Provider Network Quality & Relations Specialist
VetJobs
Acuity International is seeking a detail-oriented admin professional to maintain provider network data and respond to inquiries across the Provider Information Network System (PINS) and SharePoint. The role includes liaison tasks with multiple departments and prioritizing workload in a dynamic environment. Remote work is contingent on job duties and management discretion; strong communication and organizational skills are essential for success in this office-based position in Cape Canaveral, #J-18808-Ljbffr VetJobs
- Molina Healthcare seeks a Provider Relations specialist to lead education, training, and compliance for its provider network in New York. You will serve as the main liaison between Molina and contracted providers, driving satisfaction and proper adoption of Molina policies...Network
- Doctors HealthCare Plans, Inc. is seeking a Provider Relations Representative in New York to manage provider... ..., and communications within the provider network. The role emphasizes CMS/AHCA guideline adherence, high-quality service, and bilingual English/Spanish communication...Network
- Position Overview We are seeking a motivated and detail-oriented Provider Relations Specialist to join our team in Cocoa, FL. This individual will play a... ...role in supporting and managing our nationwide provider network by onboarding, training, and maintaining strong...NetworkWork at office
- ...responsibilities delegated to the Provider Relations Representative with the... ...Plan's Participating Network of Providers on a "as needed... ...Visit for PCPs and High-Volume Specialists within the established time... .... Active participate in Quality Management Program initiatives...NetworkFlexible hours
- JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider relations activities. Supports network development, network adequacy and provider training... ...including contracting, finance, quality, operations, and may involve senior...NetworkContract workWork at officeNight shift
$24 - $34 per hour
Quality Care Improvement Specialist Department: Quality - Quality Care Improvement Employment... ...quality care across our network, particularly within the... ...Empower Entrepreneurial Provider and Care Teams Operate with... ...Minimum of 1 year of HEDIS-related experience Independent...NetworkHourly payFull timeWork at office- Astrana Health, Inc. is seeking a Quality Care Improvement Specialist to support quality initiatives across our network. You will coordinate with provider offices, review HEDIS and CMS Star Ratings, and drive documentation and coding improvements. The role requires strong...Network
$79k - $112k
...growth. Find your future with us. Position Responsibilities: Lead and provide oversight of the BGS Quality Risk Management process to identify and mitigate Quality risks across the entire BGS network. Developing metrics and Executive required reports. Lead a variety of...NetworkPermanent employmentContract workWork at officeRelocation packageFlexible hoursShift workDay shift$102k - $109k
...products, and services that make quality care more accessible and... ...across a growing global supplier network. Job Summary The Quality... ...geographic location, and other job‑related factors. In addition to base... ...Employer McKesson provides equal employment opportunities...NetworkContract workWork at officeWork from homeHome office$135k - $155k
...on clinic-based kidney care, providing comprehensive management of chronic kidney disease and related conditions in a collaborative,... ...Participate in outpatient quality improvement initiatives Qualifications... ...use the power of our global network to connect businesses with the...NetworkFull time$94k - $142k
At Relativity Space, we’re building rockets to serve today’s needs and tomorrow’s breakthroughs... ...internal rework, maintaining accurate quality records, and managing vendor return... ...process plans and inspection requirements, providing actionable recommendations that improve...- ...Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering... ...to the health plan. Performs all other related duties as assigned. Qualifications...
