- Elevance Health (Houston, TX)
- …** The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, ... **JR177058 Provider Network Manager...the network . + Ability to identify and address network gaps effectively. + Experience with contract and… more
- Elevance Health (Walnut Creek, CA)
- …** The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, ... Provider Network Manager...Primary focus of this role is contracting and negotiating contract terms. + Typically works with less-complex to complex… more
- Commonwealth Care Alliance (Boston, MA)
- …health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align ... Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation...Analyze CAHPS results to identify trends and collaborate with Provider Network , Clinical and Quality teams to… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. Responsible ... education, and communication. This position is also responsible for all provider network recruiting and contracting management activities by ensuring… more
- AmeriHealth Caritas (Washington, DC)
- …satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it ... provider contracts. + Responsible for implementation of electronic strategies for provider network to include increasing electronic claims submission and… more
- Elevance Health (Atlanta, GA)
- …within a commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Lake Mary, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior**...improving the quality of care, and increasing member and provider network satisfaction. + Typically works with… more
- Molina Healthcare (Jackson, MS)
- …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including… more
- Elevance Health (Grand Prairie, TX)
- …impact on the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... **JR177060 Provider Relationship Account Manager ** Responsible for...and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes,… more
- Molina Healthcare (Jackson, MI)
- …and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
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