- CVS Health (Norfolk, VA)
- …or close enough for day travel** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, ... by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service,...Provider Appeals & Disputes, and Network Performance Standards. + Experience in Medical Terminology, CPT,… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our ... Managed Care Network Value Based Contacting experience with 2-3 years Medicaid Network experience + Must have Microsoft Office experience with intermediate… more
- CVS Health (St. Paul, MN)
- …Qualifications** + 3+ years of recent and related experience in Provider Operations, Provider Relations , or Network operations. + 1+ years of experience in ... every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and...Provider Data Services Analysts responsible for loading and maintaining Medicaid Provider data within Aetna QNXT. + Team will… more
- Molina Healthcare (Saginaw, MI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed healthcare ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- Abbott (Livermore, CA)
- …health and get on with their lives. This position leads payor relations (including payor contracting) and regulatory affairs, which are foundational functions to ... payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/ Medicaid enrollment, state licensing, and Joint Commission accreditation +… more
- Commonwealth Care Alliance (Boston, MA)
- …provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and ... network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. *… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including ... By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA… more
- Commonwealth Care Alliance (Boston, MA)
- …One Care) populations preferred. * Experience in healthcare program management, provider relations , or network management * Knowledge of Massachusetts BH ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Commonwealth Care Alliance (Boston, MA)
- …job. **Required Experience (must have):** + 5+ years of experience in provider relations , healthcare communications, or network management within a health plan ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …the development and advancement of the company's community, government and patient relations activities focused on California. The position is an important part of ... reputation. * Manage national and local charity partnerships. * Coordinate community relations activities at Grifols sites as directed. * Develop and implement… more