• Provider Data Service Senior Coordinator…

    CVS Health (Salem, OR)
    …meeting. **Required Qualifications:** + 2 years healthcare industry experience specifically in provider relations or network experience. + Organizational ... day. **NEF Team Role and Responsibilities:** + Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center.… more
    CVS Health (08/10/25)
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  • Sr Provider Engagement Prof

    Humana (Springfield, IL)
    …3 or more years of progressive experience in managed care operations, including network management and provider relations -OR- equivalent work experience ... with 5 or more years of progressive experience in managed care operations, including network management and provider relations + Experience working for or… more
    Humana (07/30/25)
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  • Provider Engagement Executive

    Humana (Columbus, OH)
    …+ 8 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + 2 or more years of ... caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships...limits + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for… more
    Humana (07/18/25)
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  • Senior Provider Engagement Professional

    Humana (Columbus, OH)
    …more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation ... our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
    Humana (07/29/25)
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  • Provider Education and Outreach…

    Humana (Indianapolis, IN)
    …- 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation ... of our caring community and help us put health first** The Provider Engagement Professional 2 develops and grows positive, long-term relationships with physicians,… more
    Humana (08/08/25)
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  • Provider Data Quality Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …or related industry. At least 2 years working with data. Provider Network interaction experience. Preferred: Provider Relations , management or sales ... Provider Data Quality Auditor II Job Category: Provider Relations Department: Provider Data...for the timely and accurate uploading of LA Care's provider network data, including identification and remediation… more
    LA Care Health Plan (07/12/25)
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  • Chief Medical Officer--Aetna Better Health…

    CVS Health (Lansing, MI)
    …internally and externally to support coordinated care. 7. Partnering with Plan leaders, Network , and provider relations teams to drive differentiated ... to fulfill plan business goals and growth imperatives. 4. Provide clinical expertise to shape the integrative model of...provider engagement/experience. Collaborate with network teams to optimize provider performance, value… more
    CVS Health (07/18/25)
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  • Network Specialist

    Transdev (Pearl City, HI)
    …trips in which no provider is available + Develops and maintains positive working relations with the Provider Network + Respond to emails, phone calls ... to establish superior partnerships between Transdev Health Solutions and the Transportation Provider Network . The Network Specialist provides support to… more
    Transdev (06/19/25)
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  • National VBC Manager

    Centene Corporation (Austin, TX)
    …**Education/Experience:** Bachelor's Degree in a related field or equivalent work experience in Network Development, Provider Relations or Value-based / Risk ... (preferably at HMO or PPO). Required 4+ years of experience in HMO provider relations , contracting and network development or large physician/ provider more
    Centene Corporation (07/13/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... and enroll prospects based on the customer's needs + Provide a positive customer experience with excellent customer satisfaction...that we should attempt to recruit. + Ensures Provider Relations / Network Development Representatives are… more
    Centers Plan for Healthy Living (07/15/25)
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