- Trinity Health (Columbus, OH)
- …before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… 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
- Elevance Health (KS)
- ** Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers in North Central ... Kansas. The ** Network Relations Consultant, LTSS Provider ...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... of customer service to members, providers and clients. The Manager of Provider Relations works...adjust focus **Reporting Structure** + Reports to Director Pharmacy Relations and Resolution in the Network Integrity… more
- Molina Healthcare (Long Beach, CA)
- …Remote and must live in California _** **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
- Modivcare (VA)
- …areas, various company departments, and outside resources as requested. Please note, the Provider Relations Manager will be expected to routinely travel ... for all. + Creates and influences adoption of solutions that improve our provider network and provide a great member experience. + Identifies, develops, and… more
- Modivcare (Orange, CA)
- …work environment for all.* Creates and influences adoption of solutions that improve our provider network and provide a great member experience.* Identifies, ... root cause and take action to resolve within the network .* Makes decisions relating to provider relationships.*...and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... procedures and develops training tools and guidelines to train provider network to ensure compliance. + Independently...conduct the follow-ups. + May delegate assignment to Senior Provider Relations Reps. + Project focused. Assists… more
- 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
- Providence (Anaheim, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... upon request. See policy for additional information. + 5 years experience in a Provider Relations role working with physicians in Affiliate/IPA, with a minimum 2… 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 (Atlanta, GA)
- Provider Network Manager Sr. -...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience should ... Elevance PulsePoint in Georgia - Atlanta strongly preferred. The ** Provider Network Manager ** Sr. develops...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 5 -… more
- Elevance Health (CA)
- …of California or New York. Must reside within 50 miles of an Elevance PulsePoint. The ** Provider Network Manager Sr** develops the provider network ... other key areas or serve on enterprise projects around network management and value-based care. + Serves as a...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… 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 (Waukesha, WI)
- …commute each way of the above Elevance Health location. **Develops the provider network through contract negotiations (language and rates), relationship ... Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and… more
- CareOregon (Portland, OR)
- …federal contractor and must comply with all federal laws. Job Title Dental Provider Network Operations and Engagement Specialist, Senior Exemption Status Exempt ... eligibility and maintains effective working relationships across a high performing provider network . + Develop and effectively communicate expert understanding… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
- The Hershey Company (Hershey, PA)
- * Job Location: Hershey, PA* * Job summary:* The Senior Manager , Labor Relations is responsible for developing and maintaining positive work environments within ... leaders performing ER/LR assessments across our entire US manufacturing network . * Provide a critical role in...benchmarking to ensure our labor relation practices remain world-class. Provide traditional labor relations support at our… more
- VNS Health (Manhattan, NY)
- …corrective plans of action. Provides feedback to Providers, as needed. + Prepares Provider network adequacy analyses to ensure regulatory requirements and member ... providers as customers or clients required. required + Comprehensive understanding of provider network or hospital and ancillary contracting required. Minimum of… more