- Fallon Health (Worcester, MA)
- …long term solutions to problems identified. + Escalate conflicts to Manager of Provider Relations and when appropriate Director, Provider Relations ... they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated… more
- CVS Health (Downers Grove, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations.… more
- Queen's Health System (Honolulu, HI)
- …of experience in health care with demonstrated success in provider relations , provider recruitment, pharmaceutical sales, practice management, or ... IV. MINIMUM QUALIFICATIONS: A. EDUCATION: * Bachelor's degree required, preferably in nursing or health care related field or health care administration.… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible for fostering positive, ... updates to providers. + Ensure compliance with Michigan managed care contractual requirements for provider relations...of health care or managed care experience working with providers (eg, provider … more
- CVS Health (Springfield, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid … more
- Molina Healthcare (Covington, KY)
- **_ Remote and must live in Kentucky _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health… more
- Molina Healthcare (Ramapo, NY)
- …Rockland Counties for provider visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...serves as the primary point of contact between Molina Health plan and the for non-complex Provider … more
- Centene Corporation (Queens, NY)
- …Administration, related field or equivalent experience. 7+ years of provider relations or contracting experience in a managed care or insurance environment, ... fresh perspective on workplace flexibility. **Position Purpose:** Oversee the Provider Relations department including negotiations and administering organization… more
- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The purpose of the Provider Relations Development Specialist role for PruittHealth Premier to support the plans (I-SNP and D-SNP) with contract ... Conducts outreach by phone or email to providers to provide plan overview and request to contract 4. Responsible...credentialing documents along with W-9 and EFT form to provider for contracting with the plan. 5. Answer … more