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Provider Relations Manager Jobs

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Job Description Your Talent. Our Vision. At Anthem, Inc. , it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve a...

- Bachelors degree is preferred - Certification Preferred - Experience is required Manager of Provider Relations Department: Hunterdon HealthCare Partners (HHP) Schedule: Full-time Shift: Day shift Hours: 40 hours per week, Monday-Friday Job details: - BS degree in administrative or management discipline preferred - Five years experience in the health care administrative field - Clinical backgr...

Job Description Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it's a powerful combination. It's the foundation upon which we're creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future...

Job Description Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it's a powerful combination. It's the foundation upon which we're creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future...

Senior Manager, Provider Relations - Houston, TX-1501464 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare ...

Description: Job Summary: Manages, plans, organizes and evaluates the staff and activities to ensure accurate and efficient execution of physician and provider contracts and ensures providers are compliant with CareConnect policies and procedures. Responsibilities: Manages recruitment, contracting and maintenance of CareConnect physician and provider network to meet network adequacy standards,...

Job Summary: Manages, plans, organizes and evaluates the staff and activities to ensure accurate and efficient execution of physician and provider contracts and ensures providers are compliant with CareConnect policies and procedures. Responsibilities: Manages recruitment, contracting and maintenance of CareConnect physician and provider network to meet network adequacy standards, sales and mar...

5-7 years of experience required We are seeking a Manager , Credentialing – Provider Relations, to join our team of dedicated professionals as we continue our mission of improving the health of the communities we serve. Job Description The Manager, Credentialing for Mount Carmel Health Plan (MCHP) oversees, develops and monitors the processes and procedures that support credentialing, recredent...

MINIMUM QUALIFICATIONS: Bachelor's degree preferred or equivalent work experience. Minimum of 10 years field sales experience or provider relations experience, with a proven track record of establishing, building, and managing accounts preferred. Must have firm understanding of contracting and negotiating techniques. Must be able to work independently. Must be highly organized and able to man...

Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities Manage the staff in contracting area including work flow, training and communication standards Manage day-to-day provider relations activities and provider relations department Develop, implement and maintain production and quality standards for the contracting...

Senior Provider Relations Specialist The Senior Provider Relations Specialist is responsible for the full range of provider relations and provider service interactions for California Dental Network. Senior Provider Relations Specialists will design and implement programs to build and nurture positive relationships between CDN, dental providers and corporate practice managers. Successful candidate...

Located in central Denver’s historic Washington Park residential neighborhood, associates at Porter Adventist Hospital enjoy beautiful surroundings, leading technology, outstanding leadership and easy access to everything great central Denver has to offer. As a full-service Magnet® designated, 368-bed acute-care referral center specializing in cancer care, joint replacement, spinal care, advanced ...

Description: Position Description:Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare com...

Description: Position Description:Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.SMThe Provider Relations Advocate is responsible for the full range of ...

The Senior Provider Relations Relations Representative will provide education, training, guidance, and other duties as assigned for providers in the assigned IPA's, LPO's and/or networks. Responsibilities: • Develop strong interpersonal relationships with providers. Strengthen and enhance the role of the provider relations representative with providers. • Develop and maintain effective working rel...

This position is responsible for liaison and communication with Covenant Hospice referring sources, both individual practitioners and facilities. They will utilize a variety of resources to promote referrals to Covenant Hospice. Their goal is to ensure that all persons with a need for hospice choose Covenant. The individual is responsible for developing referral relationships. This will involve c...

Bachelor's Degree SUMMARY: Coordinates all health plan-related provider education and training for internal and external physicians and their staff. Functions as the principal MCO staff contact for providers and their staff. ESSENTIAL DUTIES AND RESPONSIBILITIES: Coordinates, formats and conducts provider education based upon needs assessments and issues identified. Meets with internal and ext...

Provider Relations Coordinator Location: Downers Grove, IL Department: Utilization Management (MPAS) Schedule: Full Time Shift: Day Shift Hours: M-F, 8-5 Job Details: Bachelor's Degree SUMMARY: Coordinates all health plan-related provider education and training for internal and external physicians and their staff. Functions as the principal MCO staff contact for providers and their staff. ...

The Provider Relations Representative serves as Beacon’s representative to the provider community in the assigned markets/ regions. Provider Relations Representatives directly support our behavioral health provider network. Support functions include operational issue resolution, training, network access monitoring and provider event planning and participation. Representatives work with clinical an...

The Provider Relations Representative serves as Beacon’s representative to the provider community in the assigned markets/ regions. Provider Relations Representatives directly support our behavioral health provider network. Support functions include operational issue resolution, training, network access monitoring and provider event planning and participation. Representatives work with clinical an...