- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… 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 ... activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Edison, NJ)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- CVS Health (Mount Holly, NJ)
- …the time.** **Preferred Qualifications:** **Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs.** **Optimizes interactions with assigned providers and internal… more
- CVS Health (Albany, NY)
- …- Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Hartford, CT)
- …the TPA or Provider immediately for a swift resolution. + Assist Network manager in ensuring service level adherence (GOP TAT, eligibility processing, claim ... VIP CLIENT. The ideal candidate will assist the Senior Network Manager in managing competitive and complex...nominations and work with TPA to add those providers In- Network . Manage overall responsibilities of provider nomination… 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 ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… more
- CVS Health (Downers Grove, IL)
- …to work with others at all levels * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+ years' experience in ... Audits conducted by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations. Recruits, develops, and… more
- TEKsystems (St. Louis, MO)
- …strategic and results-driven Managed Care Contracting & Provider Relations Manager to lead our national payor network strategy. This high-impact role ... track record in payor negotiations. + 5+ years in healthcare network management, payor relations , or provider contracting strongly preferred. + Demonstrated… more
- Elevance Health (Mendota Heights, MN)
- ** 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...refresher training. + Researches issues that may impact future provider negotiations or jeopardize network retention. **Minimum… more