• Network Relations Manager…

    CVS Health (Harrisburg, PA)
    …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
    CVS Health (01/08/25)
    - Save Job - Related Jobs - Block Source
  • Director, LTSS Partnerships (Plan…

    Molina Healthcare (Cambridge, MA)
    …including both new and existing partners. * Develop relationships with new LTSS Coordination Organizations, working with Network and Healthcare Services to ... and must live in Massachusetts _** **Job Description** **Job Summary** The Director, LTSS Partnerships plays a critical role in the development and implementation of… more
    Molina Healthcare (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Chief Medical Officer - ABD/ACA/ Ltss Aetna…

    CVS Health (Springfield, IL)
    …internally and externally to support coordinated care. Partnering with Plan leaders, Network , and provider relations teams to drive differentiated ... the Medical Management stakeholders both internally (UM/CM, Pharmacy, Quality, network , compliance, LTSS , VBS team) and externally... provider engagement/experience. Collaborate with network teams to optimize provider performance, value… more
    CVS Health (01/30/25)
    - Save Job - Related Jobs - Block Source
  • Network Relations Consult (US)-10

    Elevance Health (Miami, FL)
    ** LTSS Network Relation** **s Consultant** **Travel -** this position will require you to travel 3 - 4 days per week in the following territories: Broward and ... and conducts provider training including developing and distributing provider relations materials. + Responsible for providing quality, accessible… more
    Elevance Health (01/29/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Provider Services PCP

    Humana (Richmond, VA)
    …Bachelor's Degree with 4+ years of progressive experience in managed care operations, including network management and provider relations **OR** 7+ years of ... Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience...progressive experience in managed care operations, including network management and provider relations more
    Humana (01/31/25)
    - Save Job - Related Jobs - Block Source