- American Water (Warrensburg, MO)
- …having diversity across our company makes us more successful and helps us provide essential services to our customers. We are stronger because we embrace different ... through researching and resolving complex account issues, errors, and billing exception management . The Operations Support Specialist will function as an expert in… more
- The Cigna Group (Sunrise, FL)
- …Healthcare Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Centene Corporation (Carson City, NV)
- …years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management , or clinical ... Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic… more
- Centene Corporation (Sacramento, CA)
- …incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic implementation of ... as needed and coordinates response with internal matrix partners + Manages Network provider performance for assigned territory through a consultative/account … more
- Elevance Health (Nashville, TN)
- …(value-based care) and a proven track record of relationship management /account management excellence for enhanced provider relations . As an RVP, ... Provider Solutions spearheads cost of care and trend management strategy, leads/closes impactful hospital negotiations, and drives/evolves a comprehensive… more
- Centene Corporation (Jefferson City, MO)
- …**.** Five or more years of managed care or medical group experience, provider relations , quality improvement, utilization management , or clinical ... level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. +… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for permanent, per diem, and temporary providers within Guthrie Medical Group. This… more
- Centene Corporation (New Port Richey, FL)
- …years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management , or clinical ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- The Cigna Group (Fort Worth, TX)
- … provider network data. + Collaborate with internal teams (eg, provider relations , credentialing, IT) to ensure current and complete data. + Maintain ... plays a key role in ensuring the accuracy, completeness, and timeliness of provider network data required for regulatory approval and compliance. **Primary… more
- Elevance Health (Woodbridge, NJ)
- …provider contracting, implementation of cutting-edge payment programs, and fostering robust provider relations and education. **How you will make an impact:** ... Capabilities and Experiences:** + Strongly preferred MBA degree. + Proven Network provider and contracting experience including Value-Based Care, Fee-for-Service… more