- Molina Healthcare (Vancouver, WA)
- **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...serves as the primary point of contact between Molina Health plan and the Plan 's… more
- Molina Healthcare (Houston, TX)
- …must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... the Provider Services activities for the state health plan . Works with direct management, corporate,...servicing and relationship management plans. **Job Duties** Manages the Plan 's Provider Relations functions and… more
- Molina Healthcare (NE)
- **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 Health plan and the for non-complex Provider Community… more
- Elevance Health (Grand Prairie, TX)
- …within the region meet state contractual requirements. * Developing and implementing individual health plan Community Relations Strategy. * Collaboration in ... STAR Kids, ACA, and D-SNP preferred. * Managed Care Health Plan experience preferred. * Excellent communication...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Mount Sinai Health System (New York, NY)
- …care administration with general knowledge of Medical Staff Office functions. + Preferred experience in health plan Provider Relations and/or Health ... is responsible for coordinating enrollment processes in accordance with the health plan delegated credentialing agreements, policies & procedures, industry… more
- UCLA Health (Los Angeles, CA)
- …with Utilization Management, such as Case Management, Quality Improvement, Credentialing, and Health Plan Relations to improve overall healthcare services ... leader with: + A Registered Nurse License, Advanced Practice Provider (Nurse Practitioner or Physicians' Assistant), or equivalent +...on Utilization Management for a medical group, IPA, or Health Plan , required + In-depth understanding of… more
- Emanate Health (Covina, CA)
- …education preferred **b. Minimum Experience Requirement :** Prior experience in Provider Relations within IPA or Health Plan setting is preferred. ... **Current Emanate Health Employees - Please log into your Workday...ranked company in the country. **J** **ob Summary** Physician Relations Specialist work as liaisons to healthcare providers. Responsible… more
- Queen's Health System (Honolulu, HI)
- …years of experience in health care with demonstrated success in provider relations , provider recruitment, pharmaceutical sales, practice management, or ... recruiting, onboarding, and network support activities. * Coordinates and facilitates provider onboarding and ensures that providers understand the support services… more
- Northern Light Health (South Portland, ME)
- …Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Provider Relations Liaison/RN is a sales professional and acts as a business ... to detail the organization's products and service lines provided. The Provider Relations Liaison/RN coordinates scheduled meetings, prospecting, and… more
- CVS Health (Boise, ID)
- …to ensure appropriate information has been provided. + Audits Rosters received in the provider relations department email box and works closely with the data ... Aetna + Manage claims projects for providers/hospitals + Ongoing provider training with tools and processes + Provide...with internal Aetna teams to resolve issues quickly to provide excellent service to our providers and health… more
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