- Humana (Frankfort, KY)
- …a positive provider experience with Humana Healthy Horizons while supporting network retention. + Supports newly assigned providers to the network with ... help us put health first** Humana Healthy Horizons in Kentucky is seeking a Provider Engagement Professional to join the KY Medicaid Provider Relations team. In… more
- Burlington (Edgewater Park, NJ)
- **Position Overview** Position Summary: The Manager Network & Telecom Services is responsible for the design, delivery, and 24/7 operation of Burlington's ... initiatives, and lifecycle roadmaps aligned with enterprise strategy. + Manage network availability, performance , and capacity planning using proactive… more
- Molina Healthcare (Orem, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... Applications sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist directory). **Job Qualifications**… more
- Capital One (Riverwoods, IL)
- Senior Tech Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… more
- Elevance Health (Chicago, IL)
- …through direct contact with providers and internal matrixed partnerswhile interpreting provider performance scorecards to identify root causes and recommend ... **Preferred Skills, Capabilities and Experiences:** + Experience with data interpretation, provider performance analytics, or payment integrity programs is… 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 ... management, strategic planning and analytical development as it relates to ESI's performance of the provider contract. Coordinate management of Supply Chain… more
- St. Luke's University Health Network (Bethlehem, PA)
- …safety and follows appropriate reporting requirements. + Demonstrates/models the Network 's Service Excellence Standards of Performance in interactions ... to pay for health care. The behavioral health care manager is a core member of the collaborative care...of the collaborative care team, including the patient's medical provider and psychiatric consultant, and the larger primary care… more
- Entergy (Little Rock, AR)
- **Job Title:** IT Network Manager **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Operations, Inc.-EOI This is a hybrid position open to New ... and cybersecurity frameworks (eg, NERC CIP, ISA/IEC 62443). + Provide strong leadership across the data network ...delegate effectively, celebrate diversity within the team, and manage performance + Proven ability to execute for results and… more
- Molina Healthcare (Miami, FL)
- …and producing as required to engage with provider and facilitate VBC performance . * Supports VBC network throughout the state to include onboarding VBC ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...strategy and development with respect to financial and operational performance , in alignment with Molina Healthcare's overall mission, core… more
- TEKsystems (Denver, CO)
- Senior Manager - Network Operations We are seeking a Senior Manager of Network Operations to lead and stabilize global network operations for a large ... the Network Operations Center (NOC), ensuring high availability and performance . + Coordinate global teams across multiple time zones, including offshore… more