- The Cigna Group (Richmond, VA)
- …or equivalent work experience; MBA or MHA preferred. + 2+ years of Provider Network knowledge/experience required. Provider Contracting and Provider ... Network Development & Competitive Insights, Network Solutions, Network Operations, Medical Economics, Provider Services, and Product. The position… more
- CVS Health (Columbus, OH)
- …with providers according to prescribed guidelines in support of global and regional network strategies. Expand International provider network by contracting ... the internal GLOBAL VIP CLIENT account management team with network and TPA questions or inquiries. Provide ...regarding your assigned TPA(s). + Manage day to day provider operations, either direct or through network … more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. **Role Overview: ;** The Provider Network Account Executive II (AE II) is responsible for ... must reside in the state of Ohio **Responsibilities** + Monitor and manage the provider network to ensure service accessibility and compliance with mandates +… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Fort Lauderdale, FL)
- …to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to… more
- AmeriHealth Caritas (Baton Rouge, LA)
- …services. Discover more about us at www.amerihealthcaritas.com. **Role Overview:;** The Provider Network Account Executive II (AE II) strategically manages ... for network implementation and maintenance. + Manages an ongoing Provider Network Management organization project or program. + Develops, implements,… more
- CVS Health (Albany, NY)
- …GLOBAL VIP CLIENT nominations and work with TPA to add those providers In- Network . Manage overall responsibilities of provider nomination process for GLOBAL VIP ... Provider immediately for a swift resolution. + Assist Network manager in ensuring service level adherence (GOP TAT,...the internal GLOBAL VIP CLIENT account management team with network and TPA questions or inquiries. Provide … more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- AmeriHealth Caritas (Fayetteville, NC)
- …services. Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Provider Network Account Executive (AE II) is responsible for ... issues. The position also involves monitoring and managing the provider network to ensure appropriate access to services, maintaining financial integrity, and… more