- Molina Healthcare (NE)
- …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 (Longview, TX)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and ... risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans to… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Provider Data Quality Admin is responsible for process oversight, planning, implementation, and coordination of the applications within the ... Provider Network Management department, as it relates to the integrity of provider reporting and provider data. The Provider Data Quality Admin must… more
- Molina Healthcare (GA)
- …live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development ... Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective and marketable… more
- Molina Healthcare (GA)
- **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **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
- Molina Healthcare (GA)
- …**Knowledge/Skills/Abilities** * Plans, organizes, staffs, and coordinates the Provider Contracts activities for contracts. Works with direct management, ... leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies. * Monitors and reports network… more
- Molina Healthcare (GA)
- …live in Georgia _** **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 Network staff are the primary point of contact… more
- Molina Healthcare (GA)
- …in Georgia _** **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
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff supervision, ... provider contracting, recruitment, and compliance. This role ensures the provider network meets regulatory standards and supports the healthcare needs of plan… more
- Molina Healthcare (Ramapo, NY)
- …New York _** **_ Will travel throughout Orange & Rockland Counties for provider visits _** **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 overall mission,… more