- Humana (Springfield, IL)
- …who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, training, ... Professional (LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience… more
- The Cigna Group (Tampa, FL)
- …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 ... The Provider Contract Negotiator supports the North Florida market and...network activities. Duties and Responsibilities + Manages submission process of… more
- The Cigna Group (Jersey City, NJ)
- …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 ... and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...physicians, ancillaries and hospitals. + Supports the development and management of value-based relationships. + Builds and maintains relationships… more
- The Cigna Group (Mclean, VA)
- …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 ... and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...physicians, ancillaries and hospitals. + Supports the development and management of value-based relationships. + Builds and maintains relationships… more
- Humana (Oklahoma City, OK)
- …Provider Relations Representative is responsible for day-to-day front line relationship management for network providers in Humana's Healthy Horizons in ... ensure positive provider experience with Humana Healthy Horizons and promote network retention + Meet regularly, both in person and virtually, with assigned… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Prioritize and organize own work to meet deadlines + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate ... the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead... provider network When necessary, participate in contracting strategy discussions around… more
- Elevance Health (Cerritos, CA)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative ... ** Provider Contract Cost of Care Consult Senior / VBC**...support to Medical Directors and management on cost of care issues. Leads large scale initiatives… more
- Elevance Health (Tampa, FL)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... to Medical Directors and management on cost of care issues. Supports large scale...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all… more
- ICF (Reston, VA)
- …Project Manager will work closely with and under the oversight of the Provider Network Manager and Deputy Director. The successful candidate will have ... Description ICF seeks a Case Facilitation and Pro Bono Network Project Manager to work on a...strategy to manage the operations of the legal service provider network , including aligning, tracking, and managing… more
- The Cigna Group (Bloomfield, CT)
- …and assignment of work plan initiatives including but not limited to network development, provider contracting/re-contracting. + Provide direction and ... development as it relates to ESI's performance of the provider contract. Coordinate management of Supply Chain...but not limited to, reporting and operations. Manage retail provider client-specific custom initiatives related to network … more