- Elevance Health (Cincinnati, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** This ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS & Contracting** is responsible for… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Provider Network Communications Specialist Requisition # 25004 Exemption Status ... Exempt Management Level n/a Direct Reports n/a Manager Title Provider Relations Manager Department Provider Network Operations Pay and Benefits Estimated… more
- Health Plans, Inc. (Charlotte, NC)
- …of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on enhancing ... and specialty care resources. + Member Education: Educate members about their provider network options, including in- network providers, specialist access,… more
- Dignity Health (Bakersfield, CA)
- …Network Management leadership with the management and optimization of the Value Based provider network operations. This role analyzes provider network ... opportunities for improvement to enhance the efficiency and effectiveness of the provider network , and recommends strategies to address gaps in the provider … more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview** The Provider Network Account Executive II (AE II) is responsible for developing strategic direction and managing day-to-day network ... must reside in the state of Ohio **Responsibilities** + Monitor and manage the provider network to ensure service accessibility and compliance with mandates +… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- AmeriHealth Caritas (Washington, DC)
- …complex and escalated provider service issues, negotiate resolutions, and provide timely contract submissions and network maintenance. Additionally, Account ... **Role Overview** The Provider Network Account Executive II is a self-starter and natural problem solver with strong communication skills, including experience… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the Contracting Manager...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . As the ** Provider Network Executive III** , you will develop and maintains ... network stability and cost containment. Monitor and analyze network performance. + Develop and maintain effective provider...the lead for PNE team in resolution of escalated provider concerns/issues, distribution of workload, and provide … more
- Molina Healthcare (Layton, UT)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
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