- CVS Health (Nashville, TN)
- …And we do it all with heart, each and every day. **Position Summary** The Provider Relations Manager , will act as the primary resource for assigned, ... Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claim Lifecycle, Provider Appeals & Disputes, and Network… 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...retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed… more
- Commonwealth Care Alliance (Boston, MA)
- …access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider ... performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role… more
- CVS Health (Tallahassee, FL)
- …and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and ... levels meet expectations. + Collaborates with internal stakeholders to address provider -related issues, streamline processes, and improve the overall provider … more
- East Boston Neighborhood Health Center (Revere, MA)
- … enrollment processes of the Medical Staff Office under the direction of the Credentialing Manager . This position will lead the coordination of the provider ... systems, provides information to requesting departments, hospitals, and agencies. Works with Credentialing Manager to develop and implement new systems and… more
- Atlantic Health System (Morristown, NJ)
- …Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our ... for Morristown Medical Center is looking for an experienced Corporate & Foundation Relations Officer. Reports to: Director of Corporate and Foundation Relations … more
- The Cigna Group (Tampa, FL)
- … Provider /Ancillary group experience strongly preferred. + 1+ years prior Provider Servicing/ Provider Relations experience strongly preferred. + ... member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day-to-day contracting and… more
- Henry Ford Health System (Grand Rapids, MI)
- …years of health care experience required. + Minimum of two (2) years of Provider Relations / Provider Contracting experience. + Strong working knowledge of ... GENERAL SUMMARY: Coordinate processing and maintenance of provider contracts and maintenance of provider ...new contracts, terminations and modifications, and configuration of Contract Manager , Facets or its successor systems. As a team… more
- The Cigna Group (Mclean, VA)
- …Hospital/ Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting… more
- Molina Healthcare (Orem, UT)
- …to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * Receives ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more