- AmeriHealth Caritas (Manchester, NH)
- … reimbursement setups + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched, ... **Role Overview:** ;The Senior Provider Network Operations Analyst is responsible...rules, contractual guidelines, state/Plan policy, and operational procedures to provide technical expertise and business rules effectively + Participating… more
- Highmark Health (Pittsburgh, PA)
- …and payment strategy. The role also leads the strategy and creation of provider network designs and programs. The incumbent is responsible for understanding ... to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of… more
- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the support and maintenance of ... a regional network of community providers (the " Network "). The Program Manager (PM) will provide ...collaboration efforts. + Assist in the responsibility of the network 's annual budget development and management within… more
- AmeriHealth Caritas (Miami, FL)
- …a detail-oriented and relationship-driven Account Executive I to manage and support our network of contracted healthcare providers. In this role, you'll build ... provider onboarding and educational sessions, and issued resolutions to support provider engagement and satisfaction. + Monitor network adequacy and ensure… more
- Vertisis (Fort Lauderdale, FL)
- …will be responsible for developing and executing sales strategies to grow our provider network , increase market presence, and drive business growth. Essential ... and seminars Qualifications: + 2-3 years experience in sales, account management , or business development; healthcare , pharmacy, or pharmaceutical experience… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... requirements of customers as it pertains to contracting and network management . **Job Duties** This role supports...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** ;The Provider Network Operations Data Analyst plays a key role in maintaining accurate provider data and fostering strong relationships ... processes or contract terms. + Ensure timely and accurate management of provider contracts, including terms and...+ At least one year of experience working with healthcare providers and provider relations + 3… more
- Sanford Health (Sioux Falls, SD)
- …**Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a ... comprehensive network of affiliated healthcare providers across the...other applicable laws and regulations. Also oversees contract document management of templates and executed agreements. Oversees network… more
- St. Luke's University Health Network (Allentown, PA)
- …of a Bachelor's Degree, preferably in human resources, marketing, public relations or healthcare management . TRAINING AND EXPERIENCE: A minimum of two years of ... Acquisition Specialist is responsible for assisting with the mission of the network 's growth and provider satisfaction strategies by supporting the recruitment… more
- Seattle Children's (Seattle, WA)
- …Seattle Children's Safe Child and Adolescent Network . (http://www.seattlechildrens.org/ healthcare -professionals/refer/scan/) **Key Responsibilities:** Perform ... We are seeking a dedicated **Advanced Practice Provider (Nurse Practitioner or Physician Assistant)** to join...team-based clinical practice and consultation in the evaluation and management of pediatric patients referred for possible child abuse… more