- Centene Corporation (Olympia, WA)
- … reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider representative ... (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible… more
- Molina Healthcare (Detroit, MI)
- …activities. Please highlight any experience with vaccination programs. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one ... quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality Improvement programs… more
- Molina Healthcare (Hattiesburg, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's… more
- Sharp HealthCare (San Diego, CA)
- …and the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider ... virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements… more
- Molina Healthcare (Naperville, IL)
- …and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's… more
- Wider Circle (Bethlehem, PA)
- Wider Circle is looking for a Community Engagement Specialist - Medicaid to play a vital role in our groundbreaking program, which connects neighbors for better ... them to be more proactive about their health. Wider Circle's trusted delivery network has been proven to drive resilience, improve member experience and … more
- BeneLynk (San Antonio, TX)
- …operations, is in service of this one central vision. REMOTE MEMBER ENGAGEMENT SPECIALIST This position holds accountability for conducting telephonic screening ... beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone calls and handles inbound… more
- WellSpan Health (York, PA)
- Quality Patient Engagement Specialist - Full-Time -Days Location: WellSpan Health, York, PA Schedule: Full Time Schedule Information Monday- Friday 8:00am to ... departments on community related programs and events. Develops a network of internal resources who can lead wellness programs...Travel within the local service area. Site visits include provider and staff engagement . Potential for community… more
- American Red Cross (Providence, RI)
- …its best. Are you ready to be part of the world's largest humanitarian network ?_** **Join us-Where your Career is a Force for Good!** **Job Description:** Joining ... you do. You become a vital part of the world's largest humanitarian network . Joining a team of welcoming individuals who are exceptional, yet unassuming. Diverse,… more
- Health Plans, Inc. (Westborough, MA)
- …care resources. + Member Education: Educate members about their provider network options, including in- network providers, specialist access, and best ... Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is...optimal participation and alignment. + Data & Reporting: Track provider engagement , member interactions, and service utilization;… more