- Trinity Health (Columbus, OH)
- …or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will maintain a portfolio of provider ... at www.experiencecolumbus.com ! **About the job:** Market Manager - Provider Relations and Network Development is responsible for the strategic oversight… 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 (Baltimore, MD)
- …to make health care more personal, convenient and affordable. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid ... the local market Provider Representatives + Partner with internal / external Network Provider Relations staff to ensure "best in class" Provider … more
- State of Georgia (Fulton County, GA)
- Provider Relations Manager -...Provide extensive support across the full spectrum of provider relations and service interactions. This includes ... for DBHDD is located in downtown Atlanta. Job Title: Provider Relations Manager - Behavioral...3 years of related experience in areas such as provider relations , network management, customer… more
- Molina Healthcare (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 (Escondido, CA)
- …live in San Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for facility provider ... 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 (Port Arthur, 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
- CareFirst (Baltimore, MD)
- …+ Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality ... proactively improve level of education over time. + Responsible for representing Networks Management/ Provider Relations in a variety of work groups to support… more
- VNS Health (Manhattan, NY)
- OverviewManages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential ... Knowledge of government programs, including Medicare and Medicaid preferred Prior experience in Provider Relations preferred CAREERS AT VNS Health The future of… more
- University of Rochester (Rochester, NY)
- …when needed_ + _Liaise with external partners and vendors to assist the Director, Provider Network Management & Payer Relations with achieving relative ... GENERAL PURPOSE: The Provider Relations Liaison is AHP's first...provider practices. Assists with the management of the provider network by developing and maintaining professional… 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 (Miami, 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
- Elevance Health (Hanover, MD)
- …for autism and depression, and insightful analytics to improve the delivery of care. ** Provider Network Manager Sr - Maryland** Candidates must live in ... through Friday, 8 am to 5 pm (EST).** The ** Provider Network Manager ** **Sr** develops...and **a minimum of 5 years' experience in contracting, provider relations , provider servicing** ;… more
- Elevance Health (Indianapolis, IN)
- Provider Network Support Manager (SQL / SAS) JR127711 **Location:** This position requires you to reside within 50 miles of a relevant, open Elevance Health ... and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects… more
- Dignity Health (Camarillo, CA)
- …benefits include Paid Time Off and Sick Leave. **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 (Lakewood, WA)
- **JR129851 Provider Network Manager ** Develops...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or ... + Primary focus of this role is contracting and negotiating contract terms. + Provider contracts are amended twice a year. + Typically works with less-complex to… more
- Elevance Health (Miami, FL)
- …miles of our Miami, FL Elevance Health PulsePoint office. Develops the provider network through contract negotiations, relationship development, and servicing. ... 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 (Atlanta, GA)
- The Provider Network Manager is develops...and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Nashville, TN)
- ** Provider Network Management Director** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of ... our Nashville, TN office. The ** Provider Network Management Director** develops the ...in contracting (value based, shared savings and ACO development), provider relations , provider servicing; experience… more