Average salary: $100,362 /yearly
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$39.52k - $47.84k
...and integrity. What You Will Do: ~ Complete end-to-end provider enrollment applications ~ Maintain a detailed log of all... ...work and internet. Research and resolve claim issues related to physician enrollment. Other tasks as needed. What...SuggestedFull timeWork at office$20.7 - $29.93 per hour
...denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states Reviews and obtains appropriate information or documentation...SuggestedFull timeImmediate startRemote workMonday to Friday$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...SuggestedContract workRemote workMonday to FridayHumana
United States18 hours ago$212.6k - $354.3k
...Work at Hometime type: Full timeposted on: Posted Todayjob requisition id: 26009694**Medical Executive****Clinical Network & Provider Relations****Cigna Healthcare** **Region: West Coast****Position Summary**The Medical Executive, Network & Provider Relations serves as...SuggestedLocal areaWork from home- ...Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. This position includes a comprehensive benefit package and competitive salary. About Key Benefit Administrators We are on a mission to improve health and stabilize insurance...SuggestedContract workWork at officeLocal areaRemote work
Key Benefit Administrators
Austin, TX3 days ago $66.35k - $92.89k
...communities in Idaho and Montana, with opportunities for future expansion into additional markets and offerings. We are seeking a Provider Relations Representative to act as a primary liaison between the organization and healthcare providers. In this independent role, you...SuggestedFull timeContract workTemporary workLocal area$59.3k - $80.9k
...Become a part of our caring community The Provider Engagement Professional 2 develops and grows positive, long-term relationships... ...determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front line...SuggestedFull timeContract workTemporary workApprenticeshipLive inWork at officeRemote workWork from homeHome office- 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...SuggestedRemote work
UnitedHealthcare
United States3 days ago - ...Future Opportunities Healthcare Provider Network ContractorEWINGS is seeking to build our talent network with Network Contractor professionals... ...Contract ManagerNetwork Program ManagerProvider Relations SpecialistCredentialing RepresentativeProvider InstallProject...SuggestedContract workTemporary workFor contractorsRemote workWork from home
EWINGS INC.
Phoenix, AZ2 days ago $81.95k - $138.51k
...Your Role The Provider Relations team serves as the primary liaison between Blue Shield of California and its provider network, supporting providers through education, guidance, and issue resolution. The Senior Provider Relations Representative builds provider relationships...SuggestedFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week- ...Representatives educates, promotes and sells pharmaceutical/healthcare products to Physicians and other specialized medical or healthcare providers. If you join our team as a Pharmaceutical Sales Representative you will manage your territory in order to maintain existing...SuggestedRemote work
Innovativ Pharma, Inc.
Kinsey, AL2 days ago $71.7k - $123.49k
...for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. The Job The Provider Relations Lead is responsible for managing and strengthening provider relationships within an assigned geographic region, with a...SuggestedFull timeFor contractorsWork at officeRemote work$20 - $25 per hour
...ensuring accurate and timely claims processing for our members and providers. About the Role As a Claims Referral Specialist II, you will be... ...procedures. Collaborate with internal teams to resolve claim-related issues and support operational goals. Promote a positive, team-...SuggestedWork at officeImmediate startRemote workRelocationVisa sponsorshipFlexible hoursLiberty Dental
Uniondale, NY5 days ago$250k
...Position Purpose Oversee operations for multiple support functions, including configuration, claims support services, provider relations, call center and field operations. Perform duties as chief liaison between the business unit and Corporate policies & standards...SuggestedFull timePart timeWork at officeRemote workRelocationFlexible hoursHong Kong Study Skills Research Institute
New York, NY1 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...SuggestedFull timeTemporary workWork at officeRemote workMonday to FridayFlexible hoursWeekend workAfternoon shiftSamaritan Ministries International
Peoria, IL4 days ago$80.3k - $138.33k
...for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.The JobThe Senior Provider Relations Lead- Houston is responsible for strategic performance governance and executive-level relationship management for high-complexity...Full timeFor contractorsLive inRemote work$36.72 - $53.23 per hour
...such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Senior Provider Relations/Contract Specialist is the liaison between the medical groups, network providers and Scripps Clinic Health Plan Services. Decision...Hourly payFull timeContract workWork at officeRemote work- 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
- Prime Therapeutics is seeking a Senior Provider Relations Analyst specializing in contract negotiation. The position is remote and based out of Minneapolis, MN, focusing on managing provider relations and contract terms. The role requires expertise in negotiating contracts...Remote jobContract work
$58.1k - $90k
...enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and... ...Consult with dental director/dental advisers regarding clinical-related questions and policies, as well as, current dental terminology...Full timeContract workFor contractorsWork at officeLocal areaRemote work- Provider Relations Analyst Sr (Contract Negotiation) - Remote Prime Therapeutics Minneapolis, MN (Remote) Title: Provider Relations Analyst Sr (Contract Negotiation) - Remote Category: Jobs Organiser: Prime Therapeutics Location: Minneapolis, MN (Remote) Eligibility: Not...Remote jobContract work
$83.25k - $111.97k
JOB DESCRIPTION Job Summary Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers...Full timeContract workWork at officeRemote workNight shift$75k - $85k
...Business Analyst Department: ApolloCare TX - 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 seeking a highly...Full timeWork at officeRemote workAstrana Health Management
Brooklyn, NY2 days ago- ...of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it. About the Role As a Provider Partnerships Associate (PPA), you’ll help grow a provider referral territory by building strong partnerships with healthcare...Full timeWork at officeLocal areaWork from home
Doist
Denton, TX4 days ago $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...Work at officeLocal areaVisa sponsorshipWork visa- ...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...Temporary workSeasonal workLocal areaRemote workRelocation package
Trinity Health
Columbus, OH4 days ago $59.3k - $80.9k
Become a part of our caring community The Provider Relations Representative (Provider Engagement Professional) is responsible for day-to-day front line relationship management of network providers in Humana's Healthy Horizons in Virginia Medicaid network. This role supports...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$190k - $220k
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Team Lead, Provider Relations Manager based in United States. This is a high-impact leadership opportunity for an experienced healthcare commercial or provider...Full timeRemote workHome office- ...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...Remote workHome officeMonday to Friday
Gainwell Technologies
United States1 day ago $178.85k - $234.74k
Oscar is hiring a Senior Director of Network Contracting to develop and manage provider network strategies, negotiate contracts, and lead the market contracting team. The role reports to the Vice President, Network Management and is fully remote for candidates in Dallas...Remote work
