- The Cigna Group (Salem, OR)
- …High School Diploma or equivalent required + 1-3 year plus experience in healthcare administration or provider relationship management , preferably experience ... coaching, and direction to more junior members of the team in the Network Management Organization. **Responsibilities:** + Recruiting providers to join Cigna's… more
- Hartford HealthCare (Hartford, CT)
- …is *your moment.* **Job:** ** Management / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** *Mgr Qual Provider Relations / Clinical ... matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network ... highly visible role, the **PNE IV** is responsible for the negotiation and management of Premera's most complex and critical provider relationships across the… more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize findings… more
- HCA Healthcare (Campbell, CA)
- …We care like family! Jump-start your career as a Manager of Network Management Services today with HCA Healthcare . **Benefits** HCA Healthcare offers a ... in house and remotely, and a Network Management Coordinator whose primary function is to provide... Management Coordinator whose primary function is to provide provider support/education and interaction with contracted… more
- Commonwealth Care Alliance (Boston, MA)
- …Care) populations preferred. * Experience in healthcare program management , provider relations, or network management * Knowledge of Massachusetts BH ... CCA's behavioral health priorities, programs, and initiatives to the provider network . * Promote provider ...eligible populations * Experience in behavioral health clinical practice, provider relations, or healthcare management … more
- Vatica Health (WI)
- … relations and engagement activities for Vatica Health. The Provider Network Representative III recruits and provides account management for healthcare ... The Provider Network Representative III is responsible...Payers, Practice Managers, and Primary Care Physicians + Sales/Account Management experience in technology platforms to enterprise healthcare… more
- AmeriHealth Caritas (Charleston, SC)
- …and projects **required** + Minimum **five (5) years** of experience in healthcare claims management **required** + **Requires:** + Experience in State-specific ... Medicaid rules + Claims processing, healthcare billing and Provider data maintenance knowledge...network operations + Knowledge of the delivery of healthcare services and medical billing principles + Preferred: +… more
- AmeriHealth Caritas (Charleston, SC)
- … reimbursement set up. + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched and ... The primary purpose of the job is to be responsible for the maintaining current provider data and provider reimbursement set up, and to address provider… more
- Molina Healthcare (Caldwell, ID)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more