- Elevance Health (Atlanta, GA)
- ** Provider Network Management Director ** **Location:** 740 W Peachtree St. NW. Atlanta GA. This role requires associates to be in-office 3 days per week, ... an accommodation is granted as required by law_ The ** Provider Network Management Director...significant impact. * May assist management in network development planning. * May provide work… more
- The Cigna Group (Atlanta, GA)
- **WORK LOCATION: Atlanta, GA** The ** Director ** ** Provider Contracting Network Management ** serves as an integral member of the Provider Contracting ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Macon, GA)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (GA)
- …or equivalent combination of education and experience **Preferred Experience** 10+ years ** Provider Network & Operations experience.** ** Provider Contracting ... in Georgia _** **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional… more
- Molina Healthcare (GA)
- …education, outreach and resolving provider inquiries. + In conjunction with the Director , Provider Network Management & Operations, develops health ... live in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network… more
- Molina Healthcare (Atlanta, GA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (GA)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...healthcare management experience. * Previous health plan provider network administration experience. **Preferred Education** Master's… more
- Molina Healthcare (Augusta, GA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Atlanta, GA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Augusta, GA)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
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