- Northern Light Health (Westbrook, ME)
- …planning, human resources, information systems, risk management, marketing and public relations initiatives, physician contracting , and facility maintenance. ... Schedule: Variable Summary: Directs and implements all functions of the Specialty Physician Practices consistent with the overall policies and in compliance with… more
- Sharp HealthCare (San Diego, CA)
- …sales experience in the medical or related field. Highly skilled in sales, physician relations , contracting , customer service, marketing and business ... smooth implementation of project and retention of the practice and/or enrolled lives. Provide direction to individual physician offices countywide to assist with… more
- HCA Healthcare (Brentwood, TN)
- …effectively with HCA leaders, CSG recruiting team, Physician and Provider Relations , and physician contracting leaders, to ensure support of medical ... the integration of GME with clinical services + Articulates physician workforce needs and requirements at the Group level...the GME Development Plan to meet financial, quality, and physician workforce needs + Supports and enhances application of… more
- Dignity Health (Bakersfield, CA)
- … Supervisor will report directly to the Director of Physician Network Contracting . The Provider Relations Supervisor is responsible for overseeing the ... Provider Relations team within the department. This role involves managing...and healthcare regulations. + One (1) year experience in contracting negotiations, provider fees schedules, and data… more
- VNS Health (Manhattan, NY)
- … provider contracting and a minimum of two years in provider relations / Behavioral Health. requiredExperience working with network service providers and ... implementation of VNS Health's Health Plan Physician , Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and… more
- Hartford HealthCare (Hartford, CT)
- …will represent ICP on designated key committees and task forces relating to provider contracting and payer relations within HHC. *_Requirements and ... healthcare related field with in-depth knowledge of: o Payer/ provider contracting particularly focusing on hospital, physician , behavioral health, skilled… more
- Trinity Health (Boise, ID)
- …managing the daily network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides ... necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and network… more
- Molina Healthcare (Port Arthur, TX)
- …Jefferson County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network ... strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina… more
- Molina Healthcare (NY)
- …Providers. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to ... _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network...in a managed healthcare setting ideally in negotiating different provider contract types, ie physician , groups and… more
- VNS Health (Manhattan, NY)
- …analyses to ensure regulatory requirements and member needs are fulfilled and support Provider recruiting and contracting needed to fill identified network gaps ... providers as customers or clients required. required Comprehensive understanding of provider network or hospital and ancillary contracting required. Minimum… 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, 90017 ... III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating… 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, 90017 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....responsible for all aspects of the LA Care (LAC) provider contracting and relationship management process, including… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …commitment to organizational stewardship. ACOS/GEC is required to lead, give direction, provide knowledge, skills and abilities in the area of geriatric and ... from Loyola University Medical Center (LUMC). Develops performance metrics for all provider classification to drive performance and to direct desired behavior. Is in… more
- The Cigna Group (Bloomfield, CT)
- …Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations , and Network Development & ... Advisor's responsibilities include: + Developing and managing the local physician / provider network, engaging with providers and internal..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Atlanta, GA)
- …Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations , and Network Development & ... Advisor's responsibilities include: + Developing and managing the local physician / provider network, engaging with providers and internal..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Elevance Health (Sacramento, CA)
- …requirements:** + Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations , provider servicing; or any combination ... an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Provider ...providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of… more
- CVS Health (Sacramento, CA)
- … arrangements, and regulatory requirements. + Must be well versed with the provider relations . **Preferred Qualifications** + Provider Data Management + ... affordable. **Position Summary** Negotiate and maintain a broad portfolio of physician contracts in Northern CA. Responsible for negotiation, execution, review, and… more
- Elevance Health (Atlanta, GA)
- …required. Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations , provider servicing; or any combination ... The Provider Network Manager is develops the provider...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Point32Health (Canton, MA)
- …Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Reporting to the Manager, Provider Relations , the Provider Account Manager (PAM) ... strategic management and engagement of providers in the Point32Health family of company's provider network, acting as the primary point of contact for the assigned… more
- Elevance Health (Waukesha, WI)
- …Requirements:** Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations , provider servicing; or any combination ... each way of the above Elevance Health location. **Develops the provider network through contract negotiations (language and rates), relationship development, and… more
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