- TEKsystems (Billings, MT)
- …Relationship Building + Provider Network Management and Implementation + Healthcare Systems Management + Project Management + Data Analysis Job Duties: + ... TEKsystems is seeking a Montana based Healthcare Provider Network Manager...and/or programs. + Implements reimbursement strategies designed to control healthcare costs. + Utilizes data from multiple… more
- Molina Healthcare (Tucson, AZ)
- …implementation, project management, and analytics. Troubleshoot software problems specific to provider network administration applications. Provide training ... and system data are available to the Provider Network User Community. + Applies OS...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Madison, WI)
- …provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Generates and prepares provider -related data and reports in support of Network Management and ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for...experience + QNXT; SQL experience + Crystal Reports for data extraction To all current Molina employees: If you… more
- AmeriHealth Caritas (Detroit, MI)
- …more than just numbers-it's the foundation of trust, access, and quality care. As a Senior Provider Network Data Analyst, you'll be at the center of that ... intake and change logs. + Mentor and support Provider Network Data Analysts, onboarding... healthcare industry. + Prior experience working with healthcare providers; provider relations experience preferred. +… more
- Molina Healthcare (Los Angeles, CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... requirements of internal customers as it pertains to other provider network management areas, such as ...* Receives information from outside parties for update of provider -related information in computer system(s). * Reviews/analyzes data… more
- Health Plans, Inc. (Charlotte, NC)
- Employers Health Network , LLC. provides comprehensive healthcare plans, which allow employers to provide exceptional quality healthcare benefits at the ... Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is...Bachelor's degree preferred. + Minimum of 7 years in healthcare provider relations, care management / coordination,… more
- Molina Healthcare (Salt Lake City, UT)
- …as related to transitions and implementations of existing plans with regards to provider data . + Organizational expert in responding to legislative and ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims...and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as… more
- Corewell Health (Grand Rapids, MI)
- …and providing market specific data and intelligence. Qualifications - Manager Provider Network PH + Required Bachelor's Degree or equivalent in health ... Job Summary - Manager Provider Network PH Cultivate and maintain... PH Cultivate and maintain productive relationships with providers, healthcare executives and healthcare teams in an… more
- AmeriHealth Caritas (Fayetteville, NC)
- …services. Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Provider Network Account Executive (AE II) is responsible for ... now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about...issues. The position also involves monitoring and managing the provider network to ensure appropriate access to… more
- Highmark Health (Pittsburgh, PA)
- …and payment strategy. The role also leads the strategy and creation of provider network designs and programs. The incumbent is responsible for understanding ... provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy...+ 7 years leadership experience + 7 years in Healthcare Strategy, with strong preference for Payor experience +… more
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