- Unknown (Chicago, IL)
- …stewardship, transformation and change support, governance and risk management, and network leverage. Ideal candidates will have deep expertise in healthcare ... strong understanding of governance responsibilities, fiduciary duties, and investor relations , in-depth knowledge of revenue cycle management, payer strategy,… more
- Elevance Health (Carroll, IA)
- **LTSS Network Relations Consultant, West Iowa** **Location:** Carroll, Iowa and surrounding counties **Hours:** Standard M - F **Field:** This field-based role ... the ability to travel within the west region. The **LTSS Network Relations Consultant, West Iowa** develops and maintains positive provider relationships with… more
- New York University (New York, NY)
- …to join the SAR team as a Research Scientist/Program Officer for the Membership and Network Relations team. The Program Officer plays a key research role within ... with in-office expectations and reports to SAR's Director of Membership and Network Relations . Key responsibilities & duties: Research & Data Analysis (50%) *… more
- Cardinal Health (Hartford, CT)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... strategy through developing, commercializing and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development… more
- Molina Healthcare (Lincoln, NE)
- …experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider network relations and management experience in a managed healthcare ... must reside in the state of Nebraska **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network … more
- CVS Health (Oklahoma City, OK)
- …**Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and ... Network Performance Standards. + Experience in Medical Terminology, CPT, ICD-10 codes, etc. **Education** + Bachelor's degree preferred or a combination of… more
- CVS Health (Tallahassee, FL)
- …Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the ... organization's needs and strategic objectives. + Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements. + Assists with the development of provider… more
- CVS Health (Hartford, CT)
- …Acts as the primary resource for assigned, high profile providers or groups (ie local, individual providers, small groups/systems) to establish, oversee, and maintain ... positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** * Working knowledge of… more
- Henry Ford Health System (Jackson, MI)
- …performs provider enrollment and compliance functions within a Clinically Integrated Network ( Network ). Key duties include data management, ensuring providers ... meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, and providers, and verifying… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between...point of contact between Molina Healthcare and contracted provider network . They are responsible for network management… more
