• Referrals Manager

    ChenMed (Greenacres, FL)
    …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment + Network Management experience/understanding + ... doctors and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to all patients. **ESSENTIAL… more
    ChenMed (01/18/25)
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  • Director Patient Safety and Risk Management

    Bassett Healthcare (Cooperstown, NY)
    …of risk management and patient safety initiatives within the Bassett Healthcare Network . The Director is responsible for identifying, planning, designing, ... the strategic goals of the Bassett Healthcare Network . Trends and analyzes risk management measures...to the governing body, appropriate committees, departments, and leaders. Provide patient feedback and risk management information… more
    Bassett Healthcare (11/19/24)
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  • Provider Relationship Account Manager (TPA)

    Elevance Health (Los Angeles, CA)
    …and eager to connect with professionals experienced in healthcare administration, network management , provider credentialing, and data analysis. With ... and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes,...service experience including 2 years of experience in a healthcare or provider environment; or any combination… more
    Elevance Health (01/22/25)
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  • Director Provider Relations

    Dignity Health (Bakersfield, CA)
    …**Qualifications** **Minimum Qualifications:** - 5+ years of healthcare management , network development, and/or provider /payer contracting, finance, ... lieu of education. **Preferred Qualifications:** - 10+ years of healthcare management , network development, or provider /payer contracting, finance, or… more
    Dignity Health (12/13/24)
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  • Senior Specialist, Provider Network

    Molina Healthcare (Troy, MI)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider more
    Molina Healthcare (12/19/24)
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  • Specialist, Provider Network Admin

    Molina Healthcare (Los Angeles, CA)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (01/19/25)
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  • Associate Specialist, Provider

    Molina Healthcare (San Diego, CA)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **_ Remote and must live in California _** **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely… more
    Molina Healthcare (01/05/25)
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  • Manager Provider Network

    AmeriHealth Caritas (Charleston, SC)
    …services. Discover more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network ... and communication. This position is also responsible for all provider network recruiting and contracting management...agencies' network adequacy standards. + Ensures the provider network meets the healthcare more
    AmeriHealth Caritas (01/24/25)
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  • AVP, Provider Contract Network

    The Cigna Group (Scottsdale, AZ)
    …to in-person meetings with Providers AND several days work at Home_** The **AVP, Provider Contract Network Management ** serves as an integral member of ... the Network Management & Affordability Team and...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
    The Cigna Group (11/21/24)
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  • Manager, Provider Contracting…

    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 ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
    The Cigna Group (11/23/24)
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  • Manager, Provider Contracting…

    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 ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
    The Cigna Group (11/23/24)
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  • Lead Director, Provider Network

    CVS Health (Albany, NY)
    …convenient and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and ... relationships. **WHAT YOU WILL DO:** . Oversees key Network Management contracting activities, including negotiating fee.... Controls the development and expansion of the company's provider network by evaluating potential network more
    CVS Health (01/24/25)
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  • Provider Network Management

    Elevance Health (Manchester, NH)
    Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work ... 2 days per week in the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director** develops the provider more
    Elevance Health (01/14/25)
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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 (01/18/25)
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  • Provider Network Account Executive…

    AmeriHealth Caritas (Youngstown, OH)
    …stakeholders for network implementation and maintenance. + Manages an ongoing Provider Network Management organization project or program. + Develops, ... now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about...strategic direction and management of the day-to-day network management activities for all provider more
    AmeriHealth Caritas (01/10/25)
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  • Payer/ Provider Network Analyst ICP

    HonorHealth (Scottsdale, AZ)
    …payer network management relationship. The Network Analyst will provide network analysis, maintain the provider membership database, and support ... to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare more
    HonorHealth (01/14/25)
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  • Provider Relations Network Manager

    Trinity Health (Columbus, OH)
    …payment and reimbursement terms. + Maintains excellent working relationships with MediGold's provider network , internal department management , other business ... to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… more
    Trinity Health (12/19/24)
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  • LTSS Provider Network Relations…

    Elevance Health (Overland Park, KS)
    …of 3 years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would ... ** Network Relations Consultant, LTSS Provider Representative**...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
    Elevance Health (01/09/25)
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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 (01/04/25)
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  • Provider Network Data Associate II

    LA Care Health Plan (Los Angeles, CA)
    Provider Network Data Associate II Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Provider Network Data Associate II is in...Risk Medical Insurance Board (MRMIB) and Geo Access. Duties Provide support to the Provider Relations Department.… more
    LA Care Health Plan (01/15/25)
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