• VP Reimbursement, Provider & Network

    Highmark Health (Pittsburgh, PA)
    …and payment strategy. The role also leads the strategy and creation of provider network designs and programs. The incumbent is responsible for understanding ... to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of… more
    Highmark Health (10/11/25)
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  • Community Provider Network Program…

    Omaha Children's Hospital (Omaha, NE)
    …care transitions. + Facilitate and supporting regular meetings with leadership board. Provide data -driven network administrative leadership, directing the ... disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the...a regional network of community providers (the " Network "). The Program Manager (PM) will provide more
    Omaha Children's Hospital (12/10/25)
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  • Provider Network Account Executive I

    AmeriHealth Caritas (Raleigh, NC)
    …working to resolve provider issues. ;Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the ... positive working relationships between Plan and its contracted providers. ;Assigned provider accounts may include single or multiple practices in single or… more
    AmeriHealth Caritas (11/13/25)
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  • Medicaid Provider Data Services…

    CVS Health (Helena, MT)
    …heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non- network providers. ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
    CVS Health (12/05/25)
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  • Provider Data Coordinator II

    Centene Corporation (Sacramento, CA)
    …and route request to provider changes or other cross functional teams + Maintain provider data management systems for accuracy + Handle and resolve ... Associate's degree in related field preferred. 3+ years of provider data or network administration...Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and… more
    Centene Corporation (12/11/25)
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  • Provider Contract Data Consultant Sr

    Elevance Health (Tampa, FL)
    …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... to Medical Directors and management on cost of care issues. Supports large scale...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all… more
    Elevance Health (11/21/25)
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  • Cost of Care/ Provider Contracting…

    Elevance Health (Lake Mary, FL)
    …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... **Cost of Care/ Provider Contracting Data Analyst** **Location** :...advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on… more
    Elevance Health (11/13/25)
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  • LTSS Program Specialist, Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …Knowledge, Skills, Abilities & Language (nice to have): * Familiarity with provider network management systems and healthcare data standards. * Project ... in meetings/calls with ASAPs and LTSC Agencies * Performance reporting/ data management support o Link with CCA's...social work, provider relations, healthcare communications, project management , or network management within… more
    Commonwealth Care Alliance (10/18/25)
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  • Provider Data Analyst

    Dignity Health (Bakersfield, CA)
    Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating new ... with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to… more
    Dignity Health (12/13/25)
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  • Cost of Care/ Provider Contracting…

    Elevance Health (Grand Prairie, TX)
    …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg ... **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:**...and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce… more
    Elevance Health (12/04/25)
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