- JPMorgan Chase (Tampa, FL)
- …FX Payments. Apply today to drive service excellence and innovation! **Job Summary:** As a Network Performance Manager in the Network Management team, ... service failures and enhancements. You will report to the Global Head of Network Performance Management. **Job Responsibilities:** + Improve agent performance… more
- TECO Energy (Ybor City, FL)
- …of these locations. TITLE: Network & Systems Security Analyst, Progression PERFORMANCE COACH: Manager , Network Operations & Broadband Engineering ... for IT infrastructure across multiple platforms (Firewalls, Operating Systems, and other network devices). (10%) 7. Provide second-level technical support for… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III...standards, provider contracts, and provider performance and needs. The Account Manager III leverages ... net required to achieve that purpose. Job Summary The Provider Network Account Manager III...understanding of LACs reports and metrics to evaluate the performance of assigned providers and/or provider organizations,… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II...standards, provider contracts, and provider performance and needs. The Account Manager II leverages ... net required to achieve that purpose. Job Summary The Provider Network Account Manager II...understanding of LACs reports and metrics to evaluate the performance of assigned providers and/or provider organizations,… more
- AmeriHealth Caritas (Charleston, SC)
- …education, and communication. This position is also responsible for all provider network recruiting and contracting management activities. ;Ensures that ... contracts. + Responsible for implementing electronic strategies for the provider network , including increasing electronic claims submission and implementing… more
- Trinity Health (Boise, ID)
- …Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying contract terms, ... the work necessary for resolution of questions regarding claims, fee schedules, network contracting, provider credentials verification, payer enrollment, and … more
- Corewell Health (Grand Rapids, MI)
- …partners related to costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. + ... action plans and successfully implement them. + Maintain a comprehensive provider network (hospitals, physicians, ancillary) and ensure efficient standard… more
- Point32Health (Canton, MA)
- …in identifying trend drivers and opportunities for improvement in Point32Health and provider performance . Must demonstrate ability to translate complicated and ... Working under the direction of the Director or Senior Manager , the Senior Analyst will be part of a...as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also… more
- Avera (Sioux Falls, SD)
- …this role will assist provider training, orientation, and coaching for performance improvement within the network . **What you will do** + Responsible ... patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member...achieve Avera Health Plans objectives for performance , network adequacy and accessibility of provider specialty… more
- Molina Healthcare (Reno, NV)
- …and must live in Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... and development with respect to adequacy, financial performance and operational performance , in alignment with...negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of… more
- Molina Healthcare (North Charleston, SC)
- …must live in South Carolina _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... knit proximity ongoing after contract. * In conjunction with Manager , Provider Contracts, negotiates Complex Provider...Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of… more
- Molina Healthcare (Biloxi, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual provider… more
- Elevance Health (Jacksonville, FL)
- …and helping to improve the value delivered to Carelon BH members. Drives BH provider performance improvement year over year through education and data. This role ... The **Behavioral Health Provider Quality Manager ** is responsible for...performance . Implements strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers,… more
- Molina Healthcare (Long Beach, CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages and coordinates the … more
- Amazon (Seattle, WA)
- …due diligence, onboarding, performance review and ongoing governance of the JWO Provider Network - to drive improvements to vendors' service performance . ... be a great position for you. The Sr. Program Manager combines high-level management of a network ...manage provider management responsibilities (where Amazon manages provider performance but is not the "customer")… more
- Molina Healthcare (WA)
- …and Value Based Care. Manages assigned provider relationships across the network - address issues, develop and provide education and facilitate meeting ... and some or all of the following teams: corporate quality team, corporate provider network team, health plan teams, external vendors, actuary, and finance.… 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
- Modivcare (Orange, CA)
- …work environment for all.* Creates and influences adoption of solutions that improve our provider network and provide a great member experience.* Identifies, ... in key metrics (safety, on-time delivery/pickup, reroutes, and compliance) and provider performance against Perfect Trip expectations (Trip acceptance, On Time… 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...are not limited to: + Provides support for assigned provider contracts. + Obtains and analyzes financial performance… more
- CVS Health (Harrisburg, PA)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... in your next role? Join Aetna/CVS Health, as the Network Management Senior Manager . In this role,...Manager . In this role, you will manage contract performance and support the development and implementation of strategic… more
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