Provider Relations Manager Jobs

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546 Provider Relations Manager jobs found on Monster.

Jobs 1 to 20 of 546
The San Francisco Health Plan is a progressive managed care health plan designed by and for the people of San Francisco. Our goal is to provide affordable, quality health care to all residents of San Francisco. We are a fast-paced, team-oriented organization that is rapidly growing due to the Affordable Care Act. Our culture is one of serving with respect, striving for excellence and teamwork. Thi...
The San Francisco Health Plan is a progressive managed care health plan designed by and for the people of San Francisco. Our goal is to provide affordable, quality health care to all residents of San Francisco. We are a fast-paced, team-oriented organization that is rapidly growing due to the Affordable Care Act. Our culture is one of serving with respect, striving for excellence and teamwork. Thi...
Summary The Manager of Contracting and Provider Relations is responsible for projecting and integrating the Mission and Core Values of the organization in the provision contract management services to members of the AHF/AHFMCO Positive Healthcare Medicaid health plan. The Provider Relations Manager, in collaboration with the Director of Contracting and Provider Relations, contributes to the succes...
JOB DESCRIPTION Job Title: Provider Relations Manager Status: Exempt Job Relationship: Reports to Vice President of Provider Relations JOB SUMMARY: The Provider Relations Manager is responsible for all aspects of provider contracting and activities related to the development and ongoing management of a variety of Superior Vision product networks for a specific geographic area. The Provider Relatio...
Howard University Health Sciences Faculty Practice Plan seeks a Provider Relations Coordinator who will act as the liaison between FPP, the physicians group and the various insurance carriers. Incumbents typically work at a high degree of independence with general direction and supervision received from a department supervisor, manager, assistant/associate director or assistant/associate dean. Res...
Essential Duties & Responsibilities Includes the following. Other duties may be assigned. Recruits, contracts, services and maintains the provider network including ancillary and facility providers. Acts as a liaison between internal and external customers regarding the managed care plans. Provides educational presentations to new and exiting providers to endure understanding and knowledge of netw...
Supervisor, Provider Relations Job Label:MAG_1452421BF44 Position Summary: Under the direction of the Manager Provider Relations, this position is responsible for Managing, planning and organizing the operational activities of Provider Relations Department; Ensuring the accuracy and consistency of provider data, records and reporting; Effective implementation and communication of policy; and, Supe...
Workers Comp Provider Relations Supervisor Workers Comp Provider Relations Supervisor needed in Torrance ASAP! Workers Comp Provider Relations Supervisor PLEASE READ FULL JOB DESCRIPTION BEFORE APPLYING. Only applicants with the experience listed below will be considered or contacted for this position. Workers’ Comp Provider Relations Supervisor Needed In Torrance ASAP! The Provider Relations Supe...
JOB DESCRIPTION Job Title: Provider Relations Credentialing Specialist Status: Non-Exempt Job Relationship: Reports to Provider RelationsOperations Manager JOB SUMMARY: Responsible for the credentialing activities of potential new and re-credentialing of existing vision care providers tracking all stats. Data input regarding provider contract status, credentialing verification, and practice inform...
Prospect Medical is searching for a qualified: Customer Service and Member Relations Manager This position is responsible for operations of the Customer Service Department providing day-to-day oversight of Customer Service Representatives, Member Services Representatives, Transportation and Reception ensuring prompt and timely response and customer satisfaction. As well as the overall management o...
A-Team Solutions is currently seeking a Clinical Client Relationship Manager to manage and support accounts from a clinical and business perspective. Must be able to travel up to 50 % of the time. RN, PA, PharmD, Nurse Practitioner or other clinical licensure required Territory Pac NW. Northern California, Washington, Oregon, Idaho area. Seeking a professional with, at minimum, a Bachelors Degree...
Amerigroup, a pround member of the WellPoint family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities. Here, you can do work that matters and offers opportunities for personal and professional growth. Together, our associates are transforming he...
Job Summary: This position is responsible for developing and managing the contracting arrangements between HNJH and assigned Managed Long Term Support and Service (MLTSS) provider networks to enhance HNJH’s capabilities for delivery of quality service at an efficient price. This position will negotiate, implement and maintain oversight over MLTSS provider networks which may include but not be limi...
Explore a career with Adecco, the nation’s leading provider for temporary, temp-to-hire and contingency search/permanent placement services. JOB SUMMARY Leads an employee relations team and serves as the face of HR as it relates to complex employee relations matters. Works with various stakeholders to take a proactive approach to minimizing and resolving employee relations issues and supports Adec...
ViaWest, Inc. has a new and exciting opportunity for a senior level Client Relations Manager in our Dallas market. This fast-paced position will be responsible for developing strategic relationships with our new and existing clients to ensure service provisioning and support are exceptional and to understand client business needs to build on the service offering over time. For consideration, candi...
J. Knipper and Company’s continued growth as the Pharmaceutical industry’s leading sample services provider, creates long term career opportunities for high performing individuals with a strong desire to learn, succeed, and advance. One of those opportunities is now available in our premier Customer Service Contact Center in Yardley, PA. With over 25 years of continued growth as one of the largest...
Krames StayWell is the nation’s largest provider of patient education, consumer health information, and population health management communications. Integrating print, interactive and mobile communications, Krames StayWell is proud to offer solutions that touch more than 80 million health care consumers every year, delivering measurable results for our clients. We are currently seeking a Customer...
Model N (MODN) is the leading provider of Revenue Management solutions that help organizations maximize revenue. With our technology platform, organizations eliminate the complexity that surrounds their revenue management process, around pricing, contracts, compliance, revenue leakage etc. We are seeking a PR professional to be a key member of the marketing team. This role will focus on promoting...
Prospect Medical is searching for a qualified: Provider Network Manager – O.C. Region SUMMARY JOB SUMMARY: The Provider Network Manager will manage assigned territory at a level to meet all company objectives. Duties and responsibilities will include develop and maintain relationships with assigned physicians, oversee the compliance with identified revenue driven initiatives, and identify, pursue...
DESCRIPTION THE COLLECTION is looking to hire a dependable, highly professional individual to assume the newly-created position of Customer Relations Management Administrator (CRM Administrator). The day-to-day task of the CRM Administrator centers on generating new sales for its seven-brand dealership (Audi, Porsche, Ferrari, Maserati, Aston Martin, Jaguar and McLaren) via the dealership’s ADP CR...
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