- Roper St. Francis (Ladson, SC)
- …Specialist coordinates initiatives and day-to-day operations of the Clinically Integrated Network (CIN). The Operations Specialist will provide concise and ... project management of annual recurring and ad hoc projects (ex. annual network membership reviews, provider compliance with participation requirements, etc.)… more
- WelbeHealth (Elk Grove, CA)
- … Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we ... must have; Working in the field, health plan services, provider network capacity, etc. + Minimum of...feels uniquely cared for. + Medical insurance coverage (Medical, Dental , Vision) + Work/life balance - we mean it!… more
- Humana (Madison, WI)
- …and maintaining market policies and procedures that pertain to management of the iCare Provider Network to meet CMS, DHS, and NCQA standards. + Traveling ... help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market...+ Assisting with identifying and recruiting providers based on network composition and needs. + Making decisions related to… more
- Blue KC (Kansas City, MO)
- …development and strategy, and problem resolution. + Participate in the development of provider strategy to support contracting and network development efforts on ... Economics, Product Development, Compliance, Legal, etc. in developing and implementing provider contracting and network development strategy to support medical… more
- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health (BH) … more
- Elevance Health (Waukesha, WI)
- …competitive cost of care trends across all lines of business. + Develops provider networks that provide a competitive advantage. + Aligns contracting strategy ... and Wisconsin. Our group plans include a variety of group medical, pharmacy, dental , vision, life and disability plans flexible enough to fit any size business.… more
- BAE Systems (Herndon, VA)
- … architecture solutions + Ability to translate customer requirements into enterprise/service provider network solutions + Ability to develop and engineer a ... BAE Systems, we promote a strong, collaborative culture and provide our employees with the tools, skills and training...Service Provider network that will integrate with other… more
- Elevance Health (Nashville, TN)
- …of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue ... shield plans. **Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee **Summary** The Regional Vice President (RVP) of Provider … more
- Providence (Mission Hills, CA)
- …for advancement. **Requsition ID:** 353840 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job ... **Description** Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and… more
- GEHA (Lee's Summit, MO)
- …workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, ... the end-to-end experience of healthcare providers within the GEHA network . This role leverages data, provider feedback,...their families. Offering one of the largest medical and dental benefit provider networks available to federal… more