- Elevance Health (Cincinnati, OH)
- …health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** This position ... Alternate locations may be considered. The ** Provider Network Manager - LTSS &...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- CVS Health (Phoenix, AZ)
- …partners across Aetna's Medicaid and Medicare lines of business provide national ( LTSS ) Long term support service network oversight for the coordinated and ... for oversight of the execution and adherence to the LTSS network strategy as defined by Aetna...we meet adequacy and other state level requirements for LTSS provider types. + Other duties as… more
- Elevance Health (Mason, OH)
- … Relations** will be responsible for spearheading the development and maintenance of the LTSS provider network , ensuring robust network demographics, and ... Provider Network ) Operations. + Ensures the LTSS provider network has the...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Mason, OH)
- …with Network Support, Contracting, and external stakeholders to ensure LTSS provider qualification standards are followed, maintaining accurate provider ... health, long term services and supports, and psychosocial needs._ ** Network Education Representative Senior - LTSS ** **Location:**... provider training and communication plan, ensuring the provider network has the resources, tools, and… more
- Elevance Health (Independence, 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
- Molina Healthcare (Irving, TX)
- **JOB DESCRIPTION** Opportunity for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Irving, TX ... for determining the types of services we need to provide . Preference will be given to those candidates with...Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our… more
- Molina Healthcare (Des Moines, IA)
- …professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this position ... for determining the types of services we need to provide . Preference will be given to those candidates with...to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our… more
- Molina Healthcare (Northbrook, IL)
- …who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote and field setting supporting our Medicaid Population with. Case ... Manager will be required to physically go to member's...physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. +… more
- Molina Healthcare (IA)
- …member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. + Performs ongoing ... or social work OR any combination of education and experience that would provide an equivalent background **REQUIRED EXPERIENCE:** + At least 1 year of experience… more
- Humana (Lynchburg, VA)
- …strong interpersonal skills. + Serve as primary relationship manager with assigned LTSS and HCBS providers to ensure positive provider experience with Humana ... network providers in Humana's Healthy Horizons in Virginia Medicaid network . This role supports provider onboarding, training, education, and inquiry/issue… more