- Molina Healthcare (Detroit, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Health plan and the Plan 's Complex Provider… more
- Molina Healthcare (Covington, KY)
- …must live in Kentucky _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...serves as the primary point of contact between Molina Health plan and the Plan 's… more
- Molina Healthcare (Ramapo, NY)
- … provider visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Health plan and the for non-complex Provider Community… more
- UCLA Health (Los Angeles, CA)
- …with Utilization Management, such as Case Management, Quality Improvement, Credentialing, and Health Plan Relations to improve overall healthcare services ... leader with: + A Registered Nurse License, Advanced Practice Provider (Nurse Practitioner or Physicians' Assistant), or equivalent +...on Utilization Management for a medical group, IPA, or Health Plan , required + In-depth understanding of… more
- CVS Health (Downers Grove, IL)
- …and IL Associations by enhancing interactions between providers and the health plan , ensuring seamless communication, operational efficiency, and overall ... vendor. Review results with cross-functional teams and develop action plan on how to improve scores. Oversees Provider...by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations.… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible for fostering positive, ... and hosting Joint Operating Committee or other meetings with providers. Senior Provider Relations Professionals manage work assignments that involve moderately… more
- CVS Health (Springfield, IL)
- …all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs ... At CVS Health , we're building a world of health...the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- Queen's Health System (Honolulu, HI)
- …years of experience in health care with demonstrated success in provider relations , provider recruitment, pharmaceutical sales, practice management, or ... recruiting, onboarding, and network support activities. * Coordinates and facilitates provider onboarding and ensures that providers understand the support services… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The purpose of the Provider Relations Development Specialist role for PruittHealth Premier to support the plans (I-SNP and D-SNP) with contract ... Conducts outreach by phone or email to providers to provide plan overview and request to contract... contracts **ADDITIONAL QUALIFICATIONS:** (Preferred qualifications) * 2 years health plan network support experience preferred **Family… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by… more