- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- The Cigna Group (Cleveland, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member ... Contracting Team and reports to the Provider Contracting Senior Manager. This...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Cleveland, OH)
- …needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, ... This position serves as an integral member of the Provider Contracting Team and reports to the...Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- CVS Health (Columbus, OH)
- …+ Advance working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + ... with heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… more
- Elevance Health (Mason, OH)
- …provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... ** Provider Contract/Cost of Care Consultant Senior **...improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Elevance Health (Mason, OH)
- …responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... ** Provider Contract Cost of Care Analyst Senior...the quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- Molina Healthcare (Cincinnati, OH)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those… more
- Molina Healthcare (Columbus, OH)
- …business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more