- Rose International (Atlanta, GA)
- …lengthened based upon a client's business needs and requirements.**Job Title: Network ContractorJob Id: 91999Duration: 1 YearPay Rate: $32-$38Work Location: Fully ... Washington State Metro Area*Hours: Mon-Fri, 8am-5pm PSTThis position serves on a Medicaid Plan's Outpatient Behavioral Health Contracting Team. The person in this… more
- MetroPlus (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.… more
- CVS Health (Princeton, NJ)
- …with business segment specific policy, benefits, plan design and language + Medicaid Managed Care + Strong verbal and written communication, interpersonal, problem ... resolution and critical thinking skills Preferred Qualifications + Working knowledge of business segment specific codes, products, and terminology. Education Bachelor's degree preferred/specialized training/relevant professional qualification Pay Range The… more
- CVS Health (Richmond, VA)
- …health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or managing...work with others at all levels * Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing,… 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 ... and administration of ABHNJ' s Behavioral Health Network . The Behavorial Health Senior Manager of Network Relations will report to the Executive Director… more
- CVS Health (Austin, TX)
- …recent and related experience in Provider Operations, Provider Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider ... preferred hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and...Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team will also… more
- CVS Health (Lansing, MI)
- …+ Minimum of 3 years recent and related experience in Provider Operations, Provider Relations , or Network operations. + 1+ years of experience in Medicaid ... and affordable. Position Summary + Lead a team of Medicaid Provider Data Services Analyst responsible for loading and...Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT. + Team will… more
- Humana (Indianapolis, IN)
- …who is responsible for the day-to-day front line relationship management of network providers for Humana's Healthy Horizons in Indiana, as well as responsible ... The Provider Education & Outreach Representatives serve as the primary relationship manager with providers to ensure positive provider experience with Humana Healthy… more
- CVS Health (Oklahoma City, OK)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination- Performs credentialing support activities as needed- Educates Medicaid providers as needed to ensurecompliance with contract policies and… more
- Molina Healthcare (Chicago, IL)
- …and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and… 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 point of...benefit designs, standards of administration, managed vision care and network options for medicaid , medical and surgical… more
- Molina Healthcare (Seattle, WA)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2+ years provider contract network relations and management experience in a managed healthcare setting. ... **_ Remote and must live in Washington _** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, … more
- Molina Healthcare (Troy, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- CVS Health (Lansing, MI)
- …more personal, convenient and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act ... and maintain positive relationships by assisting with complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or… more
- Trinity Health (Columbus, OH)
- …own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** Manager Broker Relations is responsible for managing broker related activities ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient care starts with… more
- CareOregon (Portland, OR)
- … Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring range ... Keep abreast of changes and advancements in the Provider Relations , Medicare, and Medicaid arenas. + Conduct...+ Conduct group training sessions and make presentations. Provider Relations + Work with provider network within… more
- Dignity Health (Oxnard, CA)
- …types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to ... resources that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO),… more
- LifePoint Health (Brentwood, TN)
- …a Reimbursement Manager , you willmanage and file Medicare and Medicaid cost reports and other regulatory reports, working with Medicare Audit Contractors (MACs) ... Reimbursement Manager *Who we are:* At Lifepoint Health, we...Share Hospital (DSH) surveys . Work with the Governmental Relations department in monitoring Medicaid legislative changes… more
- The Cigna Group (Denver, CO)
- …and policies, contract solutions, provider relations , data load/management and network performance. The Manager will supervise a multi-specialty team who ... Manager will have oversight of the Military OneSource network and lead a multi-specialty team in support of...Intimate knowledge of managed care operations (contracting and provider relations ) and outpatient network management in behavioral… more
- CVS Health (Hartford, CT)
- …to identify opportunity for consistency. Effort is enabled by partnership with our Medicaid provider relations teams. + As milestones are achieved, you will ... more personal, convenient and affordable. Position Summary: The Senior Manager , Provider Communications will direct the alignment of provider-focused communications… more
