- Bon Secours Mercy Health (Norfolk, VA)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** Network Manager works with market leaders, Population Health team ... members, and providers to support success across key performance measures (KPI). The Network Manager serves as the front-line driver of network growth,… more
- Humana (Springfield, IL)
- …(LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, ... Professional (LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience… more
- Humana (Frankfort, KY)
- …a positive provider experience with Humana Healthy Horizons while supporting network retention. + Supports newly assigned providers to the network with ... first** Humana Healthy Horizons in Kentucky is seeking a Provider Engagement Professional to join the KY Medicaid ...and trainings and education. + Serves as primary relationship manager with physicial health and behavioral health providers to… more
- Humana (Oklahoma City, OK)
- …ensure positive provider experience with Humana Healthy Horizons and promote network retention + Meet regularly, both in person and virtually, with assigned ... and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider… more
- Elevance Health (Cerritos, CA)
- …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 Consult Senior /...end results. + Works side by side with their manager . **Minimum Requirements:** Requires BA/BS degree in Mathematics, Statistics… more
- Elevance Health (Tampa, FL)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of… more
- The Cigna Group (Bloomfield, CT)
- …and assignment of work plan initiatives including but not limited to network development, provider contracting/re-contracting. + Provide direction and ... functions, including, but not limited to, reporting and operations. Manage retail provider client-specific custom initiatives related to network contracting and… more
- Elevance Health (Chicago, IL)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... ** Provider Relationship Account Consultant** **Location:** This role requires...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… 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
- Burlington (Edgewater Park, NJ)
- **Position Overview** Position Summary: The Manager Network & Telecom Services is responsible for the design, delivery, and 24/7 operation of Burlington's ... of enterprise network and telecom infrastructure across all sites. + Provide direction for routing, switching, wireless, SD-WAN, VoIP, and cloud integration. +… more