- Guardian Life (Bethlehem, PA)
- …Bachelor's degree or equivalent work experience required + 5+ years of experience in dental insurance, provider relations , or network operations + Proven ... Strong collaboration with internal stakeholders across Network Operations, Network Recruitment, Provider Relations , Claims and Service will ensure alignment and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …maintenance of the business. + Assists with training and mentoring of peer Provider Relations Representatives as needed to ensure departmental success. + ... Level II (in addition to Level I Accountabilities) + Represents the Provider Relations department on Health Plan projects/initiatives. + Represents the… more
- Community Health Systems (Springdale, AR)
- **Job Summary** The Provider Relations Market Director is responsible for developing and maintaining strategic relationships with providers, community partners, ... barriers to satisfaction. Through strategic outreach and data-driven insights, the Provider Relations Market Director contributes to organizational growth… more
- Humana (Oklahoma City, OK)
- …and enforce compliance with Oklahoma managed care contractual requirements, including provider relations processes such as claims dispute resolution within ... strategies for provider engagement and retention. + Represent the Provider Relations function in cross-departmental meetings and initiatives as needed.… 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 for developing...for special projects, ensuring timely and accurate outcomes. + Provide analytical support and resolution for special cases and… more
- WellSense (NH)
- …insurance that works for our members, no matter their circumstances. **Job Summary:** The Provider Relations Consultant - NH will act as the primary liaison ... between Provider Relations Consultants and internal Plan departments...that includes, but is not limited to, benefits (medical, dental , vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b)… more
- Modivcare (AR)
- …be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, ... are met and swiftly addresses any deficiencies. + Leads provider relations efforts across markets in alignment...comprehensive benefits package to include the following: + Medical, Dental , and Vision insurance + Employer Paid Basic Life… more
- Conduent (Helena, MT)
- … support and the medical eligibility and claims process! **About the Role** As a Provider Relations Associate, you will be supporting our Medicaid provider ... able to successfully pass a pre-employment screening + **Call center/ provider relations experience is preferred** + **Knowledge...+ Opportunity for advancement within the company + Health, dental , and vision insurance (if full time) + Paid… more
- Modivcare (Greenville, SC)
- …may be the right fit for you! Job Description Modivcare is looking for an experienced Provider Relations Manager I to join our team. This role is responsible for ... and external partners to ensure high-quality service delivery, drive provider performance, and implement process improvements that support key operational… more
- TEKsystems (Lincoln, NE)
- TEKsystems is hiring for a Provider Relations Representative in Lincoln, Nebraska! Start Date: January 26th, 2026 Description * Provide quality customer ... they are educated on all contractual issues. * Strengthen provider loyalty and ensure required persistency of network is...and keep abreast of the current recruitment plan to provide accurate information to our customers. * Partner with… more
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