- Excellus BlueCross BlueShield (Rochester, NY)
- …assigned provider types, regions and/or lines of business. Serves as provider network contracting and administration subject matter expert for assigned ... and questions. Collects and interprets data and information to support provider network contracting and administration activities. Applies applicable contract… more
- Elevance Health (Atlanta, GA)
- …The ** Network Management Representative** provides comprehensive services to the provider community through researching more complex provider issues. **How ... ** Network Management Representative** **Location:** _Hybrid1:_ This role requires...as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.… more
- CVS Health (Charleston, WV)
- …terms and conditions. + Controlling the development and expansion of the company's provider network by evaluating potential network providers, negotiating ... Network Management** who provides strategic leadership and oversight for network management and provider relations within the **Keystone territory of… more
- Humana (Olympia, WA)
- …part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing ... provider performance and advancing Humana's mission to deliver high-quality...moderately complex, requiring minimal instructions to achieve solutions. May provide coaching and/or review the work of lower-level associates.… more
- St. Luke's University Health Network (Bethlehem, PA)
- …complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient ... your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE) more
- WMCHealth (Valhalla, NY)
- Network Director, Advanced Clinical Recruitment Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: ... Development and Planning. Responsibilities: + Develop and implement a comprehensive provider recruitment strategy that aligns with network growth priorities,… more
- Health Care Service Corporation (Chicago, IL)
- …For Assigned Territory. Responsible For Education Of Providers And For Ongoing Provider Service. Provide Subject Matter Expertise To Improve Efficiencies And ... Service Units, Utilization Management, Medical, Delegation Oversight, Core Credentialing, Provider Automation and other divisions within the company.9. Provide … more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing ... provider performance within the SouthEast Region and advancing Humana's...through strategic initiatives and strong relationship-building. As a Senior Network Performance Professional at Humana, you will play a… more
- CVS Health (Hartford, CT)
- …network . + Leading the strategic development and expansion of the company's provider network by evaluating potential network providers, negotiating ... stringent compliance with regulatory requirements and accreditation standards related to provider network management. + Communicating with internal stakeholders,… more