- CareFirst (Baltimore, MD)
- …external customers. This position is critical in creating positive experience for all provider partners. This position is part of a diverse, highly capable team of ... FUNCTIONS:** + Oversight and management of a portfolio of provider -related projects and initiatives. Develop/maintain standard operating procedures, create tracking… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Elevance Health (Atlanta, GA)
- ** Provider Contract/Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... for employment, unless an accommodation is granted as required by law. The ** Provider Contract/Cost of Care Consultant** provides analytical support to the Cost of… more
- Molina Healthcare (Owensboro, KY)
- …DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and...to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have engagement plans to… more
- Saint Francis Health System (Tulsa, OK)
- …available hours each month and offers limited benefits._** Job Summary: The Provider Recruiter works collaboratively with the Director, Provider Recruitment in ... planning and development of strategic Physician & Advanced Practice Provider (APP) recruitment programs that ensures an adequate supply and distribution of providers… more
- Molina Healthcare (Buffalo, NY)
- …in New York _** **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
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... adjustment outcomes through effective provider engagement activities. Ensures Health Plan's largest, most impactful providers with the most complex Value-Based Care… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more