- CVS Health (Nashville, TN)
- …with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations. ... data operations in support of federal requirements, state regulations, multiple health plan policies and contractual obligations. The position leads… more
- Elevance Health (Topeka, KS)
- … provider relations materials + May assist with Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring ... Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant… more
- Compass Group, North America (Purchase, NY)
- …Responsibilities:** + Welcome Morgan Stanley clients and their guests with genuine warmth + Provide a prompt and courteous welcome to all guests upon their arrival + ... well-being of our members and staff by diligently adhering to security, fire, health , and safety protocols, fostering an environment of trust and security. + Embrace… more
- Adelante (Phoenix, AZ)
- Behavioral Health Provider Workforce Analyst - Phoenix, AZ Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Description POSITION ... Coordinates coverage needs due to absences. + Edits and approves all behavioral health provider timecards (as assigned). + Facilitates all time-off requests for… more
- Healthfirst (Enfield, NY)
- …internal teams to identify community needs and opportunities for engagement + Plan and execute community events, initiatives, and programs to promote community ... and evaluate the effectiveness of community engagement efforts and initiatives + Provide support and guidance to community members seeking assistance or information… more
- Humana (Oklahoma City, OK)
- …improve financial and quality performance within the contracted working relationship with the health plan . The Provider Engagement Professional 2 + ... represents the scope of health plan / provider relationship across such...care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation… more
- WelbeHealth (Elk Grove, CA)
- …+ Minimum of five (5) years of progressive experience in provider relations , network management, or health plan operations/account management in a ... provide direct coaching, observe processes, and support critical provider meetings _Cross Functional Collaboration_ + Build strong, collaborative relationships… more
- Elevance Health (Manchester, NH)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and ... experience, which would provide an equivalent background. + Travels to ...- 2 years of contract negotiation experience, preferably within health plan /managed care environment preferred. + Understanding… more
- Highmark Health (Pittsburgh, PA)
- …(c) actively communicating with management from various departments regarding impact on provider relations and reimbursement, and (d) providing direction on ... job is responsible for the execution of the strategic plan of the Financial Investigations & Provider ...procedures used in the detection and successful resolution of health care fraud, waste and abuse (FWA) cases **Language… more
- Organon & Co. (Plymouth Meeting, PA)
- …We are currently recruiting for an Associate Director, Peer-to-Peer Education & Health Care Provider (HCP) Activation for Dermatology (US). The position ... US Dermatology Marketing team and partnering closely with the Dermatology Strategic Relations and Medical Affairs teams, this individual will ensure all programs are… more