Average salary: $43,161 /yearly
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- ...job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation • Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area
American Health Plans
Sioux City, IA1 day ago - ...Provider Revalidation Specialist Location: Remote (Must reside in Massachusetts) Travel: Up to 25% for site visits within Massachusetts... ..., provider enrollment, network management, or provider relations in healthcare Intermediate proficiency with MS Excel and Word...SuggestedRemote work
Overture Partners
Boston, MA2 days ago - ...Position Summary The Credentialing Specialist will be responsible for performing tasks related to the credentialing of new providers, including document collection, verification, and file maintenance. The role ensures that all credentialing documentation is confidential...SuggestedPart timeWork experience placement
Pride Health
Morristown, NJ11 days ago $66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr to oversee contracting for independent pharmacy networks. This remote role involves resolving pharmacy inquiries, ensuring compliance with company policies, and maintaining relationships with pharmacy providers...SuggestedRemote workPrime Therapeutics
Denver, CO1 day ago$66k - $106k
Prime Therapeutics seeks an experienced Provider Relations Analyst Sr to manage pharmacy network contracting efforts and resolve inquiries. The role requires a Bachelor’s degree and 5 years in customer service or Pharmacy Benefit Management. Strong communication and problem...SuggestedRemote workPrime Therapeutics
Raleigh, NC4 days ago- ...Provider Relations Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented team. Job Title: Provider Relations Location(s): Baltimore, MD Purpose...Suggested
- A leading insurance provider in the United States is seeking a Supervisor for Provider Relations and Wellness. The role involves overseeing provider onboarding, managing relationships, and coordinating wellness events. Candidates should have a Bachelor of Science in Nursing...Suggested
$25 per hour
...members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements... ...and Skills: 5 years of credentialing, health provider relations, or related experience. Customer service and effective verbal...SuggestedRemote jobTemporary workImmediate start- ...is a group of highly experienced Allergists, Surgeons, Medical Providers and Support Teams. By redefining the allergy and sinus care... ...communicating any issues or concerns to the Director of Provider Relations Ongoing communication and collaboration with marketing team &...SuggestedWork at officeLocal areaFlexible hours
- A leading allergy and sinus expert is seeking a motivated Provider Relations Specialist in Tucson, AZ. This full-time role involves building relationships with physicians and educating them on medical services. The ideal candidate will have 2+ years of medical sales experience...SuggestedFull time
$80.3k - $138.33k
...A prominent health organization in California is seeking a Senior Provider Relations Lead responsible for managing complex provider relationships and overseeing strategic performance governance. The role requires a Bachelor's degree with 7 years of relevant healthcare...SuggestedRemote workSCAN
California, MO9 hours ago- ...A leading risk management provider is seeking an Appeals Team Lead to assist injured workers and claims examiners by managing provider relationships and scheduling appointments. This remote position involves a high volume of calls and requires excellent communication...SuggestedRemote work
CorVel
Fort Worth, TX9 hours ago - Key Benefit Administrators is seeking a Provider Relations Representative to manage network relationships and compliance in Indianapolis, Indiana. This position requires 3+ years of experience in a healthcare or TPA setting, strong communication skills, and proficiency...SuggestedWork at office
$60k - $65k
...committed to excellence . We are seeking an experienced Insurance Relations Specialist to support our organization’s compliance with the... ...out‑of‑network medical bills and establish structured insurer/provider payment dispute resolution processes. The ideal candidate...SuggestedLocal area$66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr to manage pharmacy contracting efforts. Responsibilities include resolving inquiries, ensuring compliance with company and legal requirements, and maintaining the Provider Manual. Candidates should have a Bachelor...SuggestedWork experience placementRemote workPrime Therapeutics
Little Rock, AR1 day ago- SUPERVISOR - PROVIDER RELATIONS AND WELLNESS Madison General Insurance Kenya Limited, a subsidiary of Madison Group and a leading provider of general insurance products throughout Kenya, is recruiting for the above position. Overall Responsibility: Supervisory role involving...Contract work
$13.38 - $23.42 per hour
Overview The Provider Relations Specialist assists providers via phone and email with bill review questions and requests of varying complexity. This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist...Hourly payMinimum wageFull timeContract workWork at officeLocal areaFlexible hours$70k - $75k
...consumer rights. Our over 6,000 employees are all united by one mission: For the People. Summary Morgan & Morgan is seeking a Provider Relations Coordinator who is responsible for developing, maintaining, and servicing high quality, marketable and satisfied provider...Full timeContract workWork at officeLocal areaShift work$66k - $106k
Prime Therapeutics in Richmond, Virginia, seeks a Provider Relations Analyst Sr (Pharmacy Contracting) to manage independent pharmacy network contracting. Responsibilities include resolving inquiries, ensuring compliance, and maintaining relationships with providers. The...Prime Therapeutics
Richmond, VA9 hours ago$66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr to manage pharmacy contracting for their independent network. The ideal candidate will have at least 5 years of relevant experience and a Bachelor's degree. Key duties include resolving contract inquiries and...Contract workRemote workPrime Therapeutics
Boston, MA9 hours ago$56.16k - $99.36k
A leading health insurance provider in New York is seeking an experienced individual to act as a liaison between providers and the company... ...candidate will be responsible for resolving provider-related issues, educating providers about company policies, and ensuring...Contract work- ...A nonprofit health organization is seeking a Senior Provider Relations Manager responsible for building and maintaining relationships with provider groups in California. This role will involve managing strategic partnerships, driving provider performance metrics, and...Remote work
SCAN
California, MO9 hours ago $66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr (Pharmacy Contracting) to manage independent pharmacy networks and resolve inquiries. The role involves ensuring compliance with contractual obligations and collaborating with internal stakeholders. Candidates...Remote workPrime Therapeutics
Oklahoma City, OK4 days ago$66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr for a remote position focusing on contracting efforts and managing independent pharmacy networks. The role includes researching and resolving pharmacy inquiries, ensuring compliance with policies, and maintaining...Remote workPrime Therapeutics
Maryland9 hours ago$48k - $51k
Job Description This role provides critical operational support to the Client Business Manager team while assisting with day-to‑day provider relations, contracting, network operations, and a wide range of client support activities. The position assists where operational...Bi-weekly payWork at officeImmediate startRemote work- ...increase overall revenue. Tasks/Duties & Responsibilities Educates the community about home care alternatives and its benefits. Provides In-service programs to healthcare professionals about other healthcare alternatives that are cost-effective and produce good...
$70k - $80k
...Compensation: $70,000 - $80,000 / year Department: Market Ops - Bay Area 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 education and supporting...Work experience placementWork at officeMonday to FridayWeekend work- Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. We are excited to speak to qualified candidates about opportunity. This position includes a comprehensive benefit package and competitive salary. About Key Benefit Administrators...Contract workWork at officeLocal areaRemote work
- Position Title Provider Relations Associate Analyst Work Location Remote Assignment Duration 6+ months Work Schedule Training hours: Monday through Friday 9:30 AM - 6:00 PM CST. After training, hours will be 10:30 am - 7:00 pm CST. Position Summary The Claims & PR...Contract workFor contractorsWork at officeRemote workWork from homeMonday to FridayAfternoon shift
- ...Columbia, SC, 29203.*** Develops/prepares/reviews/updates all provider education materials. These may include: new highlights, calendar... ...Required Education:** Bachelor's* **Degree equivalency:** 4 years job related work experience or Associate's and 2 years job related work...Full timeWork experience placementSecond jobWork at officeLocal areaMonday to FridayShift work
