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Provider Relations Remote Jobs

25 fresh jobs found

Utilization Specialty OT Therapist Pediatric
Remote-TX, United States

Centene Corporation

Outpatient Therapy Services Clinical recommendations Evidenced Based Practice Pediatric care Authorization requests Operations support Documentation standards Network management +17

USD 118K+

Risk Adjustment Auditor Educator
Remote-FL, United States

Centene Corporation

Medical record audits Managed care experience Cms data validation Quality assurance auditing Icd-9 coding Mra data analysis Practice coding patterns Risk Adjustment Coding Quality of care +21

USD 55K+

Chief Operating Officer.
Remote-CA, United States

Centene Corporation

Employee Development Provider Relations Operational planning Network Financial Management Health Insurance Regulatory Managed Care Medicaid +9

USD 231K+

VP, Network Development & