• REMOTE - Service Provider

    Insight Global (Houston, TX)
    Job Description An employer is looking for a Service Provider Network Engineer to sit remotely. You will primarily be tasked with leading project efforts ... Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 7+ years experience in service provider network engineering Strong IP/… more
    Insight Global (01/24/25)
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  • Provider Network Performance Analyst…

    Medical Mutual of Ohio (Brooklyn, OH)
    …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
    Medical Mutual of Ohio (12/12/24)
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  • Provider Network Account Executive…

    AmeriHealth Caritas (Youngstown, OH)
    …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is ... works to resolve provider issues. Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the Plan's… more
    AmeriHealth Caritas (01/10/25)
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  • Provider Contract Specialist…

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Provider Contract Specialist ( Remote Option within SHP Service Area) **Cost Center:** 101651230 Payor Strat- ... works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver… more
    Marshfield Clinic (01/21/25)
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  • Provider Relations Manager ( Remote

    Molina Healthcare (Southaven, MS)
    …must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ...and procedures while achieving the highest level of customer service . * Resolves complex provider issues that… more
    Molina Healthcare (01/25/25)
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  • Manager, Provider Relations ( Remote

    Molina Healthcare (Southaven, MS)
    …and strategic goals are realized. * Ensures appropriate cross-departmental communication of Provider Service 's initiatives and contracted network provider ... must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
    Molina Healthcare (01/24/25)
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  • Provider Contracting Specialist…

    CareFirst (Baltimore, MD)
    …contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals. ... contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network ... excellence. Must be able to effectively communicate and provide positive customer service to every internal… more
    CareFirst (01/24/25)
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  • Provider Contracts Manager ( Remote

    Molina Healthcare (Southaven, MS)
    …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...including but not limited to: Value Based Payment, fee-for service , capitation and various forms of risk, ASO, etc.… more
    Molina Healthcare (01/26/25)
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  • Provider Network Operations Data…

    AmeriHealth Caritas (Southfield, MI)
    …BUT YOU MUST LIVE IN THE GREATER SOUTHFIELD, MI AREA **Responsibilities:** The Provider Network Data Analyst is responsible for supporting the development of ... providers for all products, Medicaid, Medicare and Exchange. The Provider Network Data Analyst I ensures that...providers to participate in Plan at new and existing service areas, assuring financial integrity of the Plan is… more
    AmeriHealth Caritas (01/24/25)
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  • Senior Provider Relations Representative…

    Molina Healthcare (Gulfport, MS)
    **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ...& ABILITIES** : * 3 - 5 years customer service , provider service , or claims… more
    Molina Healthcare (12/29/24)
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  • Senior Provider Contracts Specialist…

    Molina Healthcare (Warren, MI)
    **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... JOCs on exception. Able to execute standardized fee for service and other core payment method contracts with predefined,...negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans… more
    Molina Healthcare (11/15/24)
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  • Provider Engagement Network

    Centene Corporation (Olympia, WA)
    … reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider representative ... experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a healthcare organization, and… more
    Centene Corporation (01/16/25)
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  • Service Provider Account Executive…

    Cisco (Chicago, IL)
    …local communities. Come prepared to be encouraged and inspired. Your Impact As a Service Provider Account Executive - Networking, you will lead and develop ... Cisco's Networking business with strategic Service Provider partners in the US This...trending topics like AI, Cybersecurity, Return to Office, and Network Modernization. Deliver thoughtful training that inspires teams to… more
    Cisco (01/22/25)
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  • Registered Nurse (RN) - Nursing Network

    Walgreens (Deerfield, IL)
    …with the Nursing Network Team to manage and maintain the subcontracted nursing provider network . Works with the Nursing Network Supervisor to ensure ... \#LI-AJ1 **Job ID:** 1524615BR **Title:** Registered Nurse (RN) - Nursing Network ( Remote ) **Company Indicator:** Walgreens **Employment Type:** **Job… more
    Walgreens (01/15/25)
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  • SME Network and Computer Systems…

    Koniag Government Services (Chantilly, VA)
    … Connectivity: support remote users with "Zscaler-related issues to access HUD network resources. Provide the best possible solution to users with home ... in the HUD and US Industries. **This is a Remote opportunity.** We offer competitive compensation and an extraordinary...Protocol (IP) Management Services + VPN Client Services + Network and LAN Services + Shared Service more
    Koniag Government Services (01/07/25)
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  • SME Computer Network Support Specialist…

    Koniag Government Services (Chantilly, VA)
    …Release Deployment Services and DevSecOps Pipeline support + Webcasting O&M Services support + Network and LAN Services support + Shared Service and Help Desk ... component supporting our HUD client's IT Modernization effort to provide a single Operations & Maintenance (O&M) consolidated support...Protocol (IP) Management Services + VPN Client Services + Network and LAN Services + Shared Service more
    Koniag Government Services (01/07/25)
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  • Journeyman Computer Network Support…

    Koniag Government Services (Chantilly, VA)
    …Name Services (DNS) and Internet Protocol (IP) Management Services + VPN Client Services + Network and LAN Services + Shared Service and Help Desk Services + ... company, is seeking an experienced highly qualified professional Journeyman Computer Network Support Specialist to support KDS, and our Department of Housing… more
    Koniag Government Services (01/07/25)
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  • Sr. Distinguished Engineer - Network

    Capital One (Mclean, VA)
    Sr. Distinguished Engineer - Network Security ( Remote Eligible) Senior Distinguished Engineers are individual contributors who strive to be diverse in thought so ... of thought strengthens our ability to influence, collaborate and provide the most innovative solutions across organizational boundaries. Distinguished Engineers… more
    Capital One (01/16/25)
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  • Sr. Network Cabling Engineer…

    Koniag Government Services (Chantilly, VA)
    …and unscheduled deployment of Foreign Affairs Cable Plant + and Infrastructure systems. + Provide senior level network and computing support with an emphasis on ... LLC,** a Koniag Government Services company, is seeking an experienced **Sr. Network Cabling Engineer** with a Top-Secret clearance to support **Kadiak** and our… more
    Koniag Government Services (01/12/25)
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  • Director, Voice Services and Network

    LifePoint Health (Brentwood, TN)
    …**LifePoint Health Support Center* **Title:** *Director, Voice Services and Network Operations Center - Remote * **Location:** *Tennessee-Brentwood* **Requisition ... *Director, Voice Services and Network Operations Center* *Who we are:* At Lifepoint...Operations Center* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued… more
    LifePoint Health (01/15/25)
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