Provider Relations Specialist - Health Plan Network Liaison
Molina Healthcare of Illinois
Molina Healthcare is seeking a professional for a pivotal role in provider relations within New York. This position involves engaging with providers to ensure satisfaction and adherence to Molina policies while providing training and educational support. Candidates should possess at least 2 years of relevant experience in a managed care environment along with strong organizational and interpersonal skills. The role also involves conducting site visits and problem-solving across the provider network, ensuring effective communication and service delivery. #J-18808-Ljbffr Molina Healthcare
$50k - $60k
...Full-Time Health Plan Partnership Specialist Reports To: Director of Marketing and Community Relations 131-72 40th Road, Queens, New... ...as the primary liaison between the Health... ...health plans, including provider relations, sales,... ...initiatives and optimize network engagement Develop...NetworkHealth InsuranceFull timeFlexible hoursWeekend workAfternoon shift- ...; Medical & Pharmacy Cost Optimization; Network optimization; Administration & Operational... ...clientsClient service mindsetAble to provide leadership over, and influence individuals... ...to payors (including provider led health plans) and services clients (including investor...NetworkHealth InsuranceApprenticeshipWorldwideEasy work
- ...Community Harm Reduction Specialists will work on a field... ...support systems and networks, teach harm... ...training as well as provide Fentanyl test scrips... ...with client’s goals related to housing, health, SUD treatment, and... ...Competitive health and dental plans, with coverage is...NetworkHealth InsuranceDaily paidFull timePart timeWork at officeImmediate startFlexible hours
- ...Time Patient Enrollment Specialist Movn Health is hiring a Part-Time Patient... ...patient questions related to coverage Leverage... ...program. Our mission to provide equitable access to high... ...Permanente, Highmark Health Plan, Allegheny Health Network and the Veteran Affairs....NetworkHealth InsurancePart timeWork experience placementRemote work
$157k - $212.41k
...obesity and obesity-related conditions. As a... .... Medical Science Liaison, Uncontrolled Gout... ...throughout the US. Network and partner with... ...scientific, medical, and health economic... ...and features and provide feedback to the senior... ...offers a Total Rewards Plan, based on...NetworkHealth InsuranceWork at officeRemote workFlexible hours- ...Status: Yes Job Summary: Represents the Health Plan and Provider relationship at the highest level. The... ...exceptional service to our provider network. Job Duties: Serves as a primary relationship... ...experience may be a combination of related work experience and degree obtained (...NetworkHealth InsuranceFull timePart timeWork experience placementWork at officeWork from homeShift work
- ...welcome. At Fogo, we'll provide you with a fulfilling... ...events Catering Specialist Responsibilities: Guide... ...Lead and assist with the planning of their menu and order... .... Attend business and networking events as requested, with... ...Coverage (MEC) Health plan in addition to Dental...NetworkHealth InsuranceHourly payPermanent employmentFull timeTemporary workPart timeLocal areaImmediate start
$55k - $60k
...The Authorizations Specialist ensures timely payer approvals... ...across various health plans. This role reports... ...coverage approval, including network exceptions and single... ...reimbursement, or related field Knowledge, Skills... ...manager authorized to provide instruction or assign...NetworkHealth InsuranceFull timeContract workRemote work- ...required.Experience in nephrology, women's health, or oncology strongly... ...including healthcare outcomes, health plans and provider networks is a plusAbility to counsel and influence... ...authorship of the Healthcare Practice’s related articles for peer-review and other external...NetworkHealth InsuranceApprenticeshipEasy work
$20 - $23.01 per hour
...Summary The Community Specialist is responsible for... ...partners providing synergistic value.... ...company and community Planning and Organizing: Plans... ...in events related to fitness or movement... ...Personal Growth Extended health and dental... ...offerings People networks, mentorship programs...NetworkHealth InsuranceMinimum wagePart timeLocal areaShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift$48k - $55k
...Role: The Member and Provider Experience Specialist serves as the first point... ..., and claims-related inquiries while ensuring... ...authorizations, and network participation. Research... ...and providers on plan policies, digital tools... ...Experience with innovative health insurance plan...NetworkHealth InsuranceRemote workMonday to Friday- JOB DESCRIPTION Job Summary Provides support for provider network administration activities. Responsible for... ...outside parties for update of provider-related information in applicable computer... ...entries of information into health plan systems. Audits loaded provider records...NetworkHealth InsuranceRemote jobWork at office
$44.84k - $53.38k
...Wyoming. Overview Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team! The... ...operations of the Provider Services department. The... ...sponsored health plans and other clients. Perform... ...objectives. Other related duties as assigned/required...NetworkHealth InsuranceWork experience placementRemote workFlexible hours- The Emily Program in New York City, Manhattan and Westchester seeks a Provider Relations Specialist to strengthen partnerships with treatment providers, maintain referral networks, and ensure smooth care transitions for clients. The role collaborates with clinical teams...Network
