- Commonwealth Care Alliance (Boston, MA)
- …to incorporate CLAS (Culturally and Linguistically Appropriate Services ) standards into provider education and engagement activities. + Lead or support the ... three program consultants with future expansion. **Essential Duties & Responsibilities:** ** Provider Quality Performance and Value-Based Care** + Lead … more
- CareFirst (Baltimore, MD)
- …**(Live in CareFirst service area)** **PURPOSE:** This role will lead , guide, strategize and manage negotiations for provider -specific institutional, ... for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including… more
- AmeriHealth Caritas (Southfield, MI)
- … provider contracting strategy to achieve cost-efficient and high-performing network + Lead development and execution of provider engagement model to drive ... partnership with & incentives for providers. + Ensure strategic alignment with state Medicaid agenda and compliance with provider related aspects of state… more
- AmeriHealth Caritas (Charleston, SC)
- …and monitoring value-based programs. ; + Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the ... education and communication.; + Support Value Based contract negotiations; lead negotiator where needed; + Other duties assigned; **Education...required. + 1 to 3 years managing health insurance, Medicaid Business. + 5 years of provider … more
- Commonwealth Care Alliance (Boston, MA)
- …executing communication strategies that foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This ... + Present reporting and trends to the committee + Develop and manage annual provider communications schedule + Provide guidance and oversight on provider … more
- MyFlorida (Fort Lauderdale, FL)
- …POSITION: COMMUNITY AND SOCIAL SERVICE MANAGER II - Selected Exempt Service (SES) WORKING TITLE: Provider Development Manager POSITION NUMBER: 67032206 ... PROVIDER DEVELOPMENT MANAGER - 67032206 Date: Nov 18,...all existing enrolled iBudget waiver providers and ensures that Medicaid Waiver Service Agreements are renewed prior… more
- Molina Healthcare (Saginaw, MI)
- …and quality indicators. * Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an ... * 5 years experience in managed healthcare administration. * Specific experience in provider services , operations, and/or contract negotiations in a Medicare and… more
- Commonwealth Care Alliance (Boston, MA)
- …Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation presentations, and ... with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services , Provider Services , Regulatory Affairs, Marketing) to… more
- University of Miami (Miami, FL)
- … provider fidelity, allowing the Lead Implementation Coach (LIC) and Provider Coach (PC) to continue to provide coaching and technical assistance to ... meet Florida Early Steps' policy requirements. + Collect and review direct service provider enrollment paperwork for manager's final approval. + Ensure… more
- Commonwealth Care Alliance (Boston, MA)
- … provider orientations, and appreciation events. + Facilitate and lead orientation meetings and communication sessions with key providers; orient providers ... 3-5 years + Managed Care experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare/ Medicaid experience preferred. +… more