- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities.; Responsible ... assisting in the development and execution of annual provider network strategy to include network adequacy standards, as well as a marketable network… more
- AmeriHealth Caritas (Washington, DC)
- …**Recruitment** + Responsible for compliance with State and accrediting agencies' network adequacy standards. + Ensures the provider network meets the ... satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy , Joint Operating Committees, and delegation… more
- Molina Healthcare (Saginaw, MI)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Molina Healthcare (Caldwell, ID)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… more
- CVS Health (Raleigh, NC)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of business strategies. + Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within… more
- Unum Group (Portland, ME)
- …team. Help us help others, and join Team Unum today! **General Summary:** The Manager , Network Development, is responsible for leading the Network Recruiting ... the Recruiter Support Specialists to maintain and reach Unum's network goals and objectives. The Manager will... are tracked and communicated + Respond to escalated provider fee negotiations and provide support to… more
- Dignity Health (Bakersfield, CA)
- …generates reporting on the provider network - conducts review of network adequacy and capabilities - maintains and transmits fee schedules, as necessary, ... customer support services to Dignity Health CI/ACO Networks and VBO's team. The Provider Data Management Specialist also supports network development to ensure… more
- CVS Health (Sacramento, CA)
- …+ Oversee and manage all network -related filings in DMHC filings, including network adequacy , timely access, and new product filings. This includes material ... do it all with heart, each and every day. **Job Summary** The Senior Manager , Network Compliance is responsible for managing business projects and programs,… more
- Integra Partners (Troy, MI)
- …surveys, aimed at improving NPS. + Be the voice of the customer for the Provider network so that we can drive better operational processes, improve our technical ... Organization; lead contracting efforts on new vendors/programs and drive engagement within provider network . + Assist with member transitions. What will you… more