• Manager, Provider Network Administration…

    Molina Healthcare (TX)
    **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
    Molina Healthcare (08/13/25)
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  • Physician Provider Relation Market Leader

    HCA Healthcare (Houston, TX)
    …you want to join an organization that invests in you as a Physician Provider Relation Market Leader? At HCA Houston Healthcare Kingwood, you come first. HCA ... a difference. We are looking for a dedicated Physician Provider Relation Market Leader like you to be a...our team. **Job Summary and Qualifications** The Physician & Provider Relations Market Leader is responsible for oversight of… more
    HCA Healthcare (08/08/25)
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  • Senior Specialist, Provider Network…

    Molina Healthcare (Fort Worth, TX)
    **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
    Molina Healthcare (08/02/25)
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  • Representative, Provider Relations HP (Must…

    Molina Healthcare (TX)
    **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare… more
    Molina Healthcare (08/02/25)
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  • Associate Director, Provider Engagement…

    Evolent (Austin, TX)
    …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
    Evolent (07/25/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (San Antonio, TX)
    …for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and ... * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and… more
    Molina Healthcare (07/18/25)
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  • Provider Contracts Manager

    Molina Healthcare (Austin, TX)
    …live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development ... Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective and marketable… more
    Molina Healthcare (07/17/25)
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  • Manager, Provider Relations

    Molina Healthcare (Houston, TX)
    …in Texas _** **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 (06/22/25)
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  • Manager, Provider Sales - Remote

    Sharecare (Austin, TX)
    …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with...getting reviewed prior to release 100% of the time. Provider Solutions is looking for a strong, dynamic and… more
    Sharecare (08/21/25)
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  • Lead Adjudicator, Provider Claims

    Molina Healthcare (Austin, TX)
    …adjudicators and senior provider claims adjudicators. Train and coach new employees. Provide clear and concise results on the provider claims model across ... to closure. + Perform daily troubleshooting procedures to support Provider Claims functions as needed. + Participates in or...and/or policies. + Serves as subject matter expert and provide feedback to team and provide training… more
    Molina Healthcare (08/28/25)
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