- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network … more
- Banner Health (Tucson, AZ)
- …to provide for diverse customer service needs for a comprehensive provider network . Makes decisions within structured definitions and defined policy. Work ... Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider , Banner Health, and an extensive network of primary care and… more
- Hartford HealthCare (Hartford, CT)
- …supports the initiatives of the Population Health Cabinet and the Clinically Integrated Network (CIN). The Manager of Quality and Provider Relations develops, ... leadership for developing and implementing social and educational events to promote provider engagement within the clinically integrated network and the system.… more
- CareFirst (Baltimore, MD)
- …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more
- The Cigna Group (Salem, OR)
- …contracts and recruit dental providers to become a Cigna PPO and/or DHMO network provider . + Explain plans, policies, and procedures to potential providers ... + Respond to provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff + Work to achieve… more
- Humana (Oklahoma City, OK)
- …ensure positive provider experience with Humana Healthy Horizons and promote network retention + Meet regularly, both in person and virtually, with assigned ... and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider… more
- Humana (Springfield, IL)
- …and CAHPS survey results/strategy. + Collaborates with the market provider engagement/contracting/ network optimization/practice transformation team to: + ... us put health first** Humana Gold Plus Integrated is seeking a Provider Engagement, Clinical Executive who will develop and grow positive, long-term relationships… more
- Elevance Health (Hanover, MD)
- …a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt ... the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum… more
- CenterWell (Phoenix, AZ)
- …Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience. + Some ... community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more