- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. Responsible for ... and monitoring value-based programs. + Responsible for monitoring and managing provider network by assuring appropriate access to services throughout… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... provider compensation methodologies, including but not limited to: fee-for- service , value-based care, and capitation * Strong working knowledge of quality… more
- Molina Healthcare (MA)
- … provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct ... functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on...to meet internal/external standards. * Manages and directs the Provider Service staff including hiring, training and… more
- Molina Healthcare (Gulfport, MS)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Advanced Practitioner Provider Manager - Tisch Cancer Institute-Mount Sinai Hospital- Full Time - Day** The Advanced Practice ... Provider Manager -Nursing is responsible for coordination, and...with appropriate specialty and site based physicians. The APP Manager -Nursing will provide operational leadership to advanced… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid | Eagan, Minnesota Career ... of analytical professionals specializing in network optimization, value-based analytics, ancillary services analytics, provider contracting analytics, and ad hoc… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Description** The Manager of Identity and Access Management for Provider Provisioning oversees IAM service delivery, incident response, access governance, ... changes, drives process improvement, and ensures efficient and reliable IAM services across the enterprise. **RESPONSIBILITIES:** IAM Service Delivery and… more
- Health Care Service Corporation (Philadelphia, PA)
- …coverage for assigned territory, be responsible for education of providers, and for ongoing provider service . As a manager , this individual will lead a ... is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians,… more
- Modivcare (Greenville, SC)
- …may be the right fit for you! Job Description Modivcare is looking for an experienced Provider Relations Manager I to join our team. This role is responsible for ... closely with company departments and external partners to ensure high-quality service delivery, drive provider performance, and implement process improvements… more
- Prime Therapeutics (Santa Fe, NM)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also responsible for leading… more