Provider Relations Specialist
Gainwell Technologies
Gainwell Technologies seeks a Provider Field Representative Remote U.S. to support enrollment data processing and member services from a fully remote home office.
The role requires availability Monday to Friday, 8:00 AM to 5:00 PM, with some travel within Delaware as needed. You will work across multiple systems to input data, meet service levels, and navigate healthcare regulations while helping clients improve health outcomes.
#J-18808-LjbffrVacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Provider Relations Specialist in United States vacancy
- ...Provider Relations SpecialistParadigm is an accountable specialty care management organization focused on improving the lives of people with... ...is seeking a full-time, fully remote Provider Relations Specialist to join our team. In this pivotal role, you will leverage your...SuggestedFull timeContract workPart timeWork experience placementLive inLocal areaRemote workFlexible hours
Paradigm
Tampa, FL1 day ago $20.68 - $28.88 per hour
...MaineCare Provider Policy SpecialistDepartment of Health and Human Services (DHHS)Opening Date: August 21, 2026Closing Date: September... ...populations• Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid...SuggestedWork at officeImmediate startFlexible hoursState of Maine
Augusta, ME4 days ago$21.25 - $29.8 per hour
...Provider Relations Specialist Main Center - Greeley, CO 80631 Overview Salary Range $21.25 - $29.80 Hourly Position Type Full Time Benefited Job Shift Day Education Level Not Specified Description Provider Relations Specialist North Range Behavioral Health...SuggestedHourly payFull timeWork at officeShift workNorth Range Behavioral Health
Greeley, CO2 days ago- ...State of Maine seeks a Provider Relations Specialist in Augusta to educate providers on the PERM process and MaineCare policy, improving billing accuracy and reducing audit risks. You will collaborate with OMS and DHHS teams, analyze complex claims, and present training...SuggestedPermanent employment
State of Maine
Augusta, ME2 days ago - ...Usenourish is seeking a Provider Partnerships Associate in Tampa, FL, to drive patient referrals through relationship building with healthcare providers. This full-time field role offers a competitive base salary along with uncapped monthly variable compensation. The...SuggestedFull time
Usenourish
Tampa, FL4 days ago $50k - $60k
...Full-Time Health Plan Partnership Specialist Reports To: Director of Marketing and Community Relations 131-72 40th Road, Queens, New York, 11354, United States The... ...CBWCHC) and managed care health plans, including provider relations, sales, and marketing teams. This role...Full timeFlexible hoursWeekend workAfternoon shiftCharles B. Wang Community Health Center
New York, NY2 days ago- ...Provider Relations SpecialistWork closely with the Provider Relations Manager, Clinical Director, Chiefs, and other OCOK departments to build... ...vehicle is required for travel.The Provider Relations Specialist will have access to confidential records, including youth files...Contract work
Our Community Our Kids
Fort Worth, TX1 day ago - ...TaylorMED Boise is seeking a Provider Relations & Community Outreach Specialist who is outgoing, professional, organized, and relationship-driven. The role focuses on building referral networks, representing the clinic in the community, and supporting growth across locations...
Miller, Larry Dodge, Inc
Meridian, ID2 days ago - ...Provider Relations SpecialistProvider Relations Specialist I: Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and...Work at office
Emergent Holdings
Lansing, MI1 day ago $20.68 - $28.88 per hour
...policies, with a primary focus on the MaineCare Benefits Manual, and providing clear, accurate, and timely guidance to MaineCare providers.... ...populations Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving...Hourly payWork at officeImmediate startFlexible hoursDepartment of Health and Human Services
Augusta, ME4 days ago- ...Serves as a senior Human Resources (HR) consultant and subject matter expert supporting employee relations for employed physicians and advanced practice providers (APPs) within the Medical Group. Manages complex provider workplace issues, conducts and supports investigations...Contract workWork experience placementRemote work
WellSpan Health
York, PA2 days ago - ...Providence is seeking a part-time Provider Relations Representative in Eureka, CA to act as a liaison among contracted physician and specialist offices and Providence networks. This role involves ongoing communication, in-service, orientation, and guidance to provider...Part time
Providence Health Plan Group
Eureka, CA3 days ago - A major health care provider is seeking a Senior Provider Relations Representative for a remote role within WA, MO, or NC. This position focuses on resolving provider issues, enhancing provider relationships, and analyzing performance data. Ideal candidates should have...Remote work
UnitedHealthcare
United States3 days ago $60.6k - $86.5k
...values work-life balance, continuous learning, and career development. Summary Gainwell Technologies is seeking an experienced Provider Relations Supervisor to oversee the day-to-day operations of our Provider Relations team. In this role, you will lead and develop staff...Full timeRemote workFlexible hoursGainwell Technologies
Indiana, PA1 day ago$65k - $88.6k
...Humana Inc. is seeking a Provider Contracting Professional 2 to initiate, negotiate, and execute ancillary LTSS/HCBS contracts for a health insurance organization. You will communicate terms, analyze financial impacts, and maintain contract documentation. This is a...Contract workRemote workMonday to FridayHumana
United States19 hours ago- Valley Health is seeking a Communications Technician to handle incoming calls, transfer inquiries, and guide the public to proper facilities. The role includes paging physicians and updating on-call schedules while upholding safety and organizational values. The position...