- ...challenge of filling multiple IT-related openings for either long-term... ...and efficiency. Stefanini provides the IT contract resources you... ...training and retaining high-quality professional staff, and allow... ...technology hardware, software, and network infrastructure. Augment your...NetworkContract workTemporary work
$56.2k - $101k
...reside in FL. Position Purpose: The Community Relations Specialist is responsible for leading activities to... ...activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may also...NetworkFull timePart timeWork at officeRemote workFlexible hours- ...Opportunity: The Imaging and Quality Control Analyst plays a critical... ...service delivery. The role provides an opportunity to work with... ...and troubleshooting imaging-related issues. Monitor and resolve system... ...as well as through a global network of Worldwide locations and...NetworkFull timeLocal areaWorldwide
- AdventHealth Primary Care Network is seeking an Advanced Practice Provider to join our team. This role offers a supportive practice environment with broad clinical exposure and the opportunity to care for patients across the lifespan while maintaining a sustainable work...NetworkWeekday work
$140k - $150k
...Endocrinology Advanced Practice Provider (NP/PA) Location: New... ...Assist with endocrinology-related procedures, including thyroid... ...healthcare teams to deliver high-quality patient care. Qualifications... ...use the power of our global network to connect businesses with the...NetworkFull timeFlexible hours- Jobtailor is seeking a seasoned Provider Contracts professional to negotiate and execute contracts with physicians and hospital providers... ...on Medicaid/Medicare regulatory compliance, credentialing, and network development to align with company goals. The candidate will...Network
- Namely is looking for a Manager to join their Network Contracting Team, focusing on building and maintaining provider networks. This role involves negotiating contracts with healthcare providers and ensuring compliance with standards while working remotely from Florida....NetworkRemote job
$145k - $165k
...‑functional learning, networking, and collaboration are... ...and produce documents. Provide guidance and training... ...potential issues with cost or quality of the document review... ...discovery process. Relativity Certified... ...Relativity Analytics Specialist certification is a plus...NetworkWork at office- Delta Dental Ins. is seeking a Provider Network Ambassador in the Town of Florida, NY. This role will act as a trusted representative, managing provider relationships to ensure a high-quality provider experience. The successful candidate will provide support and build...Network
$60.3k - $132.6k
CVS Health is looking for an experienced Contract Manager in New York to oversee provider negotiations ensuring network adequacy. The role requires a minimum of five years of relevant experience in negotiating contracts and managing provider relationships. Candidates should...NetworkFull timeContract work- CVS Health is seeking a skilled leader for dental provider recruitment and contracting across regions, including large groups/DSOs. The... ...ground campaigns, negotiates provider terms, and drives access and network utilization for key clients. Qualifications include 5+ years in...NetworkFull timeWork at office
- Avalon Healthcare Solutions is seeking a Director of Provider Network & Analytics to lead enterprise analytics initiatives across the organization. The role partners with executive leadership to use complex healthcare data, reimbursement methods, and CPT/HCPCS coding to...NetworkWork at officeRemote work
$57.45k - $120.2k
Provider Relations is responsible for provider relationship management and the performance of high-quality, cost-effective, and competitive provider networks across multiple lines of business to support the retention and growth of Delta Dental's business. The Provider...NetworkWork at officeLocal areaVisa sponsorshipWork visa$91.35k - $123.97k
Relativity Senior Systems Administrator Employment Type: Full Time Department... ...improve the organization’s network systems. CGS brings... ...updated at least semi-annually Provide weekly reports on system health... ..., professionalism, and quality work. Here at CGS we value honesty...NetworkFull timeWork at officeFlexible hours- ...global platform, the Athlete Relations Associate, Signings will play... ...that deliver memorable, high-quality fan experiences. Ensure a seamless... ...fans; a global partner network with approximately 900 sports... ...Any information that you do provide will be recorded and maintained...NetworkContract workFor contractorsFor subcontractorWork at officeWorldwideFlexible hoursNight shift
- Director, Business Development & Client Relations Embark on a Journey That Makes a Difference... ...and collaborations. Leverage existing networks to drive business growth. Sales and... ...budgets to align with fiscal goals while providing company with successful campaigns crucial...NetworkTemporary workCasual workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
- ...passionate about building meaningful relationships and growing your network? If so, this is an opportunity to take your career to the next... ...and increasing deal flow, we are seeking an experienced ISO Relations Manager to join our team. This role is ideal for a high-...Network
$23 per hour
...more about us at About The Job The Quality Associate is responsible for providing support to and oversight of... ...storage. Completes specific quality-related duties associated with batch manufacturing... ..., and as a back-up to, quality specialist including technical documents,...Immediate start
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