- The Cigna Group (Bloomfield, CT)
- …+ Business owner for national vendor agreements reviewing and reporting on network access and adequacy including Quest and Zelis Analytics. + Business Owner ... with Regional and National Leaders in Contracting, Provider Services, Product, Legal, Network Operations, Compliance...matrixed organization. + Business Owner of network access policies for the department + National … more
- CVS Health (Trenton, NJ)
- …terms and conditions. . Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating ... and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements … more
- Elevance Health (Overland Park, KS)
- …support the understanding of managed care policies and procedures. + Identifies network access and deficiencies and develops recruitment and contracting ... ** Network Relations Consultant, LTSS Provider Representative**...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- Centene Corporation (Topeka, KS)
- …live in KS or KC metro area for this role **Position Purpose:** The Manager Provider Network Operations supports all provider network operational ... communities, one person at a time. As a diversified, national organization, you'll have access to competitive...all regions and with matrix partners. + Monitors all provider network operational functional areas to ensure… more
- Community Health Network (IN)
- …+ Epic; Access to UptoDate Guidelines **Job Duties** Advanced Practice Provider will provide healthcare, including assessment, diagnosis, and treatment of ... United States Shift N/A **Job Location** This Advanced Practice Provider will join Community Health Network , a...national origin, age, disability, or sex. Community Health Network does not exclude people or treat them differently… more
- Hudson Headwaters Health Network (Queensbury, NY)
- If you are interested in provider opportunities with Hudson Headwaters Health Network , Please also send your CV to Jenny Leszyk at ###@hhhn.org HHHN Mission To ... provide the best health care, and access ...a variety of settings that comprise Hudson Headwaters Health Network . Physicians must be strong clinicians and communicators who… more
- Centene Corporation (Salem, OR)
- …the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh ... claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment...well as claims payment resolution as it relates to provider set up. + Provide support to… more
- System One (Dayton, OH)
- Provider Network Coordinator (2 roles) ALTA is supporting a contract opportunity working remote located anywhere in the United States The Provider Network ... responsible for the integrity of the data in the provider database system. ALTA IT Services is a wholly...and its subsidiaries including Joule, ALTA IT Services, CM Access , TPGS, and MOUNTAIN, LTD., are leaders in delivering… more
- Community Health Network (Kokomo, IN)
- …we bring to every task. _For more information, contact:_ Patrick Bondi, Network Provider Recruiter ###@ecommunity.com **Why Community?** At Community Health ... Advanced Practice Provider - Cardiology (Howard) Job Ref 2403965 Category...national origin, age, disability, or sex. Community Health Network does not exclude people or treat them differently… more
- Centene Corporation (Trenton, NJ)
- …the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh ... for resolution + Receive and effectively respond to external provider related issues + Provide education on...oversee testing and completion of change requests for the network + Investigate, resolve and communicate provider … more
- Elevance Health (Sacramento, CA)
- **JR134950 Provider Network Manager** Develops the provider network through contract negotiations (language and rates), relationship development, and ... + Primary focus of this role is contracting and negotiating contract terms. + Provider contracts are amended twice a year. + Typically works with less-complex to… more
- Community Health Network (Anderson, IN)
- …of race, color, national origin, age, disability, or sex. Community Health Network does not exclude people or treat them differently because of race, color, ... Advanced Practice Provider - Cardiology (Anderson) Job Ref 2406959 Category...Exceptional care, simply delivered, is what sets Community Health Network apart and what makes us a leading not-for-profit,… more
- Community Health Network (Indianapolis, IN)
- …of race, color, national origin, age, disability, or sex. Community Health Network does not exclude people or treat them differently because of race, color, ... Advanced Practice Provider - General Cardiology (North) Job Ref 2406231...Exceptional care, simply delivered, is what sets Community Health Network apart and what makes us a leading not-for-profit,… more
- CVS Health (Columbus, OH)
- …cross-functional data driven solutions to address business problems, while reporting our Provider Network position throughout the country. This work results in ... to make health care more personal, convenient and affordable. **Overview:** The Network Analytics team helps our business units, our contracted healthcare providers,… more
- Sedgwick Government Solutions (Dublin, OH)
- …required. + One (1) year of direct experience supporting the World Trade Center National Provider Network program is preferred. + Experience working in ... Job Details Manager, Network Access Coordination (Hybrid - Strong...to improve how SGS business units engage with the provider network on behalf of members of… more
- DISH Network (Cheyenne, WY)
- …with various teams to gather requirements, create specifications, and design solution for network projects + Provide hands-on implementation and ongoing care and ... Operations:** + Maintaining daily operational responsibility for reliability of the DISH enterprise network with emphasis on user access both wired and wireless… more
- DISH Network (Englewood, CO)
- …with various teams to gather requirements, create specifications, and design solution for network projects + Provide hands-on implementation and ongoing care and ... platforms to include Nexus, ASR, ISR, and Catalyst + Experience with network configuration automation (Scripting with Pearl/Python/Bash), SD- Access , and DNA… more
- Deloitte (Columbus, OH)
- …on December 31, 2024 Description: The primary objective of this position is to provide operational support for Network Access Management (NAM) to include ... Network Access Management - Senior Analyst...Primary Responsibilities Include but are not limited to: + Provide operational support for remote access DDI… more
- Sharp HealthCare (San Diego, CA)
- …and adequate provider network . + Network DevelopmentEvaluates the provider network to ensure appropriate access for membership using geo- ... virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements… more
- Medical Mutual of Ohio (OH)
- …based on history. Measures accuracy of projections. . Analyzes effectiveness of provider network performance through financial modeling, network ... to assure the availability of information needed to analyze effectiveness of provider network performance, model proposed changes, and evaluate financial… more