- Commonwealth Care Alliance (Boston, MA)
- …expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan provider relations + Experience with behavioral ... 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and… more
- Commonwealth Care Alliance (Boston, MA)
- …experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations . **Experience (Desired)** + ... 011230 CA- Provider Engagement & Performance **Position Summary** The Provider Relations Liaison is responsible for cultivating, maintaining and strengthening… more
- Molina Healthcare (Saginaw, MI)
- …must live in Michigan _** **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 (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... 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
- Providence (Eureka, CA)
- …managed care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience. + upon request: Driving may be ... **Description** Under the supervision of the Director, the Provider Relations Representative functions as a...a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Level II (in addition to Level I Accountabilities) + Represents the Provider Relations department on Health Plan projects/initiatives. + Represents the ... Provider Relations department at Regional and Health Plan meetings as assigned by management. + Develops, coordinates, and leads provider educational… more
- Beth Israel Lahey Health (Winchester, MA)
- …with Performance Improvement Coordinator, IPA Provider Relations Manager, and Health Plan Provider Relations for assistance with referral ... any educational opportunities that are identified to the Highland Management Provider Relations Specialist. + Researches patient information via internet… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of ... provider relations for Commonwealth Care Alliance's SCO...management, or healthcare operations within a managed care organization, health plan , or integrated delivery system. *… more
- Community Health Systems (Springdale, AR)
- **Job Summary** The Provider Relations Market Director is responsible for developing and maintaining strategic relationships with providers, community partners, ... barriers to satisfaction. Through strategic outreach and data-driven insights, the Provider Relations Market Director contributes to organizational growth… more
- WellSense (MA)
- … plan of choice. Serves as the primary liaison between WellSense Health Plan (" Plan ") and key provider organizations, taking the lead and promoting ... community health centers. Works closely with the Provider Relations Supervisor to identify issues and...provider data in Onyx and Facets** + **Represents Provider Relations and the plan … more
- The Cigna Group (Bloomfield, CT)
- …experience in Evernorth Behavioral Care Specialist/Advocacy role preferred + Experience handling behavioral health claims and provider relations calls is a ... calls from members and providers regarding claims, contracting, and provider relations . + Work in a structured...AM - 7:00 PM CT + The recruiter will provide specific shift options **Education Requirement:** + **Bachelor's degree… more
- CareFirst (Baltimore, MD)
- …Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting ... + Responsible for improving provider experience; anticipates provider issues and develops a plan to...of education over time + Responsible for representing Networks Management/ Provider Relations in a variety of work… more
- Northern Light Health (Brewer, ME)
- …Home Care, Hospice Care, end of life, respite care, Home Health Aide, Skilled Nursing Position Provider Relations Liaison/LSW-CLocation Req ID 83374 ... Work Schedule: 8:00 AM to 4:30 PM Summary: The Provider Relations Liaison/LSW-C is a sales professional...how they say they will, or communicates an alternate plan . + Cultivates Respect: Treats others fairly, embraces and… more
- WellSense (NH)
- … Relations Consultant - NH will act as the primary liaison between Provider Relations Consultants and internal Plan departments such as Claims, Benefits, ... Full-Time/Regular It's an exciting time to join the WellSense Health Plan , a growing regional health...Plan initiatives + Facilitates problem resolution + Initiates Plan interdepartmental collaboration to resolve complex provider … more
- System One (Baltimore, MD)
- Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR ... Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing and maintaining positive relationships with healthcare… more
- TEKsystems (Tampa, FL)
- …delivering exceptional service. Skills Customer service, healthcare, billing, bill review, claims, provider relations , provider calls Top Skills Details ... Customer service,healthcare,billing,bill review,claims, provider relations , provider calls Additional Skills & Qualifications ....to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- Modivcare (AR)
- …be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, ... quality standards are met and swiftly addresses any deficiencies. + Leads provider relations efforts across markets in alignment with regional and corporate… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) ... Apply MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Salary $141,907.20...prior notice. SPECIAL SALARY INFORMATION: Management Appraisal of Performance Plan (MAPP): This position is subject to the provisions… more
- Trinity Health (Langhorne, PA)
- …relations activities and accountabilities. Works in conjunction Colleague and Labor Relations COE leadership and HRBPs, to provide local direction, ... performance quality. Ensures implementation of the vision for Trinity Health 's colleague and labor relations strategy, policies,...Ability to read the subtle nuances of situation and react/ plan accordingly. + Experience in a health … more
- Bon Secours Mercy Health (SC)
- …sector community-based interfaces and partnerships throughout our service areas. + Provide legislative, regulatory and health industry intelligence to inform ... Purpose of Position** The Director of Government and External Relations will manage successful statewide relations at...plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin,… more
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