- Area Agency On Aging 1-b (Southfield, MI)
- Provider Relations Network Manager (PRNM)...claim issue resolutions. + Act as a liaison with provider agencies to provide info on services, ... provider network trainings and additional activities to support/improve provider network functions and relations . Duties Include: + Oversee the… more
- Trinity Health (Columbus, OH)
- …before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
- CVS Health (Providence, RI)
- …needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. - ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. - Supports or assists… more
- CVS Health (Trenton, NJ)
- …Jersey. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Plantation, FL)
- …on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicates relevant information to ... of agreement, presenting to external clients overview of our network capabilities. The position is hybrid and being hired...rules. + 2-3 years contract building + 2-3 years provider relations + Excellent internal and external… more
- CVS Health (Columbus, OH)
- …communications, or other related area is preferred. Recent experience as a provider relations representative, member service representative, or relevant claim ... plan design, contract language, service, claims or compensation issues, and provider education needs. - Optimizes interactions with assigned providers and internal… more
- WellSense (Boston, MA)
- Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts ... members, no matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible...collaboratively with the Manager of Behavioral Health Network Strategy to develop and update provider … more
- Molina Healthcare (Joliet, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
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