• Sr. Provider Relations Consultant-…

    WellSense (Boston, MA)
    …and experience **Experience:** + 4 or more year's progressively responsible experience in provider relations or network management required + Experience in ... Sr. Provider Relations Consultant- (MA residents)-$5,000 sign...and promoting collaboration within Plan, as it relates to provider network maintenance. Manages territory inclusive of… more
    WellSense (09/12/24)
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  • Manager, Provider Relations

    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
    Molina Healthcare (08/30/24)
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  • Senior Provider Relations

    Molina Healthcare (NY)
    …and must live in New York _** **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 . They are responsible for … more
    Molina Healthcare (11/08/24)
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  • Provider Relations Representative

    Molina Healthcare (Columbus, OH)
    …live in the Columbus, Ohio area _** **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 . They are responsible for … more
    Molina Healthcare (10/27/24)
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  • Supervisor Provider Relations

    Dignity Health (Bakersfield, CA)
    Relations Supervisor will report directly to the Director of Physician Network Contracting. The Provider Relations Supervisor is responsible for ... and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO...overseeing the Provider Relations team within the department. This role involves managing… more
    Dignity Health (09/28/24)
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  • Provider Relations Representative

    CDS Life Transitions (Webster, NY)
    Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... and servicing physicians, hospitals and ancillary providers within established guidelines. Provider Relations works closely with all other internal departments… more
    CDS Life Transitions (10/24/24)
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  • Provider Relations Representative

    VNS Health (Manhattan, NY)
    …programs, including Medicare and Medicaid , preferred + Prior experience in Provider Relations , preferred + Reliable transportation to work sites, required ... OverviewManages all aspects of provider relations within a specified geographic...Operations departments to administer demographic changes and renewals to provider contracts. + Monitors contract performance of network more
    VNS Health (09/04/24)
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  • Dir II Medicaid State Ops

    Elevance Health (Metairie, LA)
    …for local marketing and community relations , network development, provider partnerships, provider relations , medical management, case management and ... in accordance with applicable regulatory requirements; ensures alignment and support with overall Medicaid Business Unit mission, goals and objectives. + Responsible… more
    Elevance Health (11/15/24)
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  • Manager, Provider Relations

    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
    Centene Corporation (11/17/24)
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  • Provider Relations Rep

    Dignity Health (Bakersfield, CA)
    …local human resources that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services ... and articulate the processing of eligibility, authorizations and claims adjudication to the provider network + Are capable of continually re-prioritizing to meet… more
    Dignity Health (10/23/24)
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  • Medical Director - Behavioral Health - Texas…

    CVS Health (Austin, TX)
    …those in utilization management, care management, quality management), and colleagues within network and provider relations , to enhance the delivery ... Participation in clinical staff recruitment and ongoing performance improvement. - Provide strategic oversight and leadership for all behavioral health activities… more
    CVS Health (08/27/24)
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  • Network Relations

    CVS Health (Harrisburg, PA)
    …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, service, claims or compensation issues, and … more
    CVS Health (11/06/24)
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  • Provider Network Account Manager II

    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....net required to achieve that purpose. Job Summary The Provider Network Account Manager II is responsible… more
    LA Care Health Plan (08/30/24)
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  • Provider Network Account Manager III

    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 is responsible… more
    LA Care Health Plan (11/06/24)
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  • Medical Director - Behavioral Health - Louisiana…

    CVS Health (Baton Rouge, LA)
    …those in utilization management, care management, quality management), and colleagues within network and provider relations , to enhance the delivery ... Participation in clinical staff recruitment and ongoing performance improvement. * Provide strategic oversight and leadership for all behavioral health activities… more
    CVS Health (09/10/24)
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  • Provider Network Manager Sr

    Elevance Health (New Hyde Park, NY)
    …**Hybrid (1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... 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 (10/24/24)
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  • Provider Network Manager Sr.

    Elevance Health (Indianapolis, IN)
    …(1 - 2 days onsite per week)** **Position Overview:** 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 (10/26/24)
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  • Provider Network Specialist I

    Centene Corporation (Trenton, NJ)
    …Bachelor's degree in related field or equivalent experience. 0-2 years of provider relations or contracting experience. Knowledge of health care, managed ... for resolution + Receive and effectively respond to external provider related issues + Provide education on...oversee testing and completion of change requests for the network + Investigate, resolve and communicate provider more
    Centene Corporation (11/19/24)
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  • Provider Network Manager Sr

    Elevance Health (Mason, OH)
    …**(Hybrid 1-2 days onsite in office)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... 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 (10/22/24)
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  • Hospital Relations Representative

    VNS Health (Manhattan, NY)
    …make a difference in the healthcare industry? Join our team as a Hospital Relations Representative! In this role you will support the Hospital Relations Manager ... and identify best practices. Compensation Range:$30.71 - $38.41 Hourly What We Provide + Referral bonus opportunities + Generous paid time off (PTO), starting… more
    VNS Health (09/04/24)
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