- 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
- CVS Health (Frankfort, KY)
- …+ Working knowledge of Microsoft applications. + Adept at negotiating complex healthcare provider contracts **Preferred Qualifications** + Working knowledge of ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Novant Health (Asheboro, NC)
- …for a compassionate, caring Spine Specialist Pain management Ambulatory Advanced Practice Provider in our Triad Market to provide primary health care and ... is designed with you in mind. Our expert clinicians provide the latest treatments or management of...continuous learning and teamwork to build a high performing provider network . + Instituted an APP Council… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting, Network Management or Provider Relations experience + ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- Highmark Health (Pittsburgh, PA)
- …7 - 10 years' experience in managed care network development and provider relations/contracting management in a healthcare and/or managed care ... network adequacy standards and coordinates with other departments to ensure the provider network meets the healthcare needs of plan members. Oversees… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills, Abilities & Language (nice to have): * Familiarity with provider network management systems and healthcare data standards. * Project ... in LTSS, social work, provider relations, healthcare communications, project management , or network management within a health plan or similar… more
- Magellan Health Services (Boise, ID)
- … network adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide summary and problem specific feedback ... engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of...information, analysis and action recommendations to management and relevant functional units regarding provider … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …matters impacting one of the nation's leading academic medical centers and the largest healthcare provider in the state of Georgia. This attorney will support ... Healthcare 's hospitals, physician practices, ancillary providers, and clinically integrated network in navigating federal and state healthcare laws while… more
- The Cigna Group (Mclean, VA)
- …will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory. Your work will ... If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare ,...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- Molina Healthcare (Spokane, WA)
- …years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… more