- Centene Corporation (Tallahassee, FL)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management , or clinical operations.… more
- WellSpan Health (York, PA)
- **Advanced Practice Provider ** **Interventional Pain Management - York, PA** WellSpan Health's vision is to reimagine healthcare through the delivery of ... DC **For confidential consideration, please contact:** Louisa Grosh, Advanced Practice Provider Recruiter ###@wellspan.org or ### \#LI-LG1 ** Quality of Life**… more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy ... * Maintains contractual relationships with significant/highly visible providers. * Evaluates provider network and implement strategic plans with the goal… more
- Molina Healthcare (Gulfport, MS)
- …candidate lives in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Molina Healthcare (St. Clair Shores, MI)
- …system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network … 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. + ... or concerns, coordinating with internal departments as needed. + Evaluate datahub for quality management / cost and utilization / develop interventions / evaluate… more
- Humana (Lansing, MI)
- …with 4 or more years of progressive experience in managed care operations, including network management and provider relations OR High School Diploma with ... 7 or more years of progressive experience in managed care operations, including network management and provider relations. + Experience working for or with… more
- Corewell Health (Grand Rapids, MI)
- …+ Preferred Master's Degree MBA, MHA, MHP + 3 years of relevant experience within provider network management , health care insurance or other health care ... and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing...E Beltline Ave NE - Grand Rapids Department Name Provider Network Management - PH… more
- Humana (Springfield, IL)
- …health plan/ provider relationship across such areas as, incentive programs, quality and clinical management , population health, data sharing, connectivity, ... Participates in meetings with providers and network teams (JOC, Clinical/ Quality , Operation). + Develop and/or standardize QI/clinical provider meeting… more
- Centene Corporation (Columbia, SC)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations.… more