- Point32Health (Canton, MA)
- …+ ** Provider Consulting, Risk Score Reporting and Collaboration** : The Manager will oversee all provider engagement and reporting activities for risk ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, ... acts as an account manager , relationship manager , and performance partner - using data, provider feedback, and system collaboration to enhance provider … more
- Elevance Health (Grand Prairie, TX)
- **JR177060 Provider Relationship Account Manager ** Responsible for providing quality, accessible and comprehensive service to the company's provider ... law. **How will you make an impact:** + Develops and maintains positive provider relationships with the provider community by regular on-site and/or… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider ...Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Manager , Provider Engagement/Relations will lead and support a team of Provider ... Oklahoma Medicaid plan. This leader will oversee relationship management, provider engagement, training, onboarding, issue resolution, and operational compliance,… more
- Elevance Health (Houston, TX)
- **JR177058 Provider Network Manager ** The Provider Network Manager develops the provider network through contract negotiations (language and rates), ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics._ **Position** Advanced Practice Provider Manager - Cancer Center - Chicago, IL **Location** ... Time (Total FTE between 0.9 and 1.0) **Cancer Center Manager , Advanced Practice Provider (APP)** **Rush University...Rush has over 400 APPs across the enterprise that provide comprehensive patient care each day autonomously and in… more
- Edwards Lifesciences (Chicago, IL)
- …Join us and be part of our inspiring journey. The primary objective of the Manager , Provider Education and Engagement Programs - THV is to execute Transcatheter ... need and meet the requirements for treatment through healthcare provider education and engagement. The Manager , ...courses, resources, tools and engagement platforms. This role will provide expertise in execution of programs to drive adoption… more
- World Wide Technology (Dallas, TX)
- … to join our Global Service Providers team. **Why should you join Global Service Provider Sales?** As a Client Manager you will lead WWT sales efforts with ... World Wide Technology (WWT) is a global technology solutions provider leading the AI and Digital Revolution. With more...your customers. **What will you be doing?** The Client Manager will sell broad technical services, solutions, and products… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager ** The Provider Network Manager develops the provider network through contract negotiations (language and rates), ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. Responsible for ... assisting the leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all … more
- Molina Healthcare (Jackson, MS)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid | Eagan, Minnesota Career ... strategy, and operational leadership for Blue Cross Blue Shield of Minnesota's provider analytics suite. This leader will build data driven solutions with measurable… more
- CareFirst (Baltimore, MD)
- …Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality ... Virginia and continuous counties. **ESSENTIAL FUNCTIONS:** + Responsible for improving provider experience; anticipates provider issues and develops a plan… more
- Centene Corporation (New York, NY)
- …policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, ... **Position Purpose:** This position will oversee approximately 10 individual contributors ( Provider Engagement Account Managers - PEAM). This role has overall… more
- Seattle Children's (Seattle, WA)
- The Provider Compensation Manager is a highly skilled individual contributor responsible for the full scope of Children's-employed provider compensation ... This position serves as the sole dedicated consultant/analyst resource for provider compensation and is accountable for both strategic and transactional components… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed for resolution to internal partners + Receive and effectively respond… more
- Prime Therapeutics (Santa Fe, NM)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... The role is also responsible for leading and managing a Provider Relations team to ensure effective performance management of employees, departmental… more
- Health Care Service Corporation (Philadelphia, PA)
- …coverage for assigned territory, be responsible for education of providers, and for ongoing provider service. As a manager , this individual will lead a team of ... is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians,… more
- Elevance Health (Atlanta, GA)
- …commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
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