- 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
- The Cigna Group (Los Angeles, CA)
- …our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral ... provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …fulfill this position, the incumbent must be in contact with: Network Administration , Benefits Administration , Provider Reimbursement & Audit, Medical ... Specialist + This role reports to this job: Director, Provider Network Operations + Necessary Contacts: In...procedures, the data structure, and operational efficiencies of the provider data source systems that support the administration… 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
- AmeriHealth Caritas (Newark, DE)
- As the Manager of Provider Network , you will build and nurture strategic provider partnerships that strengthen our network , drive innovation, and ... + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ensure network … more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG Contracts… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability Team ... and reports to the VP, Network Management. This role is a key contributor to..."HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration… more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- EAC Network (Brooklyn, NY)
- …+ Perform all other relevant duties as determined by Supervision and EAC NETWORK Administration . Requirements for this Role: + Bachelors degree in Forensic ... Manager CTCM - Community Re entry Assistance Network Brooklyn CRAN Job Details Job Location 175 Remsen...applying for and receiving public and private benefits and provide linkages to the appropriate community providers. + Maintain… more
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