- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network ... account and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide input and/or… more
- AmeriHealth Caritas (Washington, DC)
- …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... provider contracts. + Responsible for implementation of electronic strategies for provider network to include increasing electronic claims submission and… more
- Commonwealth Care Alliance (Boston, MA)
- …of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align ... improvement. + Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to address performance gaps. + Develop… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. Responsible for ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring… more
- Manulife (Boston, MA)
- …long-term care providers to our customers when they need it. The Director, Provider Network Development & Relationship Management, is responsible for leading the ... development, optimization, and strategic oversight of our provider network . This role is responsible for ensuring network adequacy, driving value, and… more
- AmeriHealth Caritas (Manchester, NH)
- **Role Overview:** The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider ... reimbursement setups + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched, and… more
- AmeriHealth Caritas (Southfield, MI)
- … provider related aspects of state contract. + Leads and manages provider network team to ensure high performance, accountability, empowerment & engagement. ... comprehensive provider contracting strategy to achieve cost-efficient and high-performing network + Lead development and execution of provider engagement… more
- Vatica Health (WI)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- AmeriHealth Caritas (Charleston, SC)
- …reimbursement set up. + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched and ... The primary purpose of the job is to be responsible for the maintaining current provider data and provider reimbursement set up, and to address provider… more