- Elevance Health (Grand Prairie, TX)
- …a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt ... the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... and insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the expertise in managing negotiated… more
- Bright Horizons (Westminster, CO)
- …providers to meet the growing needs of the nationwide backup care network . Provide support for other members of the Provider Accounts team regarding ... partner with some of the world's best companies to provide services that help employees perform their best and...to successfully manage and grow the nationwide backup care provider network Qualifications + HS diploma or… more
- CVS Health (Lansing, MI)
- …**Required Qualifications** + 4+ years work experience in the Dental field, Provider Data Services (PDS) Network role, or Fee Schedules. + Strong ... Summary** Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues… more
- UNC Health Care (Lenoir, NC)
- …County. The Emergency Department sees approximately 30,000 visits a year. _Caldwell Physician Network and UNC Physicians Network_ provide the majority of primary ... NC. **Position Information:** + Full-time opportunity for an outpatient provider + **Psych Certified APP with 2-3 years of...Hill Clinic, 407 Mulberry Street, Lenoir NC 28645 + Provide direct patient care in office setting for a… more
- Humana (Raleigh, NC)
- …support duties that require independent initiative and judgment. The Provider Contracting Coordinator manages provider network ... part of our caring community and help us put health first** The Provider Contracting Coordinator initiates physician and/or other provider contracts and… more
- Highmark Health (Harrisburg, PA)
- **Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** This job is responsible for corporate provider enrollment and provider file ... across all markets. This includes, enrollment, contracting and demographic provider information. Incumbent ensures compliance with BCBS and CMS requirements,… more
- HCA Healthcare (Nashville, TN)
- … provider data systems and processes. You will support the AVP of Provider Data Strategy who oversees multiple network integrity platforms, including ... provider data management and, scheduling services to support network optimization programs. You will serve as a key liaison between ITG, Marketing Data… more
- The Cigna Group (Bloomfield, CT)
- …execution. + Ensure timely and accurate submission of state-mandated reports related to network adequacy and provider data. + Conduct audits and inspections of ... The Provider Data Manager is a strategic leadership role...and stakeholder engagement. + Facilitate steering committee meetings and provide regular updates to leadership. + Coordinate intake tools… more
- Elevance Health (Richmond, VA)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative ... ** Provider Contract/Cost of Care Consultant Senior** **Location:** This...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more