- Centene Corporation (Queens, NY)
- …Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with ... improvement. + Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for… more
- The Cigna Group (New York, NY)
- …Will be required to go into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. +..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Molina Healthcare (Yonkers, NY)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Aspen Dental (East Syracuse, NY)
- …planned growth we are seeking an individual to join our organization as a Provider Enrollment Manager. The Provider Enrollment Manager is responsible for leading ... and overseeing all aspects of the provider enrollment process. This role ensures timely and compliant...and a commitment to accuracy and service excellence. The Provider Enrollment Manager plays a vital role in our… more
- Molina Healthcare (Rochester, NY)
- …DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and...to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have engagement plans to… more
- Molina Healthcare (Buffalo, NY)
- …in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... adjustment outcomes through effective provider engagement activities. Ensures Health Plan's largest, most impactful providers with the most complex Value-Based Care… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more