- Elevance Health (Las Vegas, NV)
- …impact on the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. ... delivery of care. **Build the Possibilities. Make an Extraordinary Impact.** **Title:** Provider Relationship Account Manager **Location:** 9133 W. Russell Rd,… more
- Molina Healthcare (Saginaw, MI)
- …and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- Elevance Health (Atlanta, GA)
- …law_ The ** Provider Network Management Director** develops the provider network through contract negotiations, relationship development, and ... ** Provider Network Management Director** **Location:** 740...projects with significant impact. * May assist management in network development planning. * May provide work… more
- CVS Health (Nashville, TN)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... with heart, each and every day. **Position Summary** The Provider Relations Manager , will act as the...contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers… more
- Centene Corporation (Columbus, OH)
- … reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... ancillary providers within assigned area. + Act as account manager for assigned groups acting as gatekeeper for interactions...liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider… more
- Molina Healthcare (Caldwell, ID)
- …region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on ... effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician… more
- Point32Health (Canton, MA)
- …to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and legal department ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Manager of Allied Health Contracting oversees a team of… more
- Centene Corporation (Sacramento, CA)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (Springfield, IL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more