- CVS Health (Miami Gardens, FL)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… 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 (Boston, MA)
- …experienced team members **Required Qualifications** + 4 to 5 years of provider relations experience- servicing or managing non-standard relationships with ... needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. -… more
- Goodwill of Greater Cleveland and East Central Ohi (Canton, OH)
- …stay on track. + Network Partner Relations + Work with the Network Manager and the Unite Us Social Care platform team to conduct outreach, onboarding, ... of and attending community events. + Working with the Network Director and Manager in coordinating grant... partners and their technology and/or software partners. + Provide technical assistance to prospective and current network… more
- CareOregon (Portland, OR)
- …n/a Direct Reports n/a Manager Title Provider Relations Manager Department Provider Network Operations Pay and Benefits Estimated hiring range ... design, graphic design, and photography + Understanding of provider network development, education, operations, and relations + Understanding of health… more
- 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 ... adaptable workplace. Alternate locations may be considered. The ** Manager , LTSS Provider Relations and Network Management** directs the activities… 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
- Health Plans, Inc. (Dallas, TX)
- …as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care provider ... customers. The Manager of Provider Relations will also oversee day to day network... groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate… more
- Molina Healthcare (San Antonio, TX)
- …Remote and must live in Texas _** **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...primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director, manages… more
- CVS Health (Williamsport, PA)
- …all with heart, each and every day. Provides strategic leadership and oversight for network management and provider relations . Develops and implements ... network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates...high-quality provider relationships. + **** Manages local provider relations staff to ensure Market Leading… more
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