- 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 ... * Minimum of 2 years' experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and … more
- CVS Health (Nashville, TN)
- …audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with ... will also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required Qualifications** + A minimum of… 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 ... benefits and/or contract interpretation * Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes… more
- Humana (Lansing, MI)
- …health care or managed care experience working with providers (eg, provider relations , claims education). + Experience with Michigan Medicaid + Knowledge of ... community and help us put health first** The Senior Provider Relations Professional is responsible for fostering... network providers that participate in Michigan's Humana Medicaid Program. Day-to-day work includes conducting provider … 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 ... * Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic… more
- Molina Healthcare (Covington, KY)
- …Remote and must live in Kentucky _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
- Molina Healthcare (New York, NY)
- …and must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … 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
- 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
- CVS Health (Swissvale, PA)
- …**Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, ... relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or… more