- Premera Blue Cross (Mountlake Terrace, WA)
- …executive and public presentations, training, and meeting facilitation. + Knowledge of network development and provider /vendor network recruitment. ... and cross-market expertise. Create provider specific and public presentations. + Provide input and/or drive development of payment methodologies and … more
- Point32Health (NH)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- AmeriHealth Caritas (Washington, DC)
- …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... annual goals and objectives. **Contracting** + Responsible for hospital and physician network development and management. + Develops and recommends policy… more
- Vatica Health (WI)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- Elevance Health (Houston, TX)
- **JR177058 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- Elevance Health (Atlanta, GA)
- …distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- Guardian Life (Bethlehem, PA)
- …Bachelor's degree or equivalent work experience required + 5+ years of experience in dental insurance, provider relations, or network operations + Proven ... be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network , resulting in… more
- Molina Healthcare (Bowling Green, KY)
- …and reports to meet internal/external standards. * Assists with ongoing enterprise-wide provider network development and the education of contracted ... network management and operations activities including network development , network adequacy, and provider training and education. Serves as primary… more
- Molina Healthcare (OH)
- … Network Management and Operations jobs are responsible for network development , network adequacy and provider training and education, in alignment ... as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract, network development and management, or… more