- Molina Healthcare (WI)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
- Magellan Health Services (PA)
- …of Microsoft Office suite and data entry experience. General Job Information Title Provider Engagement and Performance Representative (Remote in PA - Bedford ... and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive … more
- TEKsystems (Miami, FL)
- …be on EST time zone to qualify! MUST HAVE: Any Medicare or medical or provider services representative experience (At least 2-3 years)! MUST be willing to work ... IS SLATED TO START 9/2/25 AND RUN THROUGH 1/30/26 The Associate, Provider Service Representative is responsible for responding to all Department of Health audit… more
- CVS Health (Harrisburg, PA)
- …training **Permanent Schedule** M-F 8:10am-4:40pm The role of the Customer Service Representative is to be a customer-focused by putting people first during every ... by effectively using knowledge of plans, products, procedures, and systems to provide information and resolve issues, resulting in enhanced customer satisfaction and… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Provider Service Representative , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... . **Position Summary:** This position will be responsible for daily provider telephone calls which will include problem solving, eligibility, benefit, and… more
- TEKsystems (Houston, TX)
- …8a-8pEST Monday-Friday including 1 Saturday a month Description: + The Associate, Provider Service Representative is responsible for responding to all Department ... NOW HIRING FOR EXPERIENCED MEDICARE PROVIDER SERVICES REPS!! This is fully remote anywhere,...About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business… more
- TEKsystems (Jacksonville, FL)
- About the Role: We are seeking a dedicated and detail-oriented Provider Services Representative to join our remote team. In this role, you will serve as a vital ... and professional responses to Department of Health audit calls and other provider inquiries. Your ability to communicate clearly, manage multiple systems, and… more
- CVS Health (Frankfort, KY)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions,...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
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