- CVS Health (Springfield, IL)
- …who joins this team will develop and/or maintain expert knowledge of the rapidly changing dental network programs, services, and dental network goals. ... goals. + Acquire and maintain a deep understanding of dental network adequacy reports, Government program products,...services, and support. + Use knowledge and insight to provide clients with fact-based and data-driven strategic guidance on… 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 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager II… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... **Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as the MediGold point… more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- 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 for developing the provider network … more
- Elevance Health (Atlanta, GA)
- Provider Network Manager Sr. - Contract Negotiator (JR136497) **Location:** This position is part of our Hybrid 1 workplace strategy and requires the ... Elevance PulsePoint in Georgia - Atlanta strongly preferred. The ** Provider Network Manager ** Sr. develops...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 5 -… more
- Elevance Health (Woodbridge, NJ)
- …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Woodbridge, NJ)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Elevance Health (Waukesha, WI)
- …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
- Elevance Health (KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers in North Central Kansas. ... The ** Network Relations Consultant, LTSS Provider Representative** develops...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- EAC Network (New York, NY)
- Case Manager (CTCM) - Community Re entry Assistance Network Manhattan CRAN Job Details Job Location 80 Centre Street Room 200, NY, NY 10013 - New York, NY ... Percentage Up to 25% Job Category Human Service Case Manager Community Transitions Case Management (CTCM) EAC Network...Program Director. Comprehensive benefits package includes: * Medical * Dental * 401K * Vision * Very generous Paid… 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 ... (CTCM)to workfull time for its Bronx Community Re-Entry Assistance Network (CRAN) program. The Case Manager (CTCM)...applying for and receiving public and private benefits and provide linkages to the appropriate community providers. + Maintain… more
- Elevance Health (Manchester, NH)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 ... the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director** develops the ...projects with significant impact. + May assist management in network development planning. + May provide work… 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 ... Working under the direction of the Director or Senior Manager , the Senior Analyst will be part of a...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Elevance Health (Jacksonville, FL)
- The **Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data ... Acts as a liaison between strategic providers and Carelon BH clinical, quality, provider strategy, network departments, operations, claims and provider … 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 ... a group working together to elevate Lifepoint's healthcare delivery network . Our network includes 60 community hospitals,...find purpose and fulfillment. *What you'll do:* As a * Manager , Provider Payment Analytics and Processing*, you… more
- Elevance Health (Valdosta, GA)
- …Clinch West and south borders: state lines of Alabama and Florida The Provider Relationship Account Manager is responsible for providing quality, accessible and ... a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt… more
- Elevance Health (Memphis, TN)
- ** Provider Collaboration Manager ** **Office Location** : Nashville, Memphis or Knoxville, TN Associates are required to live within a 50-mile radius and a 1-hour ... the field visiting providers 80% of the time The ** Provider Collaboration Manager ** receives a moderate level...with provider collaboration activities. + Collaborates with provider contractors and network relations reps to… more
- Elevance Health (Woburn, MA)
- Provider Collaboration Manager Sr (Value-Based Contracting) JR138366 **Location:** Candidates must reside within 50 miles and 1-hour commute each way of our ... visit providers as needed - up to 15%. The ** Provider Collaboration Manager Sr** is responsible for...with provider collaboration activities. + Collaborates with provider contractors and network relations reps to… more
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