- Elevance Health (Atlanta, GA)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Humana (Springfield, IL)
- …(LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, ... Professional (LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience… more
- Commonwealth Care Alliance (Boston, MA)
- … Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions around potential ... to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including… more
- CVS Health (Tallahassee, FL)
- …+ Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align ... and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and… more
- Systems Engineering Solutions Corporation (Ashburn, VA)
- Program Description: This program is required to provide ongoing support for the agencies Network Operations Center (NOC) and Wireless Network Operations ... escalation and resolution of technical issues. Position Description: The Network Program Manager (PM) is responsible for...as the Contractor's Point of Contact (POC) for the Contracting Officer's Representative (COR). The Network Program… more
- TekSynap (Springfield, VA)
- **Responsibilities & Qualifications** **RESPONSIBILITIES** The Network Program Manager (PM) is responsible for overseeing all aspects of the successful delivery ... period of performance, ensuring a high-quality customer experience. The Network Program Manager will serve as the...as the Contractor's Point of Contact (POC) for the Contracting Officer's Representative (COR). The Network Program… more
- Integra Partners (Troy, MI)
- …+ Navigation of proprietary network and claims management systems + Provider contracting operational and workflow process and procedures. + Network ... Integra Partners is looking for a Client Experience Manager for our Network Department. This...+ Be the voice of the customer for the Provider network so that we can drive… more
- Amazon (Seattle, WA)
- …to help. You'll join a diverse team of software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital ... Web Services has an immediate opening for a Technical Manager to manage a team of Technical Program Managers...interfaces between projects and negotiate the trade-offs needed. * Provide program progress reporting on a regular basis. *… more
- Elevance Health (Mason, OH)
- …is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,...with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and… more
- Abbott (Livermore, CA)
- …experience in payor contracting and regulatory compliance at a healthcare provider , payor, or network .Minimum intermediate Word and Excel experience a must. ... + Commercial payor (eg medical insurance companies) contracting and relations, preferably within the DME/IDTF ...**Learn more about our health and wellness benefits, which provide the security to help you and your family… more