- Magellan Health Services (Boise, ID)
- … network adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide summary and problem specific feedback ... and client standards. + Act as liaison between Clinical, Quality , and Network and the provider...information, analysis and action recommendations to management and relevant functional units regarding provider … more
- Molina Healthcare (Bowling Green, KY)
- …for enterprise network management and operations activities including network development, network adequacy, and provider training and education. ... and contracted providers within the Molina network . Responsible for network management including provider education, communication, satisfaction, issue… more
- Guardian Life (Bethlehem, PA)
- …and relationship management . Strong collaboration with internal stakeholders across Network Operations, Network Recruitment, Provider Relations, Claims ... ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network...skills + Experience with Salesforce, MS Office Suite, and provider management systems preferred Location This is… more
- Hartford HealthCare (Hartford, CT)
- …Cabinet and the Clinically Integrated Network (CIN). The Manager of Quality and Provider Relations develops, implements, and evaluates Population Health ... health and quality initiatives more effectively. 8. Oversees the Provider Relations Management team in developing educational materials, communications, and… 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 ... care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: +...Works as a team with other members of care management , including but not limited to: RN care managers,… more
- AdventHealth (Maitland, FL)
- …Staff Management (CPMSM) - EV Accredited Issuing Body, Certified Provider Credentialing Specialist (CPCS) - EV Accredited Issuing Body **Pay Range:** $72,786.83 ... of healthcare professionals' qualifications, licenses, and certifications. + Monitors network performance, troubleshoots issues, and implements necessary upgrades. +… more
- Molina Healthcare (FL)
- …start date for this position is February.** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for ... network . They are responsible for the provider training, network management and...occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct… more
- The Cigna Group (Cleveland, OH)
- …be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management , Cleveland and Northern OH (inclusive of Toledo, ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President,... Contracting Team and reports to the Vice President, Network Management , Liberty Valley. This role is… more
- Molina Healthcare (MA)
- …outreach and resolving provider inquiries. * In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific ... , corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job...to increase provider engagement in HEDIS and quality initiatives. * Engages contracted network providers… more
- Molina Healthcare (Idaho Falls, ID)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract, network development and management , or… more
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