- 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! ... unless an accommodation is granted as required by law. The LTSS ** Network Relations Consultant Manager** is responsible for supporting the daily operations and… more
- Elevance Health (Neillsville, WI)
- **LTSS** ** Network Relations Consultant** **Location: We are currently seeking people in the following counties and look forward to speaking with you! (Durand, ... unless an accommodation is granted as required by law. The **LTSS** ** Network Relations Consultant** develops and maintains positive provider relationships with… more
- The Cigna Group (Bloomfield, CT)
- **Medical Senior Director, Clinical Network and Provider Relations - Cigna Healthcare** **Description** The **Medical Senior Director, Clinical Network and ... Provider Relations ** will lead Cigna Healthcare's Clinical Network and Provider Collaboration strategy--reporting directly to the Associate Chief Medical Officer… more
- Cardinal Health (Albany, NY)
- Job Description **_What Network and Payor Relations contributes to Cardinal Health_** At Cardinal Health, the marketing organization is the central hub of ... purpose and passionately delivers total solutions for our customers Network and Payor Relations is responsible for the development and management of business… more
- Cardinal Health (Salt Lake City, UT)
- …our customers. **_What is expected of you for success in your role_** The Network and Payor Relations Advisor is responsible for the development and management ... Services Administrative Organizations (PSAOs). **_Responsibilities:_** + Demonstrates knowledge of network and payor concepts necessary to ensure contract compliance.… more
- CVS Health (Coral Gables, FL)
- …**Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and ... Network Performance Standards. + Experience in Medical Terminology, CPT, ICD-10 codes, etc. **Education** + Bachelor's degree preferred or a combination of… more
- CVS Health (Tallahassee, FL)
- …Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the ... organization's needs and strategic objectives. + Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements. + Assists with the development of provider… more
- St. Luke's University Health Network (Allentown, PA)
- …for Human Resources across St. Luke's Physician Group (SLPG), System Services, and Network -wide Employee Relations . This role is responsible for developing and ... The AVP leads the HR Directors, HR Business Partners, and the Network Employee Relations Investigations team, and serves as a key partner to senior leadership,… more
- Molina Healthcare (Saginaw, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network… more
- Henry Ford Health System (Jackson, MI)
- …performs provider enrollment and compliance functions within a Clinically Integrated Network ( Network ). Key duties include data management, ensuring providers ... meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, and providers, and verifying… more
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