- Molina Healthcare (Orem, UT)
- …Applications sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist directory). **Job Qualifications** ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider … more
- Molina Healthcare (Rock Hill, SC)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans… more
- University of Virginia (Charlottesville, VA)
- …assigned MINIMUM REQUIREMENTS Education: Master's Degree as an Advance Practice Provider (Clinical Nurse Specialist ) Experience: None Certification: Advanced ... Pediatric) Licensure: License or license eligible as an Advance Practice Provider (Clinical Nurse Specialist ) as set forth by the state of Virginia. Must… more
- Carle Health (Champaign, IL)
- Overview The Provider Onboarding Specialist will facilitate the transition of provider staff from recruitment to employment under the direction of the ... Manager - Provider Services. This role is part of System ...protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the… more
- Corewell Health (Southfield, MI)
- …contracts and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. ... + Manages the contract development and negotiations process for provider networks initiatives. Enters/maintains current information in the internal contract… more
- State of Indiana (Indianapolis, IN)
- Provider Relations Specialist Date Posted: Dec 10, 2025 Requisition ID: 468764 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... with this mission. Role Overview : This role is responsible for oversight of provider interactions related to the Healthy Indiana Plan (HIP), one of several health… more
- Cleveland Clinic (Cleveland, OH)
- Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the ... Cleveland Clinic Cancer Institute is seeking an Advanced Practice Provider (APRN, PA, or CNS) to serve as the...serve as the **Cancer Screening, Education, and Community Outreach Specialist ** . This position plays a vital role in… more
- Trinity Health (Columbus, OH)
- …financial analysis, audit, provider relations and more. **About the job:** Provider Service Specialist responds in a timely and accurate manner to ... provider inquiries made by phone, in person and in...you'll do:** + Receive, interpret and accurately respond to provider inquiries, both verbally and in writing in accordance… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports… more
- Centene Corporation (Columbus, OH)
- …reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider... Provide issue resolution support for most complex provider contracts by researching and partnering to resolve … more