- Baylor Scott & White Health (Dallas, TX)
- …Sourcing and Contracts Manager is responsible for the sourcing and contracting process and supplier management for an assigned portfolio of contracted products ... as a key internal interface with the Sourcing and Contracts Manager include Finance, Accounting, Revenue Cycle, business stakeholders, Supply Chain operations,… more
- Elevance Health (Shasta, CA)
- **Behavioral Health Provider Quality Manager ** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in ... insightful analytics to improve the delivery of care. The ** Provider Quality Manager ** is responsible for leading...face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting /… more
- Molina Healthcare (Owensboro, KY)
- …not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . + Assist in design and development ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Centene Corporation (Springfield, IL)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Centene Corporation (Jackson, MS)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Centene Corporation (Augusta, GA)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Molina Healthcare (San Francisco, CA)
- …Provides leadership in the development, documentation, and implementation of provider contracting standards, regulatory compliance processes, and health ... business processes across the health plan. Provides input and support on provider contracting activities, including regulatory review, contract standards, and… more
- Molina Healthcare (Omaha, NE)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Centene Corporation (Carson City, NV)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Organon & Co. (New York, NY)
- …on targeted Perinatal Quality initiatives with Strategic Account Managers, Regional Manager and Perinatal Quality Liaison. + Supports contracting and ... **Job Description** The Clinical Sales Territory Manager will be responsible for the sale of...Experience working with physician customers and hospital-based selling and contracting . + Excellent written and verbal communication skills. +… more