- CVS Health (Downers Grove, IL)
- …Audits conducted by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations. Recruits, develops, and ... work with others at all levels * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+ years' experience in Medicaid… more
- CVS Health (Carson City, NV)
- …up to 20 employees. **Required Qualifications** + A minimum of 5 years working with provider data, network, relations , or credentialing . + A minimum of 3 ... on items with critical business implications. + Partners with network management and provider relations , provider services, health delivery associates, and… more
- TEKsystems (St. Louis, MO)
- Job Description We are seeking a strategic and results-driven Managed Care Contracting & Provider Relations Manager to lead our national payor network ... in payor negotiations. + 5+ years in healthcare network management, payor relations , or provider contracting strongly preferred. + Demonstrated success… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …+ Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred, however will ... support to the Region Credentials Verification Office. Responsible for all credentialing verification activities to ensure that processes meet state, federal, and… more
- Robert Half Finance & Accounting (Indianapolis, IN)
- …to facilitate timely renewals. * Coordinate with the Payer Relations Manager to ensure proper alignment of provider credentials with payer contracts. ... license and automobile insurance are mandatory. * Proficiency in provider credentialing systems, such as CAQH, is...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- CVS Health (Florence, KY)
- …+ A minimum of 5 years' work experience in healthcare. + 3 to 5 years provider relations experience + Minimum of 3 years' experience in Medicaid Managed Care ... Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claim Lifecycle, Provider Appeals & Disputes, and Network… more
- CVS Health (Tinton Falls, NJ)
- …**Preferred Qualifications:** **Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claim Lifecycle, Provider Appeals & Disputes, and ... plan design, contract language, service, claims or compensation issues, and provider education needs.** **Optimizes interactions with assigned providers and internal… more
- Medtronic (North Haven, CT)
- …innovation in a more connected, compassionate world. **A Day in the Life** The Physician Relations team is looking for a Program Manager who will play a pivotal ... interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements… more
- Medtronic (Minneapolis, MN)
- …connected, compassionate world. **A Day in the Life** The Senior Employee Relations (ER) Partner is responsible for building strong relationships between employees ... The role takes a proactive, strategic approach to employee relations by identifying higher-level employee relations trends,...and following established ELR processes, as well as building manager skill sets. The Sr. ER Partner works directly… more
- Medtronic (Boulder, CO)
- …employees and all levels of management across the full spectrum of employee relations matters in alignment with our practices, policies, and local labor legislation. ... performance improvement and discipline processes; end of employment/restructuring; labor relations ; crisis management; and, general employee relations coaching… more
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