Average salary: $100,362 /yearly
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$31.2k - $52k
...work while contributing to a fast-paced, collaborative team. Provider Advocate: Be the trusted liaison for providers, helping them navigate... ...Your Day-to-Day Responsibilities: As a Provider Relations Coordinator, you’ll play a critical role in ensuring smooth communication...SuggestedFull timeWork at officeRemote work$39.52k - $43.68k
...applicants residing in California (CA), New York (NY), or Hawaii (HI). Under the direction of the Bill Review Team Lead, the Provider Relations Specialist is responsible for assisting in a full range of provider relations and service interactions with the provider...SuggestedFull timeRemote workHome officeMonday to Friday$41.7k - $92.8k
...with the resolution of claims, pricing, coding, contract, and provider service issues, while partnering with internal departments to evaluate... ...visiting compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns...SuggestedContract workWork at officeWork from homeFlexible hoursHealth Care Service Corporation
Albuquerque, NM1 day ago- ...HCSC is seeking a provider relations professional to help providers navigate our network, improve processes, and ensure contract and financial requirements are met. This role emphasizes education, issue resolution, and relationship management across a national scope....SuggestedContract workWork at officeRemote work
HCSC Group
Springfield, IL3 days ago $15 - $25 per hour
...ll Love This Role: Work From Anywhere:Enjoy the flexibility of remote work while contributing to a fast-paced, collaborative team. Provider Advocate:Be the trusted liaison for providers, helping them navigate processes, resolve issues, and improve their experience....SuggestedRemote workEXL Talent Acquisition Team
New York, NY10 hours ago- ...Provider Relations Specialist IV - Provider ServicesThe ideal candidate is a strategic leader with experience in healthcare delivery, managed care operations, customer relationship management, and provider relations.They have demonstrated leadership experience and a proven...SuggestedFull timeContract workWork at officeLocal areaRemote workFlexible hoursShift work
Kaiser Permanente
Atlanta, GA5 days ago $46.08k - $90.08k
Join us for an exciting career with the leading provider of supplemental benefits! O ur Promise Through skill-building, leadership... ...proximity to the state of Pennsylvania.*** At Avesis, the Provider Relations Representative, II plays a vital role in connecting our vision...SuggestedFull timeContract workLive inWork at officeLocal areaRemote workFlexible hoursNight shift$750 per month
...Overview Due to growth, we are adding a Director, Provider Relations to our team. The Director, Provider Relations is responsible for developing and executing the strategic vision for provider engagement, provider operations, account management, and provider support...SuggestedRemote workFlexible hoursLumicera
Madison, WI5 days ago- ...Lumicera Health Services seeks a Director, Provider Relations to shape and drive the provider engagement strategy for the Lumicera Direct business. You will lead provider relations, account management, and provider support with a focus on growth, retention, and operational...SuggestedRemote work
Partners In Digital Health
United States4 days ago - ...Lumicera is seeking a Director of Provider Relations to lead strategic initiatives across provider engagement, operations, and account management for the Lumicera Direct business. The role reports to senior commercial leadership and guides growth, retention, and performance...SuggestedRemote work
Lumicera
Tallahassee, FL4 days ago - ...facilities and works with nursing home operators to manage medical risk and reduce avoidable hospitalizations. The team collaborates with providers to ensure CMS adequacy, credentialing, and program education while supporting network development and service delivery to plan...SuggestedWork from home
American Health Partners
Columbus, IN1 day ago - ...Lumicera Health Services in New Jersey is seeking a Director, Provider Relations to lead provider engagement and operations for Lumicera Direct. You will shape strategy, align with growth goals, and manage account management, provider support, and engagement functions...SuggestedRemote work
Partners In Digital Health
Ewing, NJ3 days ago - ...vision inquiries, assist with eligibility, benefits, authorizations, and claims, and guide providers through resubmissions and enrollment tasks. You’ll work with Provider Relations and Member Services to resolve issues and ensure accurate credentialing information....SuggestedRemote work
SKYGEN USA
United States3 days ago - ...professional development. Job Summary This position is responsible for providing support, as well as developing and maintaining cooperative... ...performed. Supports providers on medical insurance and claims-related inquiries, leverages knowledge of Medicaid and Medicare...SuggestedWork experience placementWork at officeWork from homeFlexible hoursNight shift3 days per week
Health Care Service Corporation
Springfield, IL3 days ago - ...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...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area
