- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health...+ A minimum of 5 years related experience with provider engagement, relations , or account management. + ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- Humana (Springfield, IL)
- …Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, ... of health care or managed care experience working with providers (eg, provider relations , claims education). + Experience working with physical health … more
- Centene Corporation (Springfield, IL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure ... act as a liaison between the providers and the health plan + Triages provider issues as...Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization… more
- Blessing Hospital (Quincy, IL)
- …time management. + Promote positive public relations and represent Blessing Health System professionally in the community. + Provide excellent customer ... The Licensed Athletic Trainer provides high-quality care and support to Blessing Health Orthopedics by delivering athletic training services in both the secondary… more
- CVS Health (Springfield, IL)
- …programs (NCQA and HEDIS) affect the Plan. + Proficient on credentialing, provider relations (internal and external), network development to include adequacy ... At CVS Health , we're building a world of health...call center management, and encounter data processing. + Understand provider data, credentialing, relations , contracting, and value-based… more
- CVS Health (Springfield, IL)
- …including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance ... Assurance** : Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance. Provide feedback...+ 5+ years of experience in healthcare quality improvement, provider relations , or a related role. +… more
- Highmark Health (Springfield, IL)
- …:** JOB SUMMARY MUST BE A US CITIZEN Looking for someone with Dental Provider Relations to service United Concordia Dental's (UCD's) clients by recruiting, ... in presenting concepts and influencing others in varying audiences **Preferred** + Dental Provider Relations + 3-5 years of experience as Dental Office Manager… more
- Highmark Health (Springfield, IL)
- …thought leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and ... and ROI realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, … more
- Humana (Springfield, IL)
- …and address local health equity issues (Local, Regional). + Work with provider relations to develop marketing opportunities within health centers and ... for the Humana Illinois Medicaid Market by working collaboratively with the Health Equity, Clinical, Quality, Provider Engagement and Member Experiences teams.… more
- Humana (Springfield, IL)
- …and address local health equity issues (Local, Regional). + Work with provider relations to develop marketing opportunities within health centers and ... for the Humana Illinois Medicaid Market by working collaboratively with the Health Equity, Clinical, Quality, Provider Engagement and Member Experiences teams.… more