- Medical Mutual of Ohio (Brooklyn, OH)
- …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible… more
- The Cigna Group (Scottsdale, AZ)
- …to in-person meetings with Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... Network Management & Affordability Team and reports to the...or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- AmeriHealth Caritas (Charleston, SC)
- …more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network Management department's ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring… more
- AmeriHealth Caritas (Youngstown, OH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is ... resolve provider issues. Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the Plan's territory… more
- The Cigna Group (Hartford, CT)
- …+ 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Hartford, CT)
- …+ 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Trinity Health (Columbus, OH)
- …**Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as the MediGold point ... of contact within the Provider network ; Act as the MediGold Subject Matter Expert and brand ambassador. + Addresses customer complaints by directly handling the… more
- CVS Health (Albany, NY)
- …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
- HonorHealth (Scottsdale, AZ)
- …and payer network management relationship. The Network Analyst will provide network analysis, maintain the provider membership database, and support ... million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary,… more
- Elevance Health (Overland Park, KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers. The ** Network ... for providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions… more
- Molina Healthcare (Troy, MI)
- **_ Remote and must live in Michigan _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Data Associate II Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Provider Network Data Associate II is in...Risk Medical Insurance Board (MRMIB) and Geo Access. Duties Provide support to the Provider Relations Department.… more
- Elevance Health (Atlanta, GA)
- ** Provider Network Manager Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Provider Network Manager Senior** will be responsible for developing the provider network through… more
- Elevance Health (Manchester, NH)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 ... the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director** develops the ...projects with significant impact. + May assist management in network development planning. + May provide work… more
- Corewell Health (Grand Rapids, MI)
- …action plans and successfully implement them. + Maintain a comprehensive provider network (hospitals, physicians, ancillary) and ensure efficient standard ... clinical or health and human services + 3 years of relevant experience within provider network management, health care insurance or other health care delivery… more
- Molina Healthcare (Los Angeles, CA)
- **_ Remote and must live in California _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Centene Corporation (Mcallen, TX)
- …Bachelor's degree in related field or equivalent experience. 4+ years of network account management or provider contracting experience in a managed ... flexibility. **Position Purpose:** Manages the day-to-day operations of the network accounts department + Develop, implement and monitor quality initiatives… more
- CVS Health (Montpelier, VT)
- …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… more
- Molina Healthcare (San Diego, CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
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