• Provider Field Representative Work…

    State of Colorado (Denver, CO)
    Provider Field Representative Work Lead Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4990511) Apply  Provider Field ... driving value for Colorado. We are looking for a Provider Field Representative Work Lead to join...provider issues related to claims and billing, enrollment, service authorizations, provider portal access, and ancillary… more
    State of Colorado (07/24/25)
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  • Provider Customer Services

    McLaren Health Care (Flint, MI)
    We are looking for a Provider Service Representative to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of ... leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is...linkage to the Medical Management Department for authorization of services . Being an advocate for the Provider ,… more
    McLaren Health Care (07/28/25)
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  • Provider Customer Services

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Provider Service Representative , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is...linkage to the Medical Management Department for authorization of services . Being an advocate for the Provider ,… more
    McLaren Health Care (06/17/25)
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  • Provider Engagement and Performance…

    Magellan Health Services (PA)
    …of Microsoft Office suite and data entry experience. General Job Information Title Provider Engagement and Performance Representative (Remote in PA - Bedford ... and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive … more
    Magellan Health Services (07/24/25)
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  • Provider Customer Service

    CVS Health (Harrisburg, PA)
    …for claims training **Permanent Schedule** M-F 8:10am-4:40pm The role of the Customer Service Representative is to be a customer-focused by putting people first ... resolve issues, resulting in enhanced customer satisfaction and retention. The Customer Service Representative position is designed to join forces across Aetna's… more
    CVS Health (07/25/25)
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  • Senior Provider Relations…

    Molina Healthcare (Buffalo, NY)
    …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . * Working familiarity with various… more
    Molina Healthcare (06/15/25)
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  • Provider Relations Representative

    Molina Healthcare (Los Angeles, CA)
    …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees:… more
    Molina Healthcare (07/25/25)
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  • Provider Services

    Methodist Health System (Dallas, TX)
    …Work Shift: Day Job Description: Job Description: The purpose of the **Associate Provider Services Representative ** is multifaceted; it requires excellent ... hospitals (through ownership and affiliation) with nationally recognized medical services , such as a Level I Trauma Center, multi-organ...will continue to be, the policy of MHS to provide equal employment opportunity to all people in all… more
    Methodist Health System (06/29/25)
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  • Senior Provider Relations…

    Fallon Health (Worcester, MA)
    …hospitals, and ancillary providers within an assigned territory. The Senior Provider Representative is responsible for building and maintaining positive ... on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Senior Provider Relations Representative serves as primary liaison for operational matters… more
    Fallon Health (05/31/25)
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  • Provider Relations Representative

    Fallon Health (Worcester, MA)
    …continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life experiences, ... health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program… more
    Fallon Health (07/24/25)
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