Health (Hartford, CT)
- …as well as research and analysis to inform solutions, close gaps and maximize the provider network . Lead a team of Network Development Auditors responsible ... analysis to inform solutions, close gaps and maximize the provider network . + A minimum of 3...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CVS Health (Hartford, CT)
- …and providers. By working closely with other areas of the company such as Network , Provider Data Services, Next Gen Provider Contract/Pricing team, Business ... improvement. **Required Qualifications** - Experience with **SCM (Strategic Contract Manager )** and/or **EPDB (Enterprise Provider Database),** and/or **HRP… more
- WelbeHealth (CA)
- … contracts across PACE programs in WelbeHealth and help build specialty-based provider network across our Southern California territories + Prepare contract ... to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this by...Manager helps ensure this by obtaining and developing provider partnership contracts (Medicare & Medi-Cal) in our existing… more
- CVS Health (Hartford, CT)
- …are dedicated to helping you achieve your career goals._** **Position Summary** In this Network Relations Manager role, you will act as the primary resource for ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CVS Health (Albany, NY)
- …plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists… more
- The Cigna Group (Anaheim, CA)
- …meetings with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of ... the Network Management & Affordability Team and reports to the...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- EAC Network (Bronx, NY)
- …Hourly Travel Percentage None Job Category Nonprofit - Social Services Case Manager (CTCM) Bilingual Preferred EAC Network , a not-for-profit social service ... work full time for its Bronx Community Re-Entry Assistance Network (CRAN) program. The Case Manager (CTCM)...Program Director. Comprehensive benefits package includes: * Medical * Dental * 401K * Vision * Very generous Paid… more
- EAC Network (Brooklyn, NY)
- Case Manager (CTCM) - Brooklyn Community Re entry Assistance Network (CRAN) Job Details Job Location 175 Remsen Street 5th Floor, Brooklyn, NY, 11201 - Brooklyn, ... to 25% Job Category Nonprofit - Social Services Case Manager (CTCM) EAC Network , a not-for-profit social...Program Director. Comprehensive benefits package includes: * Medical * Dental * 401K * Vision * Very generous Paid… more
- WTW (Chicago, IL)
- … on select projects that focus on the evaluation of self-funded medical and dental provider networks. This will involve interfacing with vendors and key clients ... benefits projects supporting the evaluation and management of group medical and dental provider networks. Responsibilities include: + Partnering with client… more
- The Cigna Group (Plano, TX)
- **Role Summary** The Provider Contracting Senior Manager will have oversight of a region of facility networks and will be responsible for its contract ... partner with large regional and select national systems. In addition, the Senior Manager will contribute to the overall Network Strategy by delivering strategic… more
- CVS Health (Princeton, NJ)
- …CEO, COO, CMO, CFO, and all matrixed growth partners to expand the ABHNJ provider network to effectively manage behavioral health benefits and care. Successful ... Involvement in the development and maintenance of a credentialed Provider network that is geographically proportionate for... provider services requirements under this Agreement + Provide provider education and develop and deliver… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare** ** Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is a...for the management of value-based and fee-for-service contracting and network management activities for multiple local geographies. **DUTIES AND… more
- Point32Health (Canton, MA)
- …this person helps shapes strategy and policies relevant to our behavioral health provider network . While working across the business, this individual will create ... to strategically lead the behavioral health provider account management team. The Provider Account Management Manager will manage a staff who are liaisons… more
- CVS Health (Atlanta, GA)
- …and organizational standards. + Oversees the maintenance of the healthcare company's provider network by updating provider directories, network ... and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements … more
- LifePoint Health (Brentwood, TN)
- * Manager , Provider Payment Analytics and Processing* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued ... create environments where employees find purpose and fulfillment. *What you'll do:* As a* Manager , Provider Payment Analytics and Processing*, youwill play a key… more
- CVS Health (Austin, TX)
- …support you every step of the way._** **Position Summary** The Medicaid Sr. Manager , Provider Engagement manages and oversees compliance with our Provider ... met. + Medicaid experience including knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes… more
- Modivcare (VA)
- …environment for all. + Creates and influences adoption of solutions that improve our provider network and provide a great member experience. + Identifies, ... departments, and outside resources as requested. Please note, the Provider Relations Manager will be expected to...root cause and take action to resolve within the network . + Makes decisions relating to provider … more
- Amgen (Wilkes-Barre, PA)
- …other innovative, driven professionals in this meaningful role. **Supply Chain Manager , Logistics Service Provider Management** **Onsite in Hazelton, PA** ... cross functional project management, and governing the relationship with this key provider . This Manager ensures regulatory compliance for area of… more
- LogixHealth (Bedford, MA)
- …of provider enrollments working closely with Directors, Senior Managers, and network representatives + Coordinate the full cycle Provider Enrollment function ... follow-up and tracking/monitoring to facilitate ongoing reporting of project status + Provide valid feedback to the Director, Provider Enrollment on departmental… more
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