- Humana (Phoenix, AZ)
- …with internal and external constituents on all areas of contracting ; network management; adequacy and gaps; provider education; conflict resolution; claim ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital,… more
- Humana (Indianapolis, IN)
- …+ Bachelor's Degree + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... us put health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2)… more
- Magellan Health Services (Boise, ID)
- …to unmet needs, and adequacy of the provider network to provide member choice of providers, and contracting with qualified service providers in ... in the successful development of the provider network including network development, contracting ,...activities as assigned. The job duties listed above are representative and not intended to be all-inclusive of what… more
- Williams Companies (Pittsburgh, PA)
- …The ability to cultivate and nurture an extensive customer and external peer network , deliver superb after-sale customer service and influence others to gain support ... commercial experience with proficiency in economics, marketing practices and contracting + Understanding of the energy industry + Solid...mobility (we promote from within) + Parental leave (we provide up to 6 weeks for each parent) +… more
- Systems Engineering Solutions Corporation (Ashburn, VA)
- …Manager will serve as the Contractor's Point of Contact (POC) for the Contracting Officer's Representative (COR). The Network Program Manger organizes, ... Program Description: This program is required to provide ongoing support for the agencies Network...the primary Contractor Point of Contact (POC) for the Contracting Officer's Representative (COR), maintaining open and… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you… more
- UPMC (Dubois, PA)
- …you passionate about building strong relationships and supporting healthcare providers? As a Provider Relations Representative , you'll be the go-to contact for a ... assigned providers, offering guidance on claims, authorizations, credentialing, and contracting . + Build strong relationships through regular outreach, meetings, and… more
- TekSynap (Springfield, VA)
- …Manager will serve as the Contractor's Point of Contact (POC) for the Contracting Officer's Representative (COR). The Network Program Manger organizes, ... **Responsibilities & Qualifications** **RESPONSIBILITIES** The Network Program Manager (PM) is responsible for overseeing all aspects of the successful delivery of… more
- CVS Health (Annapolis, MD)
- …and opportunities for network expansion, identifies gaps in the existing network , and proactively seeks new provider relationships to address those gaps. ... contracts. + Collaborates on negotiations or may handle contracting and re- contracting discussions with providers, provider groups and/or health systems. +… more