- Fresenius Medical Center (Waltham, MA)
- …contracting, quality outcomes, and marketing strategies. + Manages contracting and relations with managed care organizations. + Develops long-term strategies ... **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:**...physical demands and work environment characteristics described here are representative of those an employee encounters while performing the… more
- National Vision (Lawrenceville, GA)
- …hard work is praised, and career growth is a reality. We are hiring for a Managed Care Billing Logistics Representative to join our growing team! Job Summary The ... Managed Care Billing Logistics Representative plays a...efficiency. + Collaborate with IT, revenue cycle, and payer relations teams to ensure compliance with managed … more
- Molina Healthcare (Jackson, MI)
- …SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working ... in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy… more
- Humana (Indianapolis, IN)
- …or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation and presenting skills, with ... Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …maintenance of the business. + Assists with training and mentoring of peer Provider Relations Representatives as needed to ensure departmental success. + ... Level II (in addition to Level I Accountabilities) + Represents the Provider Relations department on Health Plan projects/initiatives. + Represents the… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed… more
- CareFirst (Baltimore, MD)
- …guidance and assistance to entry level professionals within or outside of Provider Relations teams. **ESSENTIAL FUNCTIONS:** **TRAINING AND EDUCATION:** + ... Manages network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing… more
- TEKsystems (Lincoln, NE)
- TEKsystems is hiring for a Provider Relations Representative in Lincoln, Nebraska! Start Date: January 26th, 2026 Description * Provide quality customer ... with providers ensuring they are educated on all contractual issues. * Strengthen provider loyalty and ensure required persistency of network is achieved. * Daily… more
- CareFirst (Baltimore, MD)
- …Supports network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity**… more
- UPMC (Dubois, PA)
- …you passionate about building strong relationships and supporting healthcare providers? As a Provider Relations Representative , you'll be the go-to contact ... coverage with your team. + Maintain accurate documentation of provider interactions and action plans. + Support provider...least 2 years of experience in a healthcare or managed care setting + Understanding of public and private… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options ... AR and improving patient experience firsthand, post-care. As a member of the **PFS Rep CBO, Billing Follow-up Denials Mgt** team, you will work with the Insurance… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options ... the best place to work and receive care. The **PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with assigned payer for… more
- TEKsystems (Lincoln, NE)
- Description * Provide quality customer service through daily contact with providers ensuring they are educated on all contractual issues. * Strengthen provider ... and claim discrepancy situations. * Extensive knowledge and proficiency of the Managed Care imaging system. * Responsible for the credentialing and re-credentialing… more
- Centene Corporation (Harrisburg, PA)
- …, GED or equivalent required 1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Provide sales coverage and develop best possible market penetration for all… more
- GEHA (Lee's Summit, MO)
- …appropriate tracking and documentation. + Manage, develop, and support the Employee Relations Representative in completing day-to-day employee relations ... Offering one of the largest health and dental benefit provider networks available to federal employees in the United...to be healthy and well. The Manager of Employee Relations is a strategic leader within the People &… more
- Comcast (Scottsdale, AZ)
- …Core Responsibilities + Maintains expertise on Comcast Business strategic products and managed solutions to effectively coach and manage a team selling into ... and incentives to meet business goals and objectives. Ensures team and Individual Rep achievement of all sales, plus quality, goals and standards. + Ensures… more
- Banner Health (Casper, WY)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options ... work list. This may include working with the ordering provider and/or payer to fully clear a patient's account...level typically achieved in two years as a registration representative , auditor, in medical office operations and/or experience in… more
- Dignity Health (Santa Maria, CA)
- **Job Summary and Responsibilities** JOB SUMMARY / PURPOSE The Client Relations Executive (CRE) makes essential contributions to the achievement of the ... organization's objectives as a field-based business development representative , consistently meeting the volume expectations for referrals and admissions. The CRE is… more
- CVS Health (Annapolis, MD)
- …skills, and attention to detail are important for this position, understanding the managed care arena to provide guidance and resolve problems. . Must ... This individual will be selling and promoting CVS Specialty Pharmacy Services to provide patients and providers with a competitive and supportive pharmacy team. This… more
- State of Minnesota (St. Paul, MN)
- …Coordinator** **Job Class: Human Services Program Specialist 2 or Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : 91250 + ... to be eligible for telework._ The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United… more