- Molina Healthcare (Spokane, WA)
- …addressing the strategic goals of the department and organization. + Develops and implements Provider Network and Contract strategies across all lines of ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising… more
- Molina Healthcare (Seattle, WA)
- …Director in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual ... Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (Vancouver, WA)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and...Services. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (WA)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or… more
- Highmark Health (Olympia, WA)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial… more
- Molina Healthcare (Spokane, WA)
- …**Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and… more
- CVS Health (Olympia, WA)
- …Qualifications:** + 2 years healthcare industry experience specifically in provider relations or network experience. + Organizational skills due to ... day. **NEF Team Role and Responsibilities:** + Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center.… more
- Lifepoint Health (Pasco, WA)
- …a new location? HealthTrust Workforce Solutions has partnered with Lifepoint Health to provide travel nurse opportunities through a nationwide network of caring, ... to making communities healthier. As part of a leading diversified healthcare delivery network , Lifepoint Health facilities offer excellent opportunities… more
- Molina Healthcare (Everett, WA)
- … Provider Services, Provider Enrollment, Finance, Managed Care Provider Network ), for management and supervision of daily functional operations ... to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees budget responsibilities of Operational work units for client and internal… more
- Highmark Health (Olympia, WA)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more