- Amazon (Seattle, WA)
- …or enterprise environment. The successful candidate will be expected to provide high quality network event management for Amazon's worldwide network . ... managing proactive engineering, network optimization and operational network support for a large-scale service provider ...to own them to completion. Key job responsibilities - Provide critical on-shift network operations support to… more
- Amazon (Denver, CO)
- …for a large-scale service provider . The successful candidate will be expected to provide high quality network event management for Amazon's global ... most innovative and progressive technology companies anywhere. Key job responsibilities * Provide critical network operations support to internal customers, dive… more
- AmeriHealth Caritas (Charleston, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. **About the job:** The Manager of Provider Network Management manages the Network ... satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by… 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...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- Magellan Health Services (Albuquerque, NM)
- …with the network management team on an integrated clinical- network approach which may include provider relationships. Visits providers and attends ... (QI) Programs including monitoring effectiveness and compliance with goals, prevention programs, network development and management , quality of care concerns… more
- CVS Health (Albany, NY)
- …convenient and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and ... leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high- quality provider relationships. **WHAT… more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The **Manager, Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- LA Care Health Plan (Los Angeles, CA)
- … Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... the right time. Mission: LA Care's mission is to provide access to quality health care for...contracts for renewals and expirations. Acts the liaison between Provider Network Management (PNM) and… more
- AmeriHealth Caritas (Youngstown, OH)
- …stakeholders for network implementation and maintenance. + Manages an ongoing Provider Network Management organization project or program. + Develops, ... for developing the strategic direction and management of the day-to-day network management activities for all provider types, including single… more
- Trinity Health (Columbus, OH)
- …targets. **Responsibilities** + Recruit providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve as ... payment and reimbursement terms. + Maintains excellent working relationships with MediGold's provider network , internal department management , other business… more
- HonorHealth (Scottsdale, AZ)
- …payer network management relationship. The Network Analyst will provide network analysis, maintain the provider membership database, and support ... Responsibilities Job Summary The Network Analyst develops, analyzes and provides quality and timely information to support the provider contract load and… more
- Molina Healthcare (Troy, MI)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider … more
- Elevance Health (Overland Park, KS)
- …providing quality , accessible and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions and ... quality of service delivery. + Tracks and conduct provider refresher training. + Researches issues that may impact...customer service experience including 2 years experience as a Network Management Rep; or any combination of… more
- Corewell Health (Grand Rapids, MI)
- …clinical or health and human services + 3 years of relevant experience within provider network management , health care insurance or other health care ... action plans and successfully implement them. + Maintain a comprehensive provider network (hospitals, physicians, ancillary) and ensure efficient standard… 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 ... the right time. Mission: LA Care's mission is to provide access to quality health care for...net required to achieve that purpose. Job Summary The Provider Network Data Associate II is in… more
- Molina Healthcare (Los Angeles, CA)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...ensure appropriate information has been provided. + Audits loaded provider records for quality and financial accuracy… 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 ... of the network accounts department + Develop, implement and monitor quality initiatives to achieve healthy outcomes for assigned projects + Provide … more
- UPMC (Williamsport, PA)
- …optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... solves based on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights and responsibilities,… more
- AmeriHealth Caritas (Columbus, OH)
- …tailored provider orientation sessions, making educational visits, and resolving provider issues.;;Ensure that network provider perspectives and feedback ... the MCO's provider claim dispute resolution process collaborate with Provider Network Operations to resolve Provider concerns timely.;;Maintains… more
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