• CHRISTUS Health (Alamogordo, NM)
    …Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. RN: Promotes positive public relations for the ... doctor's needs for each patient based upon patient complaints and treatment plan /guidelines. * Verify that patient results, x-rays, labs and procedure reports are… more
    JobGet (11/04/24)
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  • Market Manager - Provider Relations

    Trinity Health (Columbus, OH)
    …/ Certification: None . Experience: 5 or more years of relevant work experience in health plan provider relations including experience in leadership ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...needed. . Enhance the engagement and partnership between the plan and its provider partners through effective… more
    Trinity Health (09/18/24)
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  • Lead Provider Relations Rep HP (New…

    Molina Healthcare (Farmington, NM)
    …within LTSS or Behavioral Health **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...serves as the primary point of contact between Molina Health plan and the Plan 's… more
    Molina Healthcare (10/13/24)
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  • Provider Relations Manager

    Molina Healthcare (Chicago, IL)
    …must live in Illinois _** **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 (09/13/24)
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  • Manager, Provider Relations

    Molina Healthcare (Escondido, CA)
    …live in San Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for facility ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
    Molina Healthcare (10/19/24)
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  • Manager, Provider Relations

    Molina Healthcare (Port Arthur, TX)
    …Harris or Jefferson County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
    Molina Healthcare (08/30/24)
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  • Provider Relations Representative

    Molina Healthcare (Columbus, OH)
    …the Columbus, Ohio area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... 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
    Molina Healthcare (10/27/24)
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  • Provider Relations Specialist…

    Avera (Sioux Falls, SD)
    …providing exceptional service to the Avera Health Plans delivery network. + The Provider Relations Specialist is responsible for the expansion of the Avera ... specific provider issues and educates providers on health plan policies and procedures. + The... plan policies and procedures. + The Provider Relations Specialist builds positive business relationships… more
    Avera (10/23/24)
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  • Provider Relations Manager-…

    Magellan Health Services (Hodge, LA)
    …systems. Other Job Requirements Responsibilities 7+ years' experience in a Provider Relations role for a managed care plan . Bachelor's degree in a related ... markets nationally. Works daily to improve the relationships with health plan partners and resolves any outstanding...behavioral health required. General Job Information Title Provider Relations Manager- Louisiana ECSS Grade 25… more
    Magellan Health Services (10/30/24)
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  • Supervisor Provider Relations

    Dignity Health (Bakersfield, CA)
    …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of ... **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health ...Physician Network Contracting. The Provider Relations Supervisor is responsible for overseeing… more
    Dignity Health (09/28/24)
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  • Network Relations Consultant (LTSS…

    Elevance Health (Topeka, KS)
    …one of our Kansas Elevance Health PulsePoint locations. The **Network Relations Consultant, LTSS Provider Representative** develops and maintains positive ... and conducts provider training including developing and distributing provider relations materials. + Responsible for providing quality, accessible… more
    Elevance Health (10/22/24)
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  • Sr. Provider Relations Consultant-…

    WellSense (Boston, MA)
    Sr. Provider Relations Consultant- (MA residents)-$5,000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members ... the primary liaison between Well Sense Health Plan (" Plan ") and key provider ...community health centers. Works closely with the Provider Relations Supervisor to identify issues and… more
    WellSense (09/12/24)
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  • Provider Relations Representative

    VNS Health (Manhattan, NY)
    …+ Monitors contract performance of network providers and serves as a liaison between the Health Plan and the Provider to ensure the flow of information ... OverviewManages all aspects of provider relations within a specified geographic...addresses provider issues. + Updates and maintains provider manuals with current Health Plan more
    VNS Health (09/04/24)
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  • Associate Director, HEMA Provider

    J&J Family of Companies (Sacramento, CA)
    Associate Director, HEMA Provider Relations - 2406216303W **Description** Johnson & Johnson is currently seeking an Associate Director, HEMA Provider ... Johnson, we all belong. The US Associate Director of Provider Relations is a critical customer facing...years of experience in the Medical Device, Pharmaceutical or Health plan industry and track record delivering… more
    J&J Family of Companies (10/09/24)
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  • Provider Relations Representative,…

    VNS Health (Manhattan, NY)
    …serve as a resource and addresses provider issues. + Updates and maintains provider manuals with current Health Plan policies and procedures. Updates and ... of paid time off and 9 company holidays + Health insurance plan for you and your...health care experience, required + Prior experience in Provider Relations and contracting, preferred + Knowledge… more
    VNS Health (09/04/24)
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  • Sr Provider Relations Spec

    University of Rochester (Rochester, NY)
    GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead contact for providers and provider groups. Responsible for engaging ... Member Education:_** + _Responds to inquiries from contracted health plan members; serve as a subject...and experience. + Minimum three to five years of provider relations , healthcare contracting or practice management… more
    University of Rochester (09/06/24)
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  • Provider Relations Rep

    Dignity Health (Bakersfield, CA)
    …that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), ... business services that will leverage economies of scale across provider types and geographies and will lead the effort...as an account manager in a direct to employer health plan preferred. The position is remote/work… more
    Dignity Health (10/23/24)
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  • Provider Relations Representative

    CDS Life Transitions (Webster, NY)
    Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... and servicing physicians, hospitals and ancillary providers within established guidelines. Provider Relations works closely with all other internal departments… more
    CDS Life Transitions (10/24/24)
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  • Provider Relations Liaison

    Northern Light Health (South Portland, ME)
    …Time Hours Per Week: 40.00 Work Schedule: 7:30 AM to 5:00 PM Summary: The Provider Relations Liaison is a sales professional and acts as a business development ... effort to detail the organization's products and services provided. The Provider Relations Liaison coordinates scheduled meetings, prospecting, presentations and… more
    Northern Light Health (08/17/24)
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  • Provider Account Executive

    Blue KC (MO)
    …CPT coding systems + 5 years of experience with health insurance plan , preferred Provider Relations , Marketing/Account Management experience + Strong ... our core values and commitment to your success, we provide health , financial and lifestyle benefits to...combination of education and experience + 5 years of provider relations experience with demonstrated success in… more
    Blue KC (09/11/24)
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