- Ace Hardware Corporation (Plant City, FL)
- …assesses and anticipates HR-related needs. Communicating needs proactively to the HR Manager , the HRBP seeks to develop integrated solutions. The HRBP formulates ... Develop and maintain successful working relationships in order to influence and provide effective HR processes, advice and support. Under guidance, provide … more
- Wind Crest by Erickson Senior Living (Highlands Ranch, CO)
- …Ranch, just 15 minutes southwest of Denver, Colorado. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national ... provider of senior living and health care with campuses...seeking a detail-oriented Recruiting Coordinator to support recruitment, employee relations , and administration. The ideal candidate will have experience… more
- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid ... the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and...* Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or… more
- CVS Health (Baton Rouge, LA)
- …activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Princeton, NJ)
- …plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists… more
- CVS Health (Oklahoma City, OK)
- …design, contract language, service, claims or compensation issues, and provider education needs.-Optimizes interactions with assigned providers andinternal business ... limited to,claims payment, contract interpretation or parameters,and accuracy of provider contract or demographicinformation are resolved- Supports or assists with… more
- CVS Health (Princeton, NJ)
- …to make health care more personal, convenient and affordable. Position SummaryThe Behavioral Health Senior Manager of Network Relations is a key role on the ... Behavioral Health Network . The Behavorial Health Senior Manager of Network Relations will... provider services requirements under this Agreement + Provide provider education and develop and deliver… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Director of Network Development and Provider ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/director-of- network -development-and- provider - relations /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- Molina Healthcare (Seattle, WA)
- **_ Remote and must live in Washington _** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- EssilorLuxottica (Mason, OH)
- Manager - Provider Relations ( Provider Experience) Date: Jun 25, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 850878 ... **MAJOR DUTIES AND RESPONSIBILITIES** + Serve as the account manager & provider relations main...knowledge of Microsoft suite **PREFERRED QUALIFICATIONS** + Experience in network development/management, provider relations , … more
- Molina Healthcare (Troy, MI)
- …Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- Molina Healthcare (Chicago, IL)
- …Remote and must live in Illinois _** **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
- Centene Corporation (Sacramento, CA)
- …in managed healthcare environment. Master's degree preferred. 6+ years of program development, network development, provider relations , or provider ... and oversee provider contract performance. + Lead provider relations activities and oversee communications for...provider data to identify preferred practice patterns and provide further education to providers on integrated care, and… more
- CVS Health (Lansing, MI)
- …and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource ... enhance quality metrics and relationship building + Coordinate with Network Management to issue provider CAP +...+ Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories… more
- CareOregon (Portland, OR)
- … Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... group training sessions and make presentations. Provider Relations + Work with provider network...and review provider application data; submit to provider contracting staff. Administration + Provide input… more
- CareOregon (Portland, OR)
- … Relations Exemption Status Exempt Requisition # 24346 Direct Reports N/A Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... must comply with all federal laws. Job Title Senior Provider Relations Specialist - Behavorial Health Department...Behavioral Health focused teams and supports the Behavioral Health Provider Network . Job Summary This position serves… more
- Dignity Health (Oxnard, CA)
- …local human resources that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services ... Health, you will enjoy the developing relationships as you provide process and system education and training to providers...processing of eligibility, authorizations and claims adjudication to the provider network + Are capable of continually… more
- Elevance Health (Topeka, KS)
- ** Manager , Provider Network Management** **Location: Kansas** **Hours:** M - F Standard Working hours **Travel:** Hybrid (1-2 days onsite) 20% Travel with ... Supports (LTSS) provider delivery system through the provider relations representatives. **How you will make...providers, members, and the public + Ensures the LTSS provider network has the resources, tools, and… more
- Elevance Health (Charleston, WV)
- Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating ... 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 (Topeka, KS)
- …to provider sites as needed **Position Overview:** Develops the provider network through contract negotiations (language and rates), relationship ... and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Travels to… more
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