- Humana (Springfield, IL)
- …+ Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, ... years of health care or managed care experience working with providers (eg, provider relations , claims education). + Experience working with physical health… more
- The Cigna Group (Mclean, VA)
- …preferred. + 2+ years of Provider Network knowledge/experience required. Provider Contracting and Provider Relations experience preferred. + 2+ years ... Network Development & Competitive Insights, Network Solutions, Network Operations, Medical Economics, Provider Services, and Product. The position… more
- News Corp (Washington, DC)
- …the Executive Branch. Monitor and influence legislative and policy proposals and provide strategic counsel internally on potential impact to the business. Attend ... and information services, book publishing, digital real estate services, cable network programming in Australia, and pay-tv distribution in Australia. Headquartered… more
- American Water (Warrensburg, MO)
- …having diversity across our company makes us more successful and helps us provide essential services to our customers. We are stronger because we embrace different ... of computer programs (old and new CIS systems). * Excellent knowledge of network and maintenance related issues. * Excellent knowledge of company billing guidelines… more
- CVS Health (Montgomery, AL)
- …direct industry experience negotiating provider contracts and/or provider relations . - Strong understanding of health care network product spectrum and ... heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their … more
- The Cigna Group (Sunrise, FL)
- …Healthcare Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Centene Corporation (Springfield, IL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- Centene Corporation (Queens, NY)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- Point32Health (Canton, MA)
- …are at Point32Health (https://www.point32health.org/) . **Job Summary** Reporting to the Manager of Provider Relations , the Provider Account Manager (PAM) I ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...engagement of providers in the Point32Health family of company's provider network and will act as a… more
- Point32Health (NH)
- …**Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider networks ... agreements with largest provider systems. + Develop and maintain optimal provider networks. Assess, monitor, and manage network adequacy to meet federal… more