- Mastercard (Tallahassee, FL)
- …and governments realize their greatest potential._ **Title and Summary** Director of Network Relations & Compliance Overview: The Director of Network ... working hours. The Director will be responsible for overseeing Third-Party Provider (TPP) relationships, analyzing operating rules, product offerings, and release… more
- CVS Health (Boise, ID)
- …do** + Executes both routine and non-routine business support tasks for the Network Relations area under limited supervision, referring deviations from standard ... to provide effective and timely support. + Operates routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Hartford, CT)
- …GLOBAL VIP CLIENT nominations and work with TPA to add those providers In- Network . Manage overall responsibilities of provider nomination process for GLOBAL VIP ... Provider immediately for a swift resolution. + Assist Network manager in ensuring service level adherence (GOP TAT,...the internal GLOBAL VIP CLIENT account management team with network and TPA questions or inquiries. Provide … more
- CVS Health (Washington, DC)
- …with providers and partners at all levels. + 3 to 5 years of provider relations experience- non-standard relationships with providers with exposure to benefit ... activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Edison, NJ)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- CVS Health (Mount Holly, NJ)
- …the time.** **Preferred Qualifications:** **Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs.** **Optimizes interactions with assigned providers and internal… more
- CVS Health (Albany, NY)
- …- Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
- Molina Healthcare (San Diego, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina… more