- CVS Health (Hartford, CT)
- …compassionate. And we do it all with heart, each and every day. The Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group ... or medical industry and/or insurance knowledge **Preferred Qualifications:** + 5+ years dental provider relations experience + DSO experience a plus + DHMO… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- Area Agency On Aging 1-b (Southfield, MI)
- Provider Relations Network Manager...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... provider network trainings and additional activities to support/improve provider network functions and relations . Duties Include: + Oversee the… more
- Trinity Health (Columbus, OH)
- …any time before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… more
- CVS Health (Plantation, FL)
- …on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicates relevant information to ... of agreement, presenting to external clients overview of our network capabilities. The position is hybrid and being hired...rules. + 2-3 years contract building + 2-3 years provider relations + Excellent internal and external… more
- CVS Health (Columbus, OH)
- …communications, or other related area is preferred. Recent experience as a provider relations representative, member service representative, or relevant claim ... plan design, contract language, service, claims or compensation issues, and provider education needs. - Optimizes interactions with assigned providers and internal… more
- CVS Health (Providence, RI)
- …needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. - ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. - Supports or assists… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services...session(s). + Responds to assigned provider questions or inquires, and if necessary, ensures prompt… more
- CVS Health (Denver, CO)
- …geographic territory responsible for overall maintenance and territory management of the provider network , as a functional subject matter expert, demonstrating a ... of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with provider and… more
- CVS Health (Trenton, NJ)
- …Jersey. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
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