- Atrius Health (Newton, MA)
- …health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country. ... supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and… more
- Elevance Health (Norfolk, VA)
- …integration, and ensures essential face-to-face onboarding and skill development._ The Managed Care Coordinator Clinician Non-RN is responsible for contributing to ... and management of members' needs, including physical health, behavioral health, social services , and community services and supports. This position operates with… more
- Molina Healthcare (Houston, TX)
- …years managed healthcare administration experience. * Specific experience in provider services , operations, and/or contract negotiations in a Medicare and ... network. In partnership with Director, manages and coordinates the Provider Services activities for the state health...to meet internal/external standards. * Manages and directs the Provider Service staff including hiring, training and… more
- Elevance Health (Las Vegas, NV)
- …community-based services ) is highly desirable. + Demonstrated understanding of managed care, Medicaid policies, and provider operations. + Excellent ... ** Provider Relationship Account Manager ** **Location:** This...** is responsible for providing quality, accessible and comprehensive service to the company's provider community. **How… more
- Molina Healthcare (Akron, OH)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... the health care field including, but not limited to, provider 's office, managed care organization, or other...including but not limited to: Value Based Payment, fee-for service , capitation and various forms of risk, ASO, etc.… more
- Molina Healthcare (Seattle, WA)
- …equivalent work experience in health care field including, but not limited to, provider 's office, managed care, or other health care field. **REQUIRED ... escalations and JOCs on exception, including standardized fee for service and other core payment method contracts with predefined,... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- The Cigna Group (Charleston, WV)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- The Cigna Group (Los Angeles, CA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- AmeriHealth Caritas (Manchester, NH)
- As the Manager of Provider Network, you will...+ A minimum of 3 years of experience in managed care provider contracting and reimbursement is ... networks. This position is also responsible for implementing strategies to improve provider satisfaction and manage network costs. This position will interact with… more
- Molina Healthcare (Riverside, CA)
- …& ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services , including 2+ years in a ... or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare...lines of business, including but not limited to; fee-for service , capitation and various forms of risk, ASO, etc.… more