- Molina Healthcare (Joliet, IL)
- …in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...and procedures while achieving the highest level of customer service . * Resolves complex provider issues that… more
- Area Agency On Aging 1-b (Southfield, MI)
- Provider Relations Network Manager (PRNM)...The PRNM is responsible for a full range of provider relations and service interactions including ... oversees the provider network, provider relationships, and quality of service delivery through coordination of long-term supports and services.… more
- Trinity Health (Columbus, OH)
- …Relations & Network Manager is responsible for a full range of provider relations and service interactions in MediGold's Ohio market, including: ... wide variety of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient… more
- Modivcare (Edison, NJ)
- …carrier service and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to more junior team members.* ... Creates and influences adoption of solutions that improve our provider network and provide a great member...challenges, communicating and implementing effective solutions.* Has a customer service mindset and the ability to provide … more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Provider Relations Representative ( Provider Engagement Professional 2) is responsible for ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
- Humana (Fairfax, VA)
- …of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship management ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
- Providence (Mission Hills, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...upon request. + 3 years of experience in a Provider Relations role working with physicians in… more
- Access Dubuque (Dubuque, IA)
- …initiatives, both internal and interdepartmental + Maintain and adhere to a list of service standards for the Provider Relations team; track the team's ... Provider Relations Specialist **MedOne Pharmacy Benefit...or Kansas City, MO. **About MedOne:** MedOne is a full- service pharmacy benefit manager (PBM), serving clients… more
- CommonSpirit Health (Prescott, AZ)
- **Responsibilities** The Provider Relations Specialist is responsible for establishing and maintaining positive relationships with various providers across all ... strong, cohesive partnerships. The role is responsible for driving provider engagement and strong communication, supporting network development, managing and… more
- Conduent (Helena, MT)
- …be part of a culture where individuality is noticed and valued every day. ** Provider Relations Call Center Lead** Location: on-site in Helena, MT Salary: $18-20 ... will work closely with the PR Supervisor and PR Manager ensure the team's training are planned and completed...working with Medicaid/healthcare insurance + 1 plus years Customer Service experience in an office environment **Desired Skills and… more
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