- The Cigna Group (Salem, OR)
- **This position can be located anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The ... position is responsible for dental provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- CVS Health (Frankfort, KY)
- …of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working ... and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain and… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... schedules and payment methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Elevance Health (Woburn, MA)
- **Legal Counsel, Carelon Contracting ** **Location** : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... groups, and other clients of the Carelon Services businesses, including behavioral health, medical benefits utilization management, specialty care solutions, and… more
- Elevance Health (Shasta, CA)
- ** Behavioral Health Community Partnership Manager** **( Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... insightful analytics to improve the delivery of care. The ** Provider Quality Manager** is responsible for leading Behavioral...face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting /… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. * Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- CenterWell (Phoenix, AZ)
- …Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience. + Some ... community and help us put health first** The Senior Provider Engagement Professional develops and grows positive,...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- CenterWell (Olympia, WA)
- …equivalent experience + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
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