- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs ... + Remote **Responsibilities** + Generates reports used to analyze network adequacy , perform gap analysis and support...new product + Manages the new business continuum for provider network reports and deliverables to monitor… more
- Elevance Health (Waukesha, WI)
- ** Manager Provider Network Management-LTSS (Wisconsin Family Care)** **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Please note that per our ... the autonomy of virtual work, promoting a dynamic and adaptable workplace. The ** Manager Provider Network Management-LTSS (Wisconsin Family Care)** manages a… more
- 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 (Detroit, MI)
- **Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff ... and supports the healthcare needs of plan members. The manager also leads initiatives to improve provider ...** Provider Recruitment, Retention, & Relations** + Ensure network adequacy in accordance with state and… 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 (GA)
- …Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment ... and in compliance with all relevant federal, state and local regulations. Provider Network staff are the primary point of contact between Molina Healthcare and… more
- AmeriHealth Caritas (Newark, DE)
- As the Manager of Provider Network , you will... network to meet member needs and ensure network adequacy . + Oversee provider contracting ... build and nurture strategic provider partnerships that strengthen our network , drive innovation, and ensure high-quality care for our communities. They will… more
- Molina Healthcare (Warren, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS) jobs are ... and local regulations. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy , issue escalations and JOCs on exception,… more
- Molina Healthcare (Sterling Heights, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy , Joint Operating Committees, and delegation… more
- Commonwealth Care Alliance (Boston, MA)
- …into contracting data bases and completeness of all contracting processes. + Assure network adequacy for required services meet all regulatory requirements and ... 011150 CCA- Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider … more
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