- CVS Health (Frankfort, KY)
- …minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working ... every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health… more
- Abbott (Livermore, CA)
- …health and get on with their lives. This position leads payor relations (including payor contracting) and regulatory affairs, which are foundational functions to ... payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/ Medicaid enrollment, state licensing, and Joint Commission accreditation +… more
- Commonwealth Care Alliance (Boston, MA)
- …provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and ... network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. *… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including ... By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA… more
- Commonwealth Care Alliance (Boston, MA)
- …One Care) populations preferred. * Experience in healthcare program management, provider relations , or network management * Knowledge of Massachusetts BH ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …the development and advancement of the company's community, government and patient relations activities focused on California. The position is an important part of ... reputation. * Manage national and local charity partnerships. * Coordinate community relations activities at Grifols sites as directed. * Develop and implement… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply MANAGER ... 23 health centers and four hospitals - and expanded network of community partner clinics - DHS annually provides...and administrative space. Acts as first assistant to a Manager IV, Facilities Operations and Crafts. Essential Job Functions… more
- Bassett Healthcare (Cooperstown, NY)
- …340B Drug Pricing Program for all qualified entities throughout the Bassett Health Network . The 340B Manager serves as the primary institutional compliance ... the best quality of life possible. What you'll do Reporting to the Chief Pharmacy Officer, the 340B Manager is responsible for compliance and administration of the… more
- Magellan Health Services (Albuquerque, NM)
- …Engagement Manager Grade 23 Work Experience - Required Community Relations /Outreach Work Experience - Preferred Education - Required Associate Education - ... Collaborates with multiple departments, including peers, business development, marketing, network contracting, and provider liaison teams. + Participates as a… more
- City and County of San Francisco (San Francisco, CA)
- …through the work of multiple divisions - the San Francisco Health Network , Population Health, Behavioral Health Services, and Administration. The San Francisco ... Health Network is the City's only complete system of care...and Trauma Center, the Hospital Support Services Administrator (0941 Manager VI) directs the planning, budgeting, evaluation, quality, selection,… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The SUD Care Manager is responsible for ensuring seamless coordination of care for Fallon Health… more
- Molina Healthcare (Sterling Heights, MI)
- …Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting ... will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of… more
- Healthfirst (NY)
- …performance Partner with Clinical Operations, Quality, Compliance, and Provider Relations to ensure alignment and effective communication across departments Utilize ... managing in a virtual environment Understanding of health plans such as Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP) Experience working as a case … more
- Humana (Oklahoma City, OK)
- … network providers in Humana's Healthy Horizons in Oklahoma's Medicaid Plan, including provider onboarding, training, education, responding to provider inquiries, ... determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front line relationship management… more
- Covenant Health Inc. (Knoxville, TN)
- …Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty ... Performs other duties as needed. Reports to the Revenue Integrity Manager . Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities Integrity + Identifies and… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Manager of Patient Accounting Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty...all duties are performed accurately and efficiently. The Billing Manager monitors all functions of the Billing office and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that we should ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...attempt to recruit. + Ensures Provider Relations / Network Development Representatives are abreast on any… more
- Humana (Indianapolis, IN)
- …also lead the development of new products and services in Humana's Medicaid BH delivery model. **Position Responsibilities:** + Leads clinical and quality management ... and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical… more
- Hartford HealthCare (Farmington, CT)
- …team leads and staff including management of human resources, vendors, and client relations . This position reports directly to the Manager of Patient Financial ... here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of… more
- Centers Plan for Healthy Living (Bronx, NY)
- …new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that we should ... and performing all required tasks assigned by the Sales Manager . Incumbent will be responsible for educating and enrolling...attempt to recruit. + Ensures Provider Relations / Network Development Representatives are abreast on any… more
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