Valley Health
Winchester, VA3 days ago - ...Provider Service Specialist *REMOTE OPPORTUNITY* This position is temporary/seasonal through April 2027. The schedule is M-F, 8am-4:30pm EST. Medicare Advantage experience would be helpful, managed care, health insurance, as well as customer service and call center experience...Temporary workSeasonal workLocal areaRemote workRelocation package
Trinity Health
Columbus, OH4 days ago - ...Title: Provider Onboarding Specialist I Reports To: Director, Product Department: Product & Engineering - Provider Relations Location: Cincinnati, OH Position Status: Salary Exempt About DMG Divisions Maintenance Group provides facility maintenance services to retail chains...Immediate start
Quiet Capital
Cincinnati, OH2 days ago - ...Astrana Health Management seeks a Business Analyst, Market Provider Relations to support the Texas Market Provider Relations team. This role reports to the Texas Market Provider Relations Leader and provides analytical, reporting, operational, and project support across...
Astrana Health Management
Brooklyn, NY2 days ago - ...Devoted Health is seeking a Provider Contracting Manager located in Kansas, Texas, Illinois, Washington, or Oregon to build and maintain our Medicare Advantage provider network. You will identify, negotiate, and execute contracts across a defined geographic territory,...
Devoted Health
Topeka, KS2 days ago $30 - $40 per hour
...Provider Relations Specialist - El Monte, CA Employment Type: 1099/Independent Contractor Compensation: $30 - $40 hourly Nexus HR is looking for a Provider Relations Specialist to support provider network development and contracting efforts for an Independent Practice...Hourly payContract workFor contractorsNexus HR
El Monte, CA1 day ago- ...Prepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an... .../audit findings. Responsible for documenting cost savings related to reviews/audits. Identifies changes with hospital. Why Join Us...Full timeFor contractorsWork experience placementWork at officeLocal areaShift workNight shift
Southcarolinablues
Columbia, SC1 day ago - ...Doctors HealthCare Plans, Inc. is seeking a Provider Relations Representative to professionally manage orientations for newly contracted providers, maintain education acknowledgments, and disseminate the Provider Handbook and policies. The role includes annual site visits...
DOCTORS HEALTHCARE PLANS, INC.
Coral Gables, FL3 days ago $72k - $80k
...9, Suite 570 Houston, TX 77070 Compensation: $72,000 - $80,000 / year Department: Provider Relations Description We are currently seeking a highly motivated Provider Relations Specialist in the Houston area who will be responsible for field and office activities in providing...Work experience placementWork at officeWeekend workAstrana Health
Houston, TX3 days ago- ...CVS Health is seeking a Provider Relations Specialist for a remote role in the West region. You will serve as the primary resource for high-profile providers, addressing complex issues in policies, contracts, service, claims, and education needs to maintain strong relationships...Remote work
Stryker
Denver, CO1 day ago $19.7 - $27.2 per hour
...Provider Relations Specialist About Company Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic, compassionate, and personal service in the name of Christ to enable and inspire members to provide for one another’s medical...Full timeTemporary workWork at officeRemote workMonday to FridayFlexible hoursWeekend workAfternoon shiftSamaritan Ministries International
Peoria, IL4 days ago- ...Aging Services of North Central Massachusetts seeks a dedicated service coordinator to act as a liaison among consumers, providers, and case managers. The role emphasizes timely service implementation, data entry for authorizations, and proactive communication with clients...
Aging Services of North Central Massachusetts
Leominster, MA2 days ago - Humana is seeking a Provider Relations Representative (Provider Engagement Professional) for Virginia, focusing on LTSS/HCBS provider engagement within Humana Healthy Horizons. The role emphasizes onboarding, education, and prompt issue resolution, maintaining strong provider...Remote job
$25 - $32 per hour
...specializing in physical therapy, massage/wellness and fitness. We provide services to seven clinic locations across San Diego County... ...an upbeat, friendly, dedicated, results-driven Provider Relations & Growth Specialist to add to our growing team helping us to provide exemplary...Full timePart timePrivate practiceLocal area- Serve as liaison between CareOregon and the provider-partner network Focus on establishing and strengthening provider-partner relationships... ...to quality care Conduct provider site visits to maintain relations and effectiveness Requirements Minimum 4 years' relevant...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Provider Relations Specialist. Be the first to apply!
Related searches
- cost specialist United States
- strategic sourcing specialist United States
- absence management specialist United States
- lead sourcing specialist United States
- peer recovery specialist United States
- authorization specialist United States
- treasury specialist United States
- print production specialist United States
- workforce management specialist United States
- wellness specialist United States