- CVS Health (Chicago, IL)
- … growth, and efficiency targets. Manages and oversees compliance within our network responsibilities as provided within the state Medicaid contractual ... * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+...Network Strategy * Minimum 5+ years' experience in Medicaid Managed Care business segment environment with exposure to… more
- CVS Health (Columbus, OH)
- …minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working ... every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health… more
- Elevance Health (Platteville, WI)
- **LTSS Network Relations Consultant Manager ** **Location: We are currently seeking people in the following counties and look forward to speaking with you! ... for employment, unless an accommodation is granted as required by law. The LTSS ** Network Relations Consultant Manager ** is responsible for supporting the… more
- Molina Healthcare (Saginaw, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- Abbott (Livermore, CA)
- …health and get on with their lives. This position leads payor relations (including payor contracting) and regulatory affairs, which are foundational functions to ... payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/ Medicaid enrollment, state licensing, and Joint Commission accreditation +… more
- Commonwealth Care Alliance (Boston, MA)
- …provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and ... network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. *… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including ... By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA… more
- CVS Health (Helena, MT)
- …thinking, problem resolution and interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new locations, general ... or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and… more
- Elevance Health (AR)
- …as necessary. **Preferred Skills, Capabilities and Experiences:** + Medicare network contracting/reimbursement methodology strongly preferred. + Medicaid and ... Provider Network Management Director (Medicare Network Build)...role is contracting and negotiating contract terms for **Medicare, Medicaid ,** and **ACA programs** . Deals with primarily the… more
- Commonwealth Care Alliance (Boston, MA)
- …One Care) populations preferred. * Experience in healthcare program management, provider relations , or network management * Knowledge of Massachusetts BH ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
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