- CVS Health (Harrisburg, PA)
- …of Aetna policies and procedures, explain Aetna systems, etc. + Serves as primary relationship manager with LTSS and HCBS providers and/or PH and BH providers to ... and provider education needs. + Specialize in supporting Long-Term Services and Supports ( LTSS ) and Physical Health providers. + Meets regularly, both in person and… more
- Elevance Health (Independence, OH)
- …and maintenance of the LTSS provider network , ensuring robust network demographics, and leading the provider relations (PR) teams. This role will ... **Director of LTSS Provider Relations ** **Preferred Location: Ohio.... network 's effectiveness (internal company title is **Director Network Relations ** ) **How will you make… more
- Elevance Health (Los Angeles, CA)
- …opportunities for provider training + Conducts virtual and in-person provider visits to support LTSS network + Functions as a high level technical resource to ... addresses major issues related to systems, customer service issues, new network implementation, etc **Required Qualifications:** + Requires a Bachelor's degree and… more
- Elevance Health (Cincinnati, OH)
- …+ Responsible for monitoring LTSS performance across financial, clinical, LTSS network , and operational KPIs, integrating new regulatory requirements within ... the OH MyCare Program. + Lead Care Coordination and LTSS Provider Relations to execute initiatives/innovations and trend mitigation, ensuring compliance with… more
- Elevance Health (Topeka, KS)
- ** LTSS Provider Network Manager , Contracting** **Location:** Kansas, Candidates must reside in the state of Kansas. Ideal candidates will live within 50 ... miles of an Elevance Health PulsePoint office location. The ** LTSS Provider Network Manager , Contracting**...a minimum of 3 years' experience in contracting, provider relations , provider servicing; or any combination of education and… more
- Humana (Richmond, VA)
- …put health first** The Provider Claims Educator reports to the Claims Education Manager and is responsible for tracking and trending claims data and completing root ... provider claims data for providers in the Virginia Medicaid network to identify trends in denials and rework +...issues stemming from internal systems issues to Provider Claims Manager and support development of systems issue resolution +… more