- Providence (Torrance, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...Bachelor's Degree in Healthcare Management. + 2 years of Managed care Provider Relations experience.… more
- Pacific Medical Centers (Renton, WA)
- **Description** Under the supervision of the USFHP leadership team, the Provider Relations Representative functions as a liaison among the contracted ... Bachelor's Degree - Healthcare Management. + 2 years - Managed care Provider Relations experience....focus on delivering our mission to advocate, educate and provide extraordinary care. **About Providence** At Providence, our strength… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with ... administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care and… more
- Medtronic (Minneapolis, MN)
- …internal teams. This position will act as a subject matter expert in payer relations , managed care contracting, and market access. In today's rapidly evolving ... Lead the enhancement, execution, and oversight of comprehensive commercial payer, managed care, and contracting strategies, aligning with business unit objectives… more
- Molina Healthcare (Detroit, MI)
- …SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working ... in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy… more
- Molina Healthcare (Buffalo, NY)
- …in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a managed… more
- Independent Health (Buffalo, NY)
- …**between the hours of** **8am and 5pm** **Monday through Friday** . **Overview** The Provider Relations Representative will be responsible for assisting our ... provider constituents and providing exceptional customer service. The Provider Relations Representative will answer...+ Identify potential system configuration or billing issues and provide education to the provider to correct… more
- Molina Healthcare (Ramapo, NY)
- … visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative , CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Medical Group is ... Covenant Health's employed and managed medical practice organization, with more than 300 top...in a timely and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource… more
- CareFirst (Baltimore, MD)
- …Supports network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Relations and Education **Equal Employment Opportunity**… more