- Elevance Health (Carroll, IA)
- **LTSS Network Relations Consultant, West Iowa** **Location:** Carroll, Iowa and surrounding counties **Hours:** Standard M - F **Field:** This field-based role ... the ability to travel within the west region. The **LTSS Network Relations Consultant, West Iowa** develops and maintains positive provider relationships with… more
- New York University (New York, NY)
- …to join the SAR team as a Research Scientist/Program Officer for the Membership and Network Relations team. The Program Officer plays a key research role within ... as appropriate. The position reports to SAR's Director of Membership and Network Relations . Key responsibilities & duties: Research & Data Analysis (50%) *… more
- Cardinal Health (Hartford, CT)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... strategy through developing, commercializing and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development… more
- Molina Healthcare (Lincoln, NE)
- …experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider network relations and management experience in a managed healthcare ... must reside in the state of Nebraska **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network … more
- CVS Health (Tallahassee, FL)
- …Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the ... organization's needs and strategic objectives. + Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements. + Assists with the development of provider… more
- CVS Health (Albany, NY)
- …Acts as the primary resource for assigned, high profile providers or groups (ie local, individual providers, small groups/systems) to establish, oversee, and maintain ... positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** * Working knowledge of… more
- Henry Ford Health System (Jackson, MI)
- …performs provider enrollment and compliance functions within a Clinically Integrated Network ( Network ). Key duties include data management, ensuring providers ... meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, and providers, and verifying… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… 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 ... relations team. Cross-Functional Collaboration * Work closely with network contracting, credentialing, claims, IT, customer service, compliance, and quality… more
- Manulife (Boston, MA)
- …and meetings as needed, representing the brand and expanding the consultant relations network . Build relationships with consultants and gradually assume ... **Job Summary** The Associate Director, Consultant Relations , plays a pivotal role in supporting sales and relationship development within the North American… more
- WellSense (MA)
- …**Experience:** + **4 or more year's progressively responsible experience in provider relations or network management required** + **Experience in the Medicare ... the lead and promoting collaboration within Plan, as it relates to provider network maintenance. Manages territory inclusive of one or more of highest priority … more
- Centene Corporation (Burr Ridge, IL)
- …equivalent experience. or equivalent experience. 7+ years of public affairs, community relations , provider relations / network or public policy experience, ... travel 50% within the state **Position Purpose:** Oversee and manage the community relations and marketing functions of the health plan in accordance with government… more
- The Toro Company (Bloomington, MN)
- …structure and performance in varied, contemporary formats. + Leverage strong investor relations network and industry benchmarking to recommend action plans to ... Toro Company, you will be responsible for: + Build off deep investor relations experience and expertise to represent the company with credibility. Ability to… more
- 3M (Maplewood, MN)
- …Here, you will make an impact by: + Solidifying and maturing 3M's global labor relations strategy + Leading a network of global labor- relations experts to ... **Job Description:** **Job Title** Global Labor Relations Leader **Collaborate with Innovative 3Mers Around the...You'll Make in this Role** As the Global Labor Relations Leader in 3M Human Resources, you will have… more
- Omaha Children's Hospital (Omaha, NE)
- …people with disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the support and maintenance of a ... regional network of community providers (the " Network "). The Program Manager (PM) will provide leadership for the administrative initiatives of the Network … more
- Hartford HealthCare (Westport, CT)
- …matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Employee and Labor Relations Consultant acts as a liaison ... and State/Federal labor law/regulations. Works to maintain a positive employee relations culture by proactively assessing the work environment to identify and… more
- Elevance Health (Rocky Hill, CT)
- …** Network Management Consultant** is responsible for providing provider relations / network management support to complex, high-profile medical and behavioral ... ** Network Management Consultant** A proud member of the...Health. **How you will make an impact:** + Develops network recruitment and retention strategies to ensure the retention… more
- Centene Corporation (Jefferson City, MO)
- …related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in ... on the team responsible for building, contracting, and managing the provider network for Ambetter Health Solutions - Centene's ICHRA focused role. This includes… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …that have a direct impact on improving provider satisfaction. + Leads Provider Relations efforts to drive network and quality improvement. + Represents Provider ... closely with all other internal departments including sales, medical, operations and network management. As a key representative of the corporation, this position is… more
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