- ...Humana is seeking a Provider Relations Representative to manage day‑to‑day provider relationships for Humana’s Illinois networks, including onboarding, training, and issue resolution. The role emphasizes collaboration with enterprise teams to ensure an exceptional provider...Remote work
Humana
New York, NY5 days ago - ...Centene Corporation is seeking a Provider Relations Specialist to ensure accurate provider setup in our information systems for state reporting and directories. You will act as a main liaison between providers and Centene, resolving complex data issues and contract interpretations...Contract workRemote work
Centene Corporation
New York, NY2 hours ago - ...Working remotely, the part-time Provider Relations Coordinator will manage inbound provider calls, resolve inquiries, and ensure effective communication while upholding HIPAA regulations. Key responsibilities Handle inbound provider calls and log details to resolve issues...Part timeWork at officeRemote work
Virtual Vocations Inc
United States3 days ago - ...Alivi TPA of Florida, LLC is seeking a Provider Relations Lead to manage a regional network of NEMT providers and supervise Provider Relations Representatives. You will ensure network adequacy, provider compliance, and high-quality service while building strong relationships...Work at officeRemote work
Alivi TPA of Florida, LLC
United States3 days ago $47.5k - $86k
...the contracting, credentialing, and maintenance of professional provider data to support marketing, membership, and network contracting... ...internal provider meetings and work groups, and researching issues related to provider credentialing, claims escalations, provider data,...Work at officeRemote workFlexible hoursHCSC Group
Helena, MT3 days ago- ...management of AFMC’s Outreach Services, Inspections of Care, and other related contracts and programs that support improved health outcomes... ..., and collaborates with team members to educate health care providers and consumers and promote quality. Provides strategic...Contract workWork at officeWork from homeNight shift
Arkansas Foundation for Medical Care
Little Rock, AR11 hours ago - ...Lumicera Health Services in Minnesota seeks a Director, Provider Relations to lead the strategic vision for provider engagement, operations, account management, and support across Lumicera Direct. The role reports to the commercial leadership team and drives growth, retention...Remote work
Partners In Digital Health
Saint Paul, MN3 days ago - ...Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our team in California. The PRA collaborates with Provider Relations, IT, and others to review and optimize claims adjudication, test pharmacy networks, and manage remittances and 835s.The role...Contract workRemote work
Navitus
Sacramento, CA5 days ago - ...Lumicera Health Services is seeking a Director of Provider Relations to lead the strategy and execution for provider engagement across Lumicera Direct. You will supervise account management, provider support operations, and engagement functions, aligning with growth and...Remote work
Partners In Digital Health
Lincoln, NE2 days ago $105k - $165.38k
...measure progress against enterprise strategic goals and success of related strategic initiatives Qualifications Bachelor’s degree in... ...healthcare delivery and practice models, and the key drivers of provider engagement, network participation, growth, and sustainability...Remote workWork from home$105k - $165.38k
...measure progress against enterprise strategic goals and success of related strategic initiatives. Job Specifications Bachelor's degree... ...delivery and practice models, and the key drivers of provider engagement, network participation, growth Keen understanding of...Remote workWork from home- ...Lumicera Health Services is hiring a Director of Provider Relations to lead strategy across Lumicera Direct provider engagement, operations, and support functions. You will partner with senior leadership to shape market strategy, drive provider adoption, and develop scalable...Remote work
Partners In Digital Health
Nashville, TN3 days ago - ...Lumicera Direct is seeking a Director of Provider Relations to lead strategy, execution, and partnerships across provider networks. You will manage provider engagement, support operations, and account management while partnering with senior sales and executive leadership...Remote work
Partners In Digital Health
Raleigh, NC3 days ago $75k - $85k
...Market Provider Relations Specialist - Houston 1 Department: Provider Relations Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX 77070 Reporting To: Karen Holt Compensation: $75,000 - $85,000 / year Description About the Role We are currently...Full timeWork at officeRemote workAstrana-Health-1
Houston, TX4 days ago$63.3k - $114.3k
...Senior Provider Relations Representative - Austin Texas### Senior Provider Relations Representative - Austin TexasApply: Remote: TX - Austin: Full time: Posted Yesterday: R0055834At HCSC, our employees are the cornerstone of our business and the foundation to our success...Full timeContract workWork at officeRemote workNight shiftHCSC Group
Austin, TX1 day ago
