- Molina Healthcare (Jackson, MI)
- …and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed ... matrix team environmental support including, but not limited to: New Markets Provider / Contract Support Services, PCRP & CSST resolution support, and National… more
- Molina Healthcare (OH)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- CVS Health (Columbus, OH)
- … arrangements are functioning successfully and working to improve quality of care while reducing costs. . Provider Relationship Management - Understands ... performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) . Drives provider performance and… more
- UNC Health Care (Morrisville, NC)
- … cost models for departments, service lines, procedures, and payers. + Provide actionable insights to support pricing strategies, contract negotiations, and ... the unique communities we serve.** **Summary:** This position leads the system-wide cost accounting and decision support function for an integrated healthcare system… more
- Centene Corporation (New York, NY)
- … Engagement Operating Model (PEOM), an enterprise strategic priority focused on driving provider cost and quality performance and engagement. + Manage the staff ... policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues,… more
- Molina Healthcare (Bellevue, NE)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Bothell, WA)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- Molina Healthcare (Dallas, TX)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Molina Healthcare (Miami, FL)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Prime Therapeutics (Santa Fe, NM)
- …Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager… more