- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): * 8-10 years of progressively responsible experience in provider relations , network management , or healthcare operations ... medical management , and analytics teams to advance provider network operations, education, and performance improvement.... network operations, education, and performance improvement. The Provider Relations Director reports to the Sr… more
- WellSense (MA)
- …**Experience:** + **4 or more year's progressively responsible experience in provider relations or network management required** + **Experience in the ... and promoting collaboration within Plan, as it relates to provider network maintenance. Manages territory inclusive of...facilities and community health centers. Works closely with the Provider Relations Supervisor to identify issues and… more
- Molina Healthcare (Saginaw, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are...provider network . They are responsible for network management including provider education,… more
- UPMC (Dubois, PA)
- …hiring a full-time Provider Relations Representative to support the Network Management team. This position follows a hybrid schedule, requiring in-office ... defined panel of providers. + Work with the Director, Provider Relations and other staff as appropriate...Implement use of quality indicators for use within the network , including work with providers as necessary to assure… more
- Commonwealth Care Alliance (Boston, MA)
- …(SCO or One Care) populations preferred. * Experience in healthcare program management , provider relations , or network management * Knowledge of ... CCA's behavioral health priorities, programs, and initiatives to the provider network . * Promote provider ...eligible populations * Experience in behavioral health clinical practice, provider relations , or healthcare management … more
- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience (must have):** + 5+ years of experience in provider relations , healthcare communications, or network management within a health ... **Desired Knowledge, Skills, Abilities & Language (nice to have):** + Familiarity with provider network management systems and healthcare data standards. +… more
- Hartford HealthCare (Hartford, CT)
- …and individual needs. 5. Through analysis of available performance data, leads the Provider Relations Management team in gathering data and meeting ... Network (CIN). The Manager of Quality and Provider Relations develops, implements, and evaluates Population...health and quality initiatives more effectively. 8. Oversees the Provider Relations Management team in… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Prioritize and organize own work to meet deadlines + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate ... Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building,... provider network When necessary, participate in contracting strategy discussions around… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Prioritize and organize own work to meet deadlines. + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate ... CA- Provider Engagement & Performance **Position Summary** The Provider Relations Liaison is responsible for cultivating,... provider network . Participate in contracting strategy discussions around potential recruitment… more
- CareFirst (Baltimore, MD)
- … network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity**… more
- Modivcare (AR)
- …be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, ... implementing, and maintaining a compliant, effective, and efficient transportation provider network within assigned markets. The Director will oversee all… more
- Providence (Eureka, CA)
- …Bachelor's Degree in Healthcare Management . + 2 years Managed care Provider Relations experience. **Why Join Providence?** Our best-in-class benefits are ... **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist… more
- System One (Baltimore, MD)
- Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR ... Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing...as the primary liaison to communicate, educate, and support network providers while managing escalated issues and facilitating dispute… more
- Highmark Health (Charleston, WV)
- …of experience in the health care/health insurance industry to include value-based care and provider relations / network management + Experience with data ... and maintenance of positive, collegial relationships between the corporation and the provider and health system community. The incumbent is responsible for engaging… more
- NVIDIA (Seattle, WA)
- We are looking for an experienced and collaborative Developer Relations Manager to help accelerate adoption of NVIDIA's AI and computing platforms across global ... Doing: + Assist and advocate for developers at a major Cloud Service Provider , encouraging the use of NVIDIA platforms. + Accelerate key workloads by demonstrating… more
- 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 ... a requirement and the ability to travel within the west region. The **LTSS Network Relations Consultant, West Iowa** develops and maintains positive provider … more
- Health Care Service Corporation (Chicago, IL)
- …or more years of hands-on experience in Provider Contracting, Network Management , or Provider Relations + Proven planning, preparation and presenting ... quality performance within the contracted working relationship with the health plan. The Provider Vertical Leader works to identify the business plan and will have… more
- CVS Health (Charleston, WV)
- … Management ** who provides strategic leadership and oversight for network management and provider relations within the **Keystone territory of ... relationships. You'll make an impact by: + Overseeing key network management contracting activities, including negotiating fee schedules, reimbursement… more
- Henry Ford Health System (Jackson, MI)
- …confirmation of practice hours). Performs tasks to support accurate records and roster management including: o Network provider membership profiles within ... and working with the payor to resolve. * Provides enrollment assistance/support to Network provider members for nondelegated health plans as needed. * Supports… more
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