- CVS Health (Richmond, VA)
- …activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... role acts as the primary resource for an assigned profile of large provider groups/health systems to establish, oversee, and maintain provider risk management… more
- CVS Health (Harrisburg, PA)
- …activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… 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
- CVS Health (Phoenix, AZ)
- … providers, fostering open communication and collaboration to ensure a strong network partnership. Analyzes network provider performance and quality ... on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicates relevant information to… more
- Elevance Health (Overland Park, KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal ... 50 miles of one of our Kansas Elevance Health PulsePoint locations. The ** Network Relations Consultant, LTSS Provider Representative** develops and maintains… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... of customer service to members, providers and clients. The Manager of Provider Relations works...adjust focus **Reporting Structure** + Reports to Director Pharmacy Relations and Resolution in the Network Integrity… more
- Magellan Health Services (Boise, ID)
- …experience in management of benefits and/or behavioral health required. General Job Information Title Provider Relations Manager (Remote - must be local to ... Idaho) Grade 25 Work Experience - Required Network , Provider Relations Work Experience - Preferred Education - Required A Combination of Education and Work… more
- Molina Healthcare (Port Neches, TX)
- …live in Harris or Jefferson County _** **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 (VA)
- …areas, various company departments, and outside resources as requested. Please note, the Provider Relations Manager will be expected to routinely travel ... for all. + Creates and influences adoption of solutions that improve our provider network and provide a great member experience. + Identifies, develops, and… 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
- Centene Corporation (Iselin, NJ)
- …field or equivalent experience. Master's degree preferred. 5+ years of contracting, network development and/or provider relations experience. Project ... providers. Negotiate contracts and develop strategies and methodologies for specific network development initiatives. + Monitor business processes related to … more
- Vanderbilt University Medical Center (Nashville, TN)
- …of the VUMC Development team, the Program Manager for Children's Miracle Network Hospitals(R) (CMN Hospitals) and Corporate Relations plays an integral role ... of the VUMC Development team, the Program Manager for Children's Miracle Network Hospitals(R) (CMN Hospitals) and Corporate Relations plays an integral role… more
- Providence (Anaheim, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... upon request. See policy for additional information. + 5 years experience in a Provider Relations role working with physicians in Affiliate/IPA, with a minimum 2… more
- Marshfield Clinic (Marshfield, WI)
- …cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver ... the most exciting missions in the world!** **Job Title:** Provider Relations Specialist (Remote Option within SHP...(Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP- Provider Network Mgmt **Scheduled Weekly Hours:** 40… 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 (FL)
- …Elevance Health PulsePoint location in New York City. The ** Network Relations Consultant Sr** develops and maintains positive provider relationships with ... clinicians and business leaders passionate about transforming American healthcare delivery. ** Network Relations Consultant Sr** **Location: New York City.** This… more
- WellSpan Health (York, PA)
- Provider Relations Representative - Part Time - Day - Quest BH Location: York Hospital, York, PA Schedule: Part Time Hours: M-F Day Part Time: 30 hours/week ... provider 's concerns and problems related to policies, procedures and protocols, the provider network and other related issues. + Maintains confidentiality of … more
- Elevance Health (Tampa, FL)
- …and conducts provider training including developing and distributing provider relations materials. + Responsible for providing quality, accessible ... and comprehensive service to the company's provider community. + Provide assistance regarding education,...refresher training. + Research issues that may impact future provider negotiations or jeopardize network retention. **Minimum… more
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