- Trinity Health (Columbus, OH)
- …before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… 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
- 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 ...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding 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 ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… 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
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... procedures and develops training tools and guidelines to train provider network to ensure compliance. + Independently...conduct the follow-ups. + May delegate assignment to Senior Provider Relations Reps. + Project focused. Assists… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... upon request. + 3 years of experience in a Provider Relations role working with physicians in...advancement. **Requsition ID:** 337654 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, ... 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 II… 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, ... 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… more
- Elevance Health (Atlanta, GA)
- ** Provider Network Manager Senior**...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience ... will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager Senior** will be responsible for developing the … more
- Elevance Health (Atlanta, GA)
- Provider Network Manager Sr. -...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience should ... Elevance PulsePoint in Georgia - Atlanta strongly preferred. The ** Provider Network Manager ** Sr. develops...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 5 -… more
- Elevance Health (Woodbridge, NJ)
- …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- Elevance Health (Woodbridge, NJ)
- …commute each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- Elevance Health (West Des Moines, IA)
- …maintains positive relationships with providers within a local health plan's LTSS/HCBS provider network . Researches and resolves operational issues. **How You ... provider training + Conducts virtual and in-person provider visits to support LTSS network +...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Experience working… more
- Elevance Health (Waukesha, WI)
- …commute each way of the above Elevance Health location. **Develops the provider network through contract negotiations (language and rates), relationship ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
- The Hershey Company (Hershey, PA)
- * Job Location: Hershey, PA* * Job summary:* The Senior Manager , Labor Relations is responsible for developing and maintaining positive work environments within ... leaders performing ER/LR assessments across our entire US manufacturing network . * Provide a critical role in...benchmarking to ensure our labor relation practices remain world-class. Provide traditional labor relations support at our… more
- Nuvance Health (Danbury, CT)
- *Description* Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon ... care physician practices locations, including The Heart Center, a leading provider of cardiology care. Non-acute care is offered through various affiliates,… 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 ...in contracting (value based, shared savings and ACO development), provider relations , provider servicing; experience… more
- Mayo Clinic (Phoenix, AZ)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The Manager of Community Relations is responsible for supporting the ... is top-ranked in more specialties than any other care provider according to US News & World Report. As...for flexible coverage. + Vision: Affordable plan with national network . + Pre-Tax Savings: HSA and FSAs for eligible… more
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