- Trinity Health (Columbus, OH)
- …before payday. You deserve to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of ... of professional roles including information technology, financial analysis, audit, provider relations and more. We know that...providers to build a cost effective and high quality provider network within MediGold guidelines. + Serve… more
- CVS Health (Harrisburg, PA)
- …positive provider experience with Aetna Better Health and promote network retention. + Supports new assigned providers with onboarding, including orientation ... Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in supporting Long-Term Services and Supports… more
- CVS Health (Providence, RI)
- …needs. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. - ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. - Supports or assists… more
- Area Agency On Aging 1-b (Southfield, MI)
- …support the network and improve provider relations . Compliance/Quality: Provider Network Manager coordinates, manages and audits the provider ... Provider Network Manager oversees... Provider Network Manager oversees the provider... Manager will act as a liaison with provider agencies to provide info on services,… more
- CVS Health (Plantation, FL)
- …on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicates relevant information to ... of agreement, presenting to external clients overview of our network capabilities. The position is hybrid and being hired...rules. + 2-3 years contract building + 2-3 years provider relations + Excellent internal and external… more
- Molina Healthcare (Aurora, IL)
- …Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning… more
- Modivcare (Edison, NJ)
- …work environment for all.* Creates and influences adoption of solutions that improve our provider network and provide a great member experience.* Identifies, ... root cause and take action to resolve within the network .* Makes decisions relating to provider relationships.*...and technology.* Acts as a subject matter expert in provider relations , offering guidance and mentorship to… more
- Elevance Health (Independence, OH)
- … network , ensuring robust network demographics, and leading the provider relations (PR) teams. This role will focus on fostering strong partnerships ... **Director of LTSS Provider Relations ** **Preferred Location: Ohio. This... network 's effectiveness (internal company title is **Director Network Relations ** ) **How will you make… more
- Providence (Mission Hills, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... upon request. + 3 years of experience in a Provider Relations role working with physicians in...advancement. **Requsition ID:** 353840 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services… more
- Humana (Fairfax, VA)
- …of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship management ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more