- 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 ... workplace. Alternate locations may be considered. The **Manager, LTSS Provider Relations and Network Management ** directs the activities related to… more
- Baylor Scott & White Health (Dallas, TX)
- …Master's degree preferred. - 7+ years of experience in healthcare network development, provider relations management , or related area. - 5+ years of ... gathering, negotiation, implementation, and reporting through provider relations and network management activities. - Ensures that all contracts… more
- TEKsystems (Honolulu, HI)
- …physician and facility claims. This role bridges claims processing, provider relations , and network management , ensuring accurate reimbursement practices ... changes in reimbursement practices. + Deliver sensitive messages tactfully and gather provider feedback. + Provide in-person support as needed-must have reliable… more
- CVS Health (Williamsport, PA)
- …heart, each and every day. Provides strategic leadership and oversight for network management and provider relations . Develops and implements network ... growth and ensure high-quality provider relationships. + **** Manages local provider relations staff to ensure Market Leading Provider Satisfaction… more
- CVS Health (Hartford, CT)
- …of Provider Contracting/ Relations . Provides strategic leadership and oversight for network management and provider relations . Develops and ... implements network strategies. Manages provider contracts and negotiations. Monitors provider performance metrics. Leads dispute resolution processes, and… more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a ** Provider Relations Specialist** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally ... up to date with the latest advancements in diabetes management and treatment to provide informed assistance...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
- St. Luke's University Health Network (Allentown, PA)
- …to leaders on a broad range of human resource issues; including employee relations , performance management and ensuring consistency on goal setting, pay ... regardless of a patient's ability to pay for health care. The Employee Relations Specialist will be responsible for handling employees relations matters for… more
- Health Plans, Inc. (Dallas, TX)
- …act as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care provider ... clients and customers. The Manager of Provider Relations will also oversee day to day network... management discussions, and resolve issues. + Manage provider relations team. This includes assigning special… 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...deliver high-quality care to members. + Participates and supports network development strategies with management staff of… 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...provider network . They are responsible for network management including provider education,… more
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