- CVS Health (Columbus, OH)
- …initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- CVS Health (Columbus, OH)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...support of global and regional network strategies. Expand International provider network by contracting new direct pay… more
- CVS Health (Columbus, OH)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... depression, and insightful analytics to improve the delivery of care . The ** Provider Contract Specialist Manager** functions...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- CVS Health (Columbus, OH)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team.… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise....provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare… more
- Medical Mutual of Ohio (OH)
- …including government programs. **Technical Skills and Knowledge** . Comprehensive knowledge of provider network development, contracting , managed care , and ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide...experience. . Master's degree in Business Administration (MBA) or Health Care Administration (MHA) preferred. . 8… more
- AmeriHealth Caritas (Columbus, OH)
- …network management and recruitment required + 5 to 10 years in managed care / health insurance **Licensure;** + Valid driver's license and automobile insurance ... healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care , stay well, and build healthy communities. As one of the nation's leaders… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... serves as the primary point of contact between Molina Health plan and the Provider community that...provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare… more
- Molina Healthcare (Akron, OH)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... including min. 2 years of supervisory experience * Min. 2 years health plan Provider Network experience **Required License, Certification, Association** N/A… more