- Insight Global (Houston, TX)
- Job Description An employer is looking for a Service Provider Network Engineer to sit remotely. You will primarily be tasked with leading project efforts ... Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 7+ years experience in service provider network engineering Strong IP/… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …**Responsibilities** Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance ... the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- AmeriHealth Caritas (Washington, DC)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** ; The Provider Network Account Executive II (AE II);is responsible for ... to resolve provider issues. Responsible for monitoring and managing provider network by assuring;appropriate access;to services throughout the Plan's… more
- AmeriHealth Caritas (Youngstown, OH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is ... works to resolve provider issues. Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the Plan's… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Provider Contract Specialist ( Remote Option within SHP Service Area) **Cost Center:** 101651230 Payor Strat- ... works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver… more
- Molina Healthcare (Southaven, MS)
- …must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ...and procedures while achieving the highest level of customer service . * Resolves complex provider issues that… more
- Molina Healthcare (Southaven, MS)
- …and strategic goals are realized. * Ensures appropriate cross-departmental communication of Provider Service 's initiatives and contracted network provider ... must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development,… more
- CareFirst (Baltimore, MD)
- …contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals. ... contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network ... excellence. Must be able to effectively communicate and provide positive customer service to every internal… more
- Molina Healthcare (Biloxi, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...including but not limited to: Value Based Payment, fee-for service , capitation and various forms of risk, ASO, etc.… more
- Molina Healthcare (MS)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ...& ABILITIES** : * 3 - 5 years customer service , provider service , or claims… more