- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Albany, NY)
- …the TPA or Provider immediately for a swift resolution. + Assist Network manager in ensuring service level adherence (GOP TAT, eligibility processing, claim ... VIP CLIENT. The ideal candidate will assist the Senior Network Manager in managing competitive and complex...nominations and work with TPA to add those providers In- Network . Manage overall responsibilities of provider nomination… more
- CVS Health (Annapolis, MD)
- …with providers and partners at all levels. + 3 to 5 years of provider relations experience- non-standard relationships with providers with exposure to benefit ... activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.… more
- CVS Health (Swissvale, PA)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- CVS Health (Albany, NY)
- …- Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May ... large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative… more
- Molina Healthcare (Detroit, MI)
- …Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- CVS Health (Downers Grove, IL)
- …to work with others at all levels * Minimum of 5+ years' working experience in Provider Relations or Network Strategy * Minimum 5+ years' experience in ... Audits conducted by vendor and NCQA requirements. + Team Leadership: Manage provider relations staff and oversee day-to-day operations. Recruits, develops, and… more
- Elevance Health (Hanover, MD)
- … preferred. + Training development and presentation experience strongly preferred. + Provider relations , and network contracting experience strongly ... ** Network Relations Specialist MD Market** **Location...providers and practice managers within Maryland's local health plan's provider delivery system. Researches and resolves operational issues. **How… more
- Elevance Health (Norfolk, VA)
- …an accommodation is granted as required by law. The ** Network Relations Consultant** develops and maintains positive provider relationships with provider ... ** Network Relations Consultant** **Location:** _Hybrid1:_ This...providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education,… more
- Molina Healthcare (San Francisco, CA)
- **Job Description** **Job Summary** Responsible for leading provider network operations, contracting support, policies and procedures, and provider ... and provider communications. Requires demonstrated experience and understanding of provider network operations and contracting, particularly as they relate… more
Recent Jobs
-
Division Clinical Simulation Specialist
- HCA Healthcare (St. Petersburg, FL)
-
Executive, Global Environmental Leader
- GE Aerospace (Lynn, MA)
-
Bilingual Customer Care Representative - Remote
- Teleperformance USA (VT)
-
Nurse Manager - L&D and MIU
- Trinity Health (Grove City, OH)