- Elevance Health (Wallingford, CT)
- Provider Success Consultant Sr. (Value-Based) JR167870 **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... an accommodation is granted as required by law._ The **Care Consultant Sr.** ( Provider Success) is responsible for the provider performance of value-based care… more
- The Cigna Group (Walnut Creek, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the VP, Network...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Humana (Oklahoma City, OK)
- …and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider ... put health first** Humana Healthy Horizons in Oklahoma is seeking a Provider Engagement Professional 2 who develops and grows positive, long-term relationships with… more
- Carle Health (Champaign, IL)
- Overview The Provider Recruitment Specialist performs and coordinates complex details in the support of provider recruitment for permanent physician, APP, and ... time a position is opened through the successful placement of a provider . Qualifications Education: Bachelor's Degree: Related Field; Experience In Lieu of… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and ... stakeholders, by ensuring regular communication and timely problem resolution. Leverages provider relationships to drive and influence provider behavior towards… more
- CareFirst (Baltimore, MD)
- …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Provider Services Educational & Communications Professional reports directly to the Provider ... Advisor and is responsible for assisting with the development of provider educational and communications materials, organizing provider outreach campaigns,… more
- The Cigna Group (Austin, TX)
- …will be required to live in the Houston, TX area** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Koniag Government Services (Chantilly, VA)
- …state Medicaid agencies and federal regulators to assess and improve Medicaid provider enrollment processes. + Provide detailed feedback and develop ... Services (KSI),** a Koniag Government Services company, is seeking a Medicaid Provider Evaluation Analyst to support KSI and our government customer. This position… more
- Centene Corporation (Frankfort, KY)
- …network reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider ... (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible… more