- Centene Corporation (Jefferson City, MO)
- … reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider... Provide issue resolution support for most complex provider contracts by researching and partnering to resolve … more
- LTD Global (Livermore, CA)
- …and support for regional economic growth through philanthropic initiatives and community engagement . Position Overview: The Senior Network Engineer performs ... requirements. Utilize and follow the change management process for network changes. + Provide Level 3 support...Cisco CCNA, CCNP, or equivalent work experience. + Hands-on Senior Network Engineer with over 4 years… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term ... the contracted working relationship with the health plan. The Senior Provider Engagement Professional work...more years of Health care or managed care with Provider Contracting, Network Management or Provider… more
- Centene Corporation (Sacramento, CA)
- …as needed and coordinates response with internal matrix partners + Manages Network provider performance for assigned territory through a consultative/account ... use of tools and interpretation of data + Coaches new and less experienced Provider Engagement Account Managers + Ability to travel within assigned territory up… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... an accommodation is granted as required by law._ The ** Senior P** **rovider Network Manager** is responsible for developing the provider network through… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network ... Required + Bachelor's Degree + 5 years of relevant experience of either provider network management experience, health care insurance or other health care… more
- Elevance Health (Ashburn, VA)
- …promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager Sr** develops the provider network ... link between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider specialties.… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Manager, Provider Engagement establishes strategies and operational directions for risk adjustment and quality ... improvement. Collaborates with senior leadership and the Health Plan Network ...to ensure competency. **Job Duties** + Leads team of Provider Engagement resources. + Establishes strategy and… more
- Humana (Springfield, IL)
- …and help us put health first** Humana Gold Plus Integrated is seeking a Senior Provider Engagement Professional who develops and grows positive, long-term ... performance within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with ... the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of...more years of Health care or managed care with Provider Contracting, Network Management or Provider… more
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