- 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
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of ... provider relations for Commonwealth Care Alliance's SCO...management, or healthcare operations within a managed care organization, health plan , or integrated delivery system. *… more
- WellSense (MA)
- … plan of choice. Serves as the primary liaison between WellSense Health Plan (" Plan ") and key provider organizations, taking the lead and promoting ... community health centers. Works closely with the Provider Relations Supervisor to identify issues and...provider data in Onyx and Facets** + **Represents Provider Relations and the plan … more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Representative II, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc....Summary:** Responsible for the education and servicing of assigned provider groups regarding all aspects of the Plan… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Representative I, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc....Summary:** Responsible for the education and servicing of assigned provider groups regarding all aspects of the Plan… more
- Northern Light Health (Brewer, ME)
- …Home Care, Hospice Care, end of life, respite care, Home Health Aide, Skilled Nursing Position Provider Relations Liaison/LSW-CLocation Req ID 83374 ... Work Schedule: 8:00 AM to 4:30 PM Summary: The Provider Relations Liaison/LSW-C is a sales professional...how they say they will, or communicates an alternate plan . + Cultivates Respect: Treats others fairly, embraces and… more
- CareFirst (Baltimore, MD)
- …be assigned to providers in Washington DC area in support of Basic Health Plan and/or Medicaid products. **ESSENTIAL FUNCTIONS:** **RELATIONSHIP MANAGEMENT:** + ... experience serving as a primary liaison with stakeholders within Health Services and across the company. Provides communication, education,...and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk… more
- WellSense (NH)
- … Relations Consultant - NH will act as the primary liaison between Provider Relations Consultants and internal Plan departments such as Claims, Benefits, ... Full-Time/Regular It's an exciting time to join the WellSense Health Plan , a growing regional health...Plan initiatives + Facilitates problem resolution + Initiates Plan interdepartmental collaboration to resolve complex provider … more
- System One (Baltimore, MD)
- Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR ... Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing and maintaining positive relationships with healthcare… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …The role serves as a key liaison to enhance referral integration and provider relations across the healthcare system. **Primary duties and responsibilities:** ... career and be what you want to be. We provide : + Comprehensive health benefits that start...Development Strategy:** + Develops and implements a referral development plan targeting providers and facilities to positively impact revenue.… more