- LA Care Health Plan (Los Angeles, CA)
- …Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....information about additions, deletions, or changes to the LAC Provider Network Management (PNM) … 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 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....contracts for renewals and expirations. Acts the liaison between Provider Network Management (PNM) and… more
- Molina Healthcare (Milwaukee, WI)
- …+ Works collaboratively with the Residential Team, Provider Network and Relations team and Care Management staff of My Choice Wisconsin in communicating ... Wisconsin _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are...provider network . They are responsible for network management including provider education,… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... payment and reimbursement terms. + Maintains excellent working relationships with MediGold's provider network , internal department management , other business… more
- Elevance Health (KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers in North Central ... Kansas. The ** Network Relations Consultant, LTSS Provider ...customer service experience including 2 years experience as a Network Management Rep; or any combination of… more
- Trinity Health (Boise, ID)
- …daily network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides training, ... Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying contract terms,… more
- UCLA Health (Los Angeles, CA)
- …Managed Care team - Claims, Provider Relations , Provider Contracting, Provider Network Management , highly desired + Strong skills of MS Excel and ... Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information… more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a ** Provider Relations Specialist** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally ... up to date with the latest advancements in diabetes management and treatment to provide informed assistance...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
- Providence (Torrance, CA)
- …Reps conduct the follow-ups. + May delegate assignment to Senior Provider Relations Reps. + Project focused. Assists management with ad hoc projects. + ... **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and… more
- Dignity Health (Bakersfield, CA)
- …interactions with providers. This will include direct oversight of the Provider Relations department, which includes the management , and mentorship of the ... there is a consistent partnership to design, drive and execute on the provider relations approach/vision. Provide consistent communication to executive… more
- Molina Healthcare (Gulfport, MS)
- **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
- Molina Healthcare (Long Beach, CA)
- …Remote and must live in California _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... management plans. **Job Duties** Manages the Plan's Provider Relations functions and team members. Responsible...provider inquiries. * In conjunction with the Director, Provider Network Management & Operations,… more
- Molina Healthcare (Manhattan, NY)
- …in the New York metropolitian area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... 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
- Centene Corporation (Sacramento, CA)
- …Creates and implements Network Transformation initiatives across a market. Develops Provider Relations Management team to effectively achieve market ... provider performance. + Leads and develops team of Provider Relations Managers and/or Network ...metrics. + Conducts field rides with Provider Relations Representatives to gauge their performance and provide… more
- RWJBarnabas Health (Somerset, NJ)
- …The Provider Relations Rep will oversee and monitor all provider activities which includes: ensuring network accessibility thresholds are met, assist and ... Provider Relations Rep - Somerset, NJReq...for the system + Participates as a representative of Network Management Administration team on internal committees… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... license and auto insurance upon request. + 3 years of experience in a Provider Relations role working with physicians in a Managed Care/IPA, Medical Group,… more
- CDS Life Transitions (Webster, NY)
- Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... and servicing physicians, hospitals and ancillary providers within established guidelines. Provider Relations works closely with all other internal departments… more
- Modivcare (Orange, CA)
- …work environment for all.* Creates and influences adoption of solutions that improve our provider network and provide a great member experience.* Identifies, ... root cause and take action to resolve within the network .* Makes decisions relating to provider relationships.*...and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to… more
- Molina Healthcare (Provo, UT)
- … Information Management ** + Learn Molina business and protocol for provider network administration, including service and contracting. + Learn our ... network management tools such as Quest and QNXT platforms for network adequacy and oversight of provider network data. + Work closely with team and … more
- Elevance Health (Manchester, NH)
- Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work ... the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director** develops...in contracting (value based, shared savings and ACO development), provider relations , provider servicing; experience… more
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