. Job Summary: Manages and conducts specific functions of the contracting and provider relations process. This includes sourcing... for the development of contracting strategies. Essential Responsibilities: Contract Negotiation: Negotiates highly...
of NCAL. Job Summary: Manages and conducts specific functions of the contracting and provider relations process... and competitive data for the development of contracting strategies. Essential Responsibilities: Contract Negotiation: Negotiates...
experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting... contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care...
health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the... and the health plan Triages provider issues as needed for resolution to internal partners Receive and effectively...
of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management... will cover Brevard County. Position Purpose: Maintain partnerships between the health plan and the contracted provider networks...
of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management...*** Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities...
a fresh perspective on workplace flexibility. Position Purpose: Responsible for assigned provider's overall experience.../Experience: Bachelor's Degree in related field 3+ years sales, provider relations, account management, client services...
experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting... contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care...
impacts from membership and contracting and guiding staff. Analysis will include review trending of month over month data... documents to ensure provider is paid timely and accurately per contractual agreement Approving Payment Authorizations...
partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure... providers and the health plan Triages provider issues as needed for resolution to internal partners Receive...
experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting... contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care...
Job Summary: Manages and conducts specific functions of the contracting and provider relations process. This includes... and competitive data for the development of contracting strategies. Essential Responsibilities: Contract Negotiation: Negotiates...
, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting...Anticipated End Date: 2025-03-25 Position Title: Provider Network Director (Contract Negotiations...
community partners around contracting and other tasks associated with both upstream and downstream contracts. The position.... They will also lead the work around the provider manual and policy and procedures. This position will support BHRD staff and community...
) Job Description: JOB SUMMARY The Provider Contract Specialist works in cooperation with the Contracting Manager – Marshfield Clinic Health System.../Optional: Experience in payor and/or provider contracting, including professional services, facility, lab, Federally Qualified...
support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the... savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the...
Dental in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease... will be a: FQHC relationship owner Provider relationship manager Targeted Provider recruitment Provider education Provider at risk...
Dental in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease... will be a: FQHC relationship owner Provider relationship manager Targeted Provider recruitment Provider education Provider at risk...
with Commercial/Employer Healthcare Contracting. Manager, Provider Contract Network Management position serves as an integral member... of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...
Anticipated End Date: 2025-03-07 Position Title: Provider Network Management Director Job Description: Provider... miles/1 hour commute of the Seattle, WA Elevance Health location. The Provider Network Management Director develops the...