- Molina Healthcare (South Florida, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- L3Harris (Melbourne, FL)
- …land, sea and cyber domains in the interest of national security. Job Title: Sr. Associate / Specialist , Network Planning Engineer (Tier 3) Job Code: 30650 Job ... infrastructure and enterprise systems. Our goal is to provide resilient, secure, and tailored mission critical network solutions. Join us and be part of a team… more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Network Reimbursement Specialist - Associate will ensure that all policies ... and processes that support physician, provider and ancillary agreements are adhered to and applied...with a high degree of accuracy in workflows. The Network Reimbursement Specialist - Associate will have… more
- Molina Healthcare (San Diego, CA)
- **_ Remote and must live in California _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Prime Therapeutics (Lansing, MI)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Specialist Associate - Remote **Job Description** The ... Associate Provider Relations Specialist is responsible for conducting...time frame and triaging inquires received in the Pharmacy Network Management email box. **Responsibilities** + Research claims and… more
- Corewell Health (Grand Rapids, MI)
- …equivalent education and experience + 2 years of relevant experience of either provider network management experience, health care insurance or other health care ... Health - 1239 E Beltline - Grand Rapids Department Name PH - Provider Network Management Employment Type Full time Shift Day (United States of America) Weekly… more
- Aspen Dental (East Syracuse, NY)
- …are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist . The Provider Enrollment Specialist plays a ... a timely manner. + Research and resolve out of network claims issues by investigating provider participation...assigned. **Qualifications:** + High school diploma or equivalent required, associate or bachelor's degree preferred. + 1- 3 years… more
- Centene Corporation (Columbus, OH)
- …databases and reports to monitor network compliance with State requirements. The Provider Data Management Specialist I position is primarily remote, with an ... required. **Responsibilities:** + Create and maintain multiple databases, including, contract provider network , prior authorization, third party liability, … more
- CareFirst (Baltimore, MD)
- …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more
- Capital One (St. Cloud, MN)
- Work From Home, Senior Associate Staffing Specialist **Are you looking for a challenging role that includes the convenience of working virtually at home? Then a ... + 56301 (St. Cloud, MN) This exciting Senior Staffing Specialist opportunity is with the US Card Workforce Management...One reserves the right to request proof of internet provider , speed and service package from the associate… more