- Mastercard (O'Fallon, MO)
- …and governments realize their greatest potential._ **Title and Summary** Director of Network Relations & Compliance Overview: The Director of Network ... working hours. The Director will be responsible for overseeing Third-Party Provider (TPP) relationships, analyzing operating rules, product offerings, and release… more
- Elevance Health (Sarasota, FL)
- ** Network Relations Consultant** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... Additional hours or days may be required based on operational needs. The ** Network Relations Consultant** is responsible for develops and maintains positive … more
- Elevance Health (Los Angeles, CA)
- **Manager, LTSS Provider Relations and Network Management** **Location:** Woodland Hills CA, Costa Mesa CA **Hours:** M - F Standard Working hours ... and adaptable workplace. Alternate locations may be considered. The **Manager, LTSS Provider Relations and Network Management** directs the activities… more
- CVS Health (Boston, MA)
- …experienced team members **Required Qualifications** + 4 to 5 years of provider relations experience- servicing or managing non-standard relationships with ... needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. -… more
- CVS Health (Miami Gardens, FL)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… 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
- WellSense (Boston, MA)
- Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts ... members, no matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible...The Snr PRC acts as liaison between behavioral health provider network and key internal health plan… more
- Elevance Health (Mason, OH)
- … network , ensuring robust network demographics, and leading the provider relations (PR) teams. This role will focus on fostering strong partnerships ... **Director of LTSS Provider Relations ** **Preferred Location: Ohio. This... network 's effectiveness (internal company title is **Director Network Relations ** ) **How will you make… more
- Molina Healthcare (San Antonio, TX)
- …Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… more
- Molina Healthcare (Omaha, NE)
- …Remote and must live in Nebraska _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
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