- ...direct exposure to card network fraud and dispute... ...for a Fraud Strategy Specialist to own that build: turn... ...issuing infrastructure providers generally aren't fraud... ...Own network-level fraud health. Monitor fraud‑to‑sales... ..., dental, and vision plans 401(k) with employer match...NetworkHealth Insurance
$22.5 - $25.89 per hour
Community Specialist | Vernon Hills Shopping Center... ...partners providing synergistic value.... ...company and community Planning and Organizing: Plans... ...in events related to fitness or movement... ...growth: Extended health and dental benefits... ...offerings People networks, mentorship programs...NetworkHealth InsuranceMinimum wagePart timeLocal areaImmediate startShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift- Avēsis is seeking a Provider Relations Representative (PR2) to bridge the vendor network with resources, education, and support across Pennsylvania. The role blends remote work with field engagements to ensure providers are informed, engaged, and compliant with policies...NetworkRemote work
$40k - $50k
...available to them through their health plan. The ideal candidate will... ...calls to patients to provide information and education about... ...significant upside earning potential. Specialists are offered an uncapped... ...in the First Round Network (a curated and confidential...NetworkHealth InsuranceLocal areaRemote workMonday to Friday$113.4k - $162k
...acting as the primary specialist to drive revenue... ..., and advanced networking solutionsProven... ...strategic sales planning and a track record... ...factors, including job-related skills,... ...including:Various health plansTime off plans... ...is committed to providing equal employment...NetworkHealth InsuranceFull timeWork at officeLocal areaRemote work$133k - $190k
...are looking for a Specialist Account Executive... ...and advanced networking solutionsProven proficiency... ...strategic sales planning and a track... ...factors, including job-related skills,... ...including:Various health plansTime off plans... ...is committed to providing equal employment...NetworkHealth InsuranceFull timeWork at officeLocal areaRemote work- Alaffia Health is seeking a Payment Integrity Operations Associate to own end-to-end audit lifecycle, manage provider communications, and collaborate with clinical reviewers, audit managers... ...throughput and services for health plans across the United #J-18808-Ljbffr NearaHealth Insurance
$200k - $220k
...CZSLYfwk Researched and relatable, science-driven and... ...a Medical Science Liaison with Syneos Health. Responsibilities... ...specialty pharmacy providers (SPPs), pharmaceutical... ...integrated delivery networks (IDNs), at designated... ...health care networks. Plan and execute medical...NetworkHealth InsuranceFlexible hoursNight shiftWeekend work- ...SPECIAL SERVICES INC in New York is seeking an HMO Authorization Specialist to manage authorizations for home care services. This key role... ...benefits, including medical and dental coverage, a 401K plan, and opportunities for advancement, are offered. #J-18808-Ljbffr...Health Insurance
- ...Job Description Marketing Liaison - CHAA Home Care Are you an... ...Liaison to bring your expertise, network, and drive to our team,... ...maximize your potential. We’ll provide the resources, strategic... ...Benefits: Comprehensive health coverage, 401(k) matching ,...NetworkHealth Insurance
$66k - $100k
...of a small and growing network of schools operated by... ...School Learning Specialist to deliver engaging,... ...What You’ll Do Provide instructional services... ...and up to date records related to student achievement... ...performance. Health Coverage: Medical: Employer...NetworkHealth InsuranceFull timeFlexible hours$165.24k - $238.68k
...potential to improve both health and quality of... ...a Medical Science Liaison (MSL) is the... ...communicating product-related information to... ...addition, you will provide information on research... ...delivery networks (IDNs), academic centers... ...measures (project plans). Write and...NetworkHealth InsuranceTemporary workRemote workFlexible hours$22 - $24 per hour
...Wellness Liaison is responsible for providing outreach and education... ...enrollment into Health Home and all Sun... ...Minimum Work Related Experience: 2-4... ...River Health is a network of over 40 Federally... ...practitioners, specialists and support staff... ...Savings Plan: Plan for your future...NetworkHealth InsuranceHourly payFull timeRelocation package$66k - $100k
...small and growing network of schools operated... ...School Learning Specialist (Math) to deliver... ...this role, you will provide Special Education... ...instructional lesson plans and classroom... ...Coordinate with related service providers... ...performance. Health Coverage: Medical...NetworkHealth InsuranceFull timeFlexible hours$66k - $100k
...of a small and growing network of schools operated by... ...Kindergarten Learning Specialist to deliver engaging,... ...What You ’ll Do Provide instructional services... ...up to date records related to student achievement... ...performance. Health Coverage: Medical: Employer...NetworkHealth InsuranceFull timeFlexible hours$200k - $220k
...LiaisonResearched and relatable, science-driven and... ...a Medical Science Liaison with Syneos Health.ResponsibilitiesThe... ...specialty pharmacy providers (SPPs), pharmaceutical... ...integrated delivery networks (IDNs), at designated... ...responsibilities include:Plan and execute medical...NetworkHealth InsuranceLocal areaFlexible hoursNight shiftWeekend work
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