- Elevance Health (Mason, OH)
- ** Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare Ohio** **Location:** This position is based in Ohio; the associate will report to ... health, long term services and supports, and psychosocial needs. The ** Network Relations Consultant Senior** (Value-Based Program Specialist) is responsible… more
- Molina Healthcare (Jackson, MI)
- …Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …that have a direct impact on improving provider satisfaction. + Leads Provider Relations efforts to drive network and quality improvement. + ... all other internal departments including sales, medical, operations and network management. As a key representative of...business. + Assists with training and mentoring of peer Provider Relations Representatives as needed to ensure… more
- Molina Healthcare (Dallas, TX)
- **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...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
- System One (Baltimore, MD)
- Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR ... Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible...as the primary liaison to communicate, educate, and support network providers while managing escalated issues and facilitating dispute… more
- Humana (Indianapolis, IN)
- …- 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation ... us put health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2)… more
- CareFirst (Baltimore, MD)
- …guidance and assistance to entry level professionals within or outside of Provider Relations teams. **ESSENTIAL FUNCTIONS:** **TRAINING AND EDUCATION:** + ... network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing… more
- CareFirst (Baltimore, MD)
- … network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity**… more
- TEKsystems (Lincoln, NE)
- TEKsystems is hiring for a Provider Relations Representative in Lincoln, Nebraska! Start Date: January 26th, 2026 Description * Provide quality customer ... and keep abreast of the current recruitment plan to provide accurate information to our customers. * Partner with...accurate information to our customers. * Partner with our Provider Network Representatives to help expand our… more
- UPMC (Dubois, PA)
- …you passionate about building strong relationships and supporting healthcare providers? As a Provider Relations Representative , you'll be the go-to contact ... coverage with your team. + Maintain accurate documentation of provider interactions and action plans. + Support provider... issues and share feedback. + Travel within the network for face-to-face meetings and community engagement events. +… more