- Queen's Health System (Honolulu, HI)
- …health care with demonstrated success in provider relations , provider recruitment, pharmaceutical sales, practice management , or other physician centered ... Network (QCIPN) and assigned providers for recruiting, onboarding, and network support activities. * Coordinates and facilitates provider onboarding and… more
- St. Luke's University Health Network (Allentown, PA)
- …to leaders on a broad range of human resource issues; including employee relations , performance management and ensuring consistency on goal setting, pay ... regardless of a patient's ability to pay for health care. The Employee Relations Specialist will be responsible for handling employees relations matters for… more
- TEKsystems (Honolulu, HI)
- …physician and facility claims. This role bridges claims processing, provider relations , and network management , ensuring accurate reimbursement practices ... changes in reimbursement practices. + Deliver sensitive messages tactfully and gather provider feedback. + Provide in-person support as needed-must have reliable… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Molina Healthcare (Houston, TX)
- …Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... management plans. **Job Duties** Manages the Plan's Provider Relations functions and team members. Responsible...provider inquiries. * In conjunction with the Director, Provider Network Management & Operations,… more
- Molina Healthcare (WI)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Elevance Health (Los Angeles, CA)
- ** Network Relations Consult Sr** . **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The ** Network Relations Consult Sr** is responsible for...through direct contact with providers, claims, pricing and medical management department. + Identifies and reports on provider… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity** ... and work activities/deliverables that week._** **ESSENTIAL FUNCTIONS:** + Oversight and management of a portfolio of provider -related projects and initiatives.… more
- CVS Health (Frankfort, KY)
- …+ A minimum of 5 years' work experience in healthcare. + 3 to 5 years provider relations experience + Minimum of 3 years' experience in Medicaid Managed Care ... .** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes,… more
- CVS Health (Washington, DC)
- …with providers and partners at all levels. + 3 to 5 years of provider relations experience- non-standard relationships with providers with exposure to benefit ... of large provider groups/health systems to establish, oversee, and maintain provider risk management and positive relationships and supports high value… more