• Provider Network Contract…

    AmeriHealth Caritas (Harrisburg, PA)
    **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
    AmeriHealth Caritas (08/08/25)
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  • Senior Provider Network…

    Pacific Medical Centers (Renton, WA)
    …concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:** ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… more
    Pacific Medical Centers (09/18/25)
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  • Senior Provider Relations…

    Molina Healthcare (Buffalo, NY)
    …service area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or ... York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
    Molina Healthcare (09/25/25)
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  • Provider Relations Representative…

    Molina Healthcare (Ramapo, NY)
    …service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or ... visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
    Molina Healthcare (09/12/25)
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  • Senior Representative , Provider…

    Molina Healthcare (WA)
    …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
    Molina Healthcare (08/28/25)
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  • Provider Contract Manager

    Avera (Sioux Falls, SD)
    …have proper documentation to join and remain in the network . + Maintain provider manual and policies and maintain contract database and associated files. + ... Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) … more
    Avera (09/13/25)
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  • Network Management Specialist…

    Magellan Health Services (Albuquerque, NM)
    …includes managing provider contracting activities in coordination with the Network team and processing all necessary contract -related updates. Key ... provider contracting functions in collaboration with the Network team + Process contract -related updates including:...network management. The job duties listed above are representative and not intended to be all-inclusive of what… more
    Magellan Health Services (09/12/25)
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  • Provider Services Representative I

    Methodist Health System (Dallas, TX)
    …Day Job Description: Job Description: The purpose of the **Associate Provider Services Representative ** is multifaceted; it requires excellent interpersonal ... share information, and facilitate relationships with Dallas Methodist Physicians Network (DMPN) physicians and their office personnel; Methodist Patient Centered… more
    Methodist Health System (09/28/25)
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  • Network Operations Representative

    Apex Health Solutions (Houston, TX)
    …* Required 3+ years of experience in managed care environment, health plan finance, provider network management or managed care consulting. * At least one year ... and their office staff. The position assists in contract negotiations, contract management and optimizing a high-performing network of both PCP and… more
    Apex Health Solutions (09/18/25)
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  • Provider Network Management Director

    Elevance Health (Overland Park, KS)
    …promoting a dynamic and adaptable workplace. **Position Overview:** Develops the provider network through contract negotiations, relationship development, ... large scale, multi-faceted negotiations + Serves as business unit representative on enterprise initiatives around network management... development planning to include gap fill projects and network adequacy reporting + May provide work… more
    Elevance Health (10/02/25)
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