- Elevance Health (Louisville, KY)
- ** Provider Network Analyst Lead** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while ... for employment, unless an accommodation is granted as required by law. The ** Provider Network Analyst Lead** reviews and strategizes between data, creates… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. **Role Overview: ;** The Provider Network Account Executive II (AE II) is responsible for ... must reside in the state of Ohio **Responsibilities** + Monitor and manage the provider network to ensure service accessibility and compliance with mandates +… more
- AmeriHealth Caritas (Detroit, MI)
- …services. Discover more about us at www.amerihealthcaritas.com. **Role Overview: ;** The Provider Network Account Executive II (AE II) is responsible for ... travel within the state of Michigan **Responsibilities** + Monitor and manage the provider network to ensure service accessibility and compliance with mandates +… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Fort Lauderdale, FL)
- …to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to… more
- Molina Healthcare (Cleveland, OH)
- **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
- AmeriHealth Caritas (Fayetteville, NC)
- …services. Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Provider Network Account Executive (AE II) is responsible for ... issues. The position also involves monitoring and managing the provider network to ensure appropriate access to services, maintaining financial integrity, and… more
- Point32Health (MA)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Elevance Health (South Portland, ME)
- Provider Network Manager Sr. / Contract Negotiations (JR151123) **Sign-On Bonus: $3,000** **Hybrid 1:** This role requires associates to be in-office **1 - 2** ... Limited travel in the state of New Hampshire. The ** Provider Network Manager Sr** . develops the...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + 3 years… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs related ... existing LOBs and new product + Manages the new business continuum for provider network reports and deliverables to monitor network development, gaps and… more
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