- Northeast Georgia Health System, Inc (Gainesville, GA)
- …concerns in an articulate and diplomatic manner both verbally and in writing. Provider Relations . Assists providers in managing patient schedules through the ... of improving the health of our communities. About the Role:Job SummaryPractice Manager III will work independently and have primary responsibility for supervising… more
- Munson Healthcare (Traverse City, MI)
- … credentialing functions. + Certification as a Certified Professional Medical Staff Manager (CPMSM) and/or Provider Credentialing Specialist (CPCS) or ... Lead System Credentialing Specialist - Hybrid Find more than your... team, under the overall direction of the Director, Provider Services Verification, Data, and Relations . Why… more
- University of Massachusetts Amherst (Amherst, MA)
- Manager of Contracting & Insurance Credentialing Apply now ... of the region. Job Summary Under general direction of the Financial Manager of University Health Services responsible for contracts, fiscal management, operations… more
- CVS Health (New York, NY)
- …to make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider ... team to deploy national engagement model. + Manages local Provider Relations staff to ensure Market Leading...+ Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claims Processing, Provider Appeals & Disputes… more
- Centene Corporation (Jefferson City, MO)
- …area (MO/KS) **Position Purpose:** Responsible for maintaining existing and developing new provider relations , and assisting with contracting activities + Manage ... contracting area including work flow, training and communication standards + Manage day-to-day provider relations activities and provider relations … more
- CVS Health (Lansing, MI)
- …and affordable. Position Summary Join the Medicaid Provider Relations team as Provider Relations Manager , where you will act as the primary resource ... plan design, contract language, service, claims or compensation issues, and provider education needs. Additionally, you will: + Research and handle contract… more
- CareOregon (Portland, OR)
- … Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... Job Title Provider Relations Specialist Lead - Behavorial...departments, including, but not limited to Claims, Utilization Management, Credentialing , Provider Data, and Contracting to address… more
- CareOregon (Medford, OR)
- … Relations Exemption Status Exempt Requisition # 24280 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring ... and must comply with all federal laws. Job Title Provider Relations Specialist I Department 116 -...+ Work closely with other internal departments, including Claims, Credentialing , and Provider Data; help address processes… more
- AdventHealth (Altamonte Springs, FL)
- …managed care, provider credentialing , patient financial services, or provider relations . 5 years healthcare managerial experience **EDUCATION AND ... materials required, etc. **SUPPORT - 15%** . Supports Director of Credentialing /Operations, Government Credentialing Manager /Multistate and Manager… more
- CVS Health (Richmond, VA)
- …health care more personal, convenient and affordable. Position Summary The Medicaid Network Provider Relations Manager oversees our Medicaid Provider ... * Minimum of 5 to 7 years' experience in Provider Relations ; experience in Medicaid servicing or...* Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing , Claims Processing, Provider Appeals & Disputes… more
- Aveanna (Orlando, FL)
- Payor Relations Manager ApplyRefer a FriendBack Job Details Requisition #: 195957 Location: Orlando, FL 32801 Category: Sales Salary: Starting at $65,000 per ... year Position Details Position Overview The Payor Relations Manager is a highly specialized sales...Hold weekly or monthly meetings with MCO delegates to provide updates on existing patients and referrals Capture and… more
- CVS Health (Baton Rouge, LA)
- …large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative ... Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have… more
- CVS Health (Princeton, NJ)
- …plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists… more
- CVS Health (Oklahoma City, OK)
- …design, contract language, service, claims or compensation issues, and provider education needs.-Optimizes interactions with assigned providers andinternal business ... limited to,claims payment, contract interpretation or parameters,and accuracy of provider contract or demographicinformation are resolved- Supports or assists with… more
- CareFirst (Baltimore, MD)
- …contracting, and provider relations . + Knowledge and/or experience with provider data, provider credentialing requirements, and common data elements ... development in support of national account sales. The Program Manager will work across two high profile divisions driving...ensure all custom network requests are implemented in the provider data system and data flows downstream to necessary… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and integration with hospital leaders and appropriate departments. The Physician Onboarding Manager will provide subject matter expertise and play the lead ... in new practice facilities. The primary focus is to provide project management oversight to the transition of a...physician/practice into or out of HMHMG. The Physician Onboarding Manager is also responsible for integration into the service… more
- CVS Health (Trenton, NJ)
- …Engagement Specialist will be responsible for monitoring PR mailboxes which encompass provider claim inquiries, credentialing follow up, ERA submissions, W9 ... requests, contracting inquiries, etc. Assigning needed escalations to Provider Engagement Manager . Assist the health plan with provider outreach activities… more
- CVS Health (Lansing, MI)
- …concerns. Required Qualifications + Minimum of 3 years recent and related experience in Provider Operations, Provider Relations , or Network operations. + 1+ ... HEDIS, Credentialing , Grievance and Appeals, SIU, etc. + Coordinates provider status information with member services and other internal departments. + Recruits,… more
- CVS Health (Austin, TX)
- …weekly staff metrics;Required Qualifications- 5+ years recent and related experience in Provider Operations, Provider Relations or Network operations.- 1+ ... to obtain crucial or required information from Providers, such as HEDIS, Credentialing , Grievance and Appeals, SIU, etc.- Coordinates provider status information… more
- HCA Healthcare (Coppell, TX)
- …position is incentive eligible. **Introduction** Do you have the career opportunities as a Manager Provider Ops UC you want with your current employer? We have ... of colleagues. Do you want to work as a Manager Provider Ops UC where your passion...Qualifications** **GENERAL SUMMARY OF DUTIES:** In support of the Provider Relations department within the Urgent Care… more
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