- Elevance Health (Overland Park, KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal ... miles of one of our Kansas Elevance Health PulsePoint locations. The ** Network Relations Consultant, LTSS Provider Representative** develops and maintains… more
- CVS Health (Frankfort, KY)
- …care more personal, convenient and affordable. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... risk management and positive relationships supporting high value initiatives with our Network Providers. This role acts as the primary contact for an assigned… more
- Elevance Health (Miami, FL)
- **LTSS Network Relation** **s Consultant** **Travel -** this position will require you to travel 3 - 4 days per week in the following territories: **Palm Beach, West ... the understanding of managed care policies and procedures. + Identifies network access and deficiencies and develops recruitment and contracting strategies. +… more
- CVS Health (Phoenix, AZ)
- …Manages and maintains relationships with healthcare providers within a network by negotiating contracts, evaluating provider performance, resolving issues or ... disputes, identifying network expansion opportunities, and collaborating with internal and external stakeholders. Primary Job Duties & Responsibilities Establishes… more
- CVS Health (Harrisburg, PA)
- …internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation ... responsibilities for assigned providers **Required Qualifications** + Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all… more
- CVS Health (Harrisburg, PA)
- …ensure positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... session(s). + Responds to assigned provider questions or inquires, and if necessary, ensures prompt resolution to provider issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals,… more
- Trinity Health (Boise, ID)
- …SUMARY AND PURPOSE:** This position is responsible for managing the daily network operations including but not limited to: customer and provider relations ... of provider claims issues for SAHS and SAHA and ensuring network providers and internal colleagues understand payer and physician participation requirements.… more
- Boston University (Boston, MA)
- …of all assigned networks as a key element of the BU Alumni Association's global network . Alumni Relations at Boston University Alumni Relations at Boston ... Our Mission We in Boston University Development & Alumni Relations (DAR) harness the power of philanthropy to make...of Alumni Networks will recruit, train, and lead alumni network volunteers and ensure the success of all assigned… more
- Magellan Health Services (Boise, ID)
- …staff: provider relations and call center staff on contract and network management processing and policy in provider and contract management source systems. ... must be local to Idaho) Grade 25 Work Experience - Required Network , Provider Relations Work Experience - Preferred Education - Required A Combination of… more
- Molina Healthcare (Port Arthur, TX)
- …Harris or Jefferson County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... 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
- Molina Healthcare (NY)
- …must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
- Molina Healthcare (Columbus, OH)
- …the Columbus, Ohio area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
- University of Rochester (Rochester, NY)
- …_Liaise with external partners and vendors to assist the Director, Provider Network Management & Payer Relations with achieving relative goals._ ... GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead...provider practices. Assists with the management of the provider network by developing and maintaining professional relationships with provider… more
- WellSense (Boston, MA)
- …**Experience:** + 4 or more year's progressively responsible experience in provider relations or network management required + Experience in the Medicare ... Sr. Provider Relations Consultant- (MA residents)-$5,000 sign on bonus WellSense...promoting collaboration within Plan, as it relates to provider network maintenance. Manages territory inclusive of one or more… more
- University of Colorado (Boulder, CO)
- …employer relations matters, Handshake utilization, career fairs, and CU employer relations network meetings. + Communicate employer relations policies ... **Assistant Director, Engineering & Quantum Employer Relations ** **Requisition Number:** 60528 **Location:** Boulder Colorado **Employment Type:** University Staff… more
- Avera (Sioux Falls, SD)
- …is responsible for providing exceptional service to the Avera Health Plans delivery network . + The Provider Relations Specialist is responsible for the expansion ... opportunities for career growth. **Join Avera as a Provider Relations Specialist and** **join a mission-driven organization with a...of the Avera Health Plans network and the building of new networks that support… more
- Hartford HealthCare (New Britain, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Employee Relations Consultant acts as a liaison between the ... and State/Federal labor law/regulations. Works to maintain a positive employee relations culture by proactively assessing the work environment to identify and… more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a **Provider Relations Specialist** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally recognized ... now or to find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you with unparalleled access to exciting… more
- Dignity Health (Bakersfield, CA)
- … Relations Supervisor will report directly to the Director of Physician Network Contracting. The Provider Relations Supervisor is responsible for overseeing ... + Minimum 5 years of customer service and provider relations experience in healthcare or managed care. + Strong...Qualifications:** + 8 years of customer service and provider relations experience in healthcare or managed care. + Four… more
- Centene Corporation (Iselin, NJ)
- …or equivalent experience. Master's degree preferred. 5+ years of contracting, network development and/or provider relations experience. Project management ... Negotiate contracts and develop strategies and methodologies for specific network development initiatives. + Monitor business processes related to provider… more