- CVS Health (Chicago, IL)
- …to work with others at all levels * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+ years' experience in ... Audits conducted by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations. Recruits, develops, and… more
- Prime Therapeutics (Springfield, IL)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Specialist Associate - Remote **Job Description** The Associate ... Provider Relations Specialist is responsible for conducting...time frame and triaging inquires received in the Pharmacy Network Management email box. **Responsibilities** + Research claims and… more
- Centene Corporation (Springfield, IL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- CVS Health (Springfield, IL)
- …Data Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working ... Provider Operations organization provides foundational operational / enabling support for provider partners and the Network teams that directly interact with… more
- Centene Corporation (Springfield, IL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- CVS Health (Springfield, IL)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships....+ A minimum of 5 years related experience with provider engagement, relations , or account management. +… more
- BMO Financial Group (Chicago, IL)
- …you help our customers reach theirs. From in-depth training and coaching, to manager support and network -building opportunities, we'll help you gain valuable ... directors on significant matters. The Head of US Regulatory Relations , within ERO, will report directly to the Chief...of the bank's businesses, risk management, and strategies. + Provide advice, guidance, and procedures for management of key… more
- Capital One (Riverwoods, IL)
- Senior Tech Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… 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, ... staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models...and influencing others in varying audiences **Preferred** + Dental Provider Relations + 3-5 years of experience… more
- Capital One (Riverwoods, IL)
- Audit Manager - Cyber, Risk & Analysis (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… more