- Molina Healthcare (Reno, NV)
- …DESCRIPTION** Work hours for this role will be 8am-5pm PST. **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and ... maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal… more
- HCA Healthcare (Lake City, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Provider Solutions Specialist you want with your current employer? We have an exciting ... City Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HCA Florida...of colleagues. Do you want to work as a(an) Provider Solutions Specialist where your passion for creating positive… more
- Molina Healthcare (Detroit, MI)
- …in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The role works in tandem with the Manager of Clinical Consultation, Pr Provider Performance Clinical Consultants, and the Medical Director to review provider ... clinical opportunities. The role leads face-to-face meetings with leaders in provider care systems and is responsible for forming partnerships with providers… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Principal Provider Performance Clinical Consultant Location: Hybrid | Eagan, Minnesota Career Area: ... This role is a key element in the design and implementation of the Provider Performance Consultation model supporting providers on path to risk agreements. The role… more
- Evolent (Helena, MT)
- …NORTHEAST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **Northeast** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact… more
- Molina Healthcare (San Francisco, CA)
- **Job Description** **Job Summary** Responsible for leading provider network operations, contracting support, policies and procedures, and provider ... operational excellence, regulatory alignment, and effective communication with the provider community. **Job Duties** Serves in a Director-level, multi-faceted… more
- CVS Health (Springfield, IL)
- …all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs to ... Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. **Duties:** +… more
- AmeriHealth Caritas (Baton Rouge, LA)
- **Role Overview:;** The Provider Network Account Executive II (AE II) strategically manages and develops provider networks across various healthcare settings, ... role involves ensuring compliance with state and federal regulations, conducting provider orientations and educational visits, resolving provider issues, and… more