- AmeriHealth Caritas (Charleston, SC)
- …the job is to be responsible for the oversight of the local Plan's Provider data, reimbursement rules, and address provider inquiries and complaints. In ... remediation plan for any non-complying areas + Ensure all Provider reimbursement (configuration) documentation is completed timely and accurately,...as a member of a team as well as provide day-to-day leadership to support staff + Perform other… more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... agreements; (iii) service agreements; (iv) lease agreements; (v) other provider -related contracted service agreements; and, related human resources or employment… more
- AmeriHealth Caritas (Miami, FL)
- … provider onboarding and educational sessions, and issued resolutions to support provider engagement and satisfaction. + Monitor network adequacy and ensure ... detail-oriented and relationship-driven Account Executive I to manage and support our network of contracted healthcare providers. In this role, you'll build and… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Provider Network Operations Data Analyst plays a key role in maintaining accurate provider data and fostering strong relationships ... providers across Medicaid, Medicare, and Exchange products. This role ensures provider information is correctly represented in all operating systems and serves… more
- Elevance Health (Atlanta, GA)
- …a commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs related ... existing LOBs and new product + Manages the new business continuum for provider network reports and deliverables to monitor network development, gaps and… more
- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the support and maintenance of ... a regional network of community providers (the " Network "). The Program Manager (PM) will provide ...engage key partners. The PM will lead the organization's provider outreach programs and create relationships, structures and processes… more
- Hudson Headwaters Health Network (Queensbury, NY)
- If you are interested in provider opportunities with Hudson Headwaters Health Network , Please also send your CV to Jenny Leszyk at ###@hhhn.org HHHN Mission To ... provide the best health care, and access to that...a variety of settings that comprise Hudson Headwaters Health Network . Physicians must be strong clinicians and communicators who… more
- Consumer Direct Care Network (WA)
- …(https://www.consumerdirectwa.com/wp-content/uploads/2025/07/2025-CDWA-Hiring-Guide-Final-7.31.25.pdf)** **CDWA Caregiver/Individual Provider Careers** **For help ... to see the steps required to be an Individual Provider , view the** **IP Hiring Guide (https://www.consumerdirectwa.com/wp-content/uploads/2024/02/Individual- Provider -Hiring-Guide-20240213.pdf)**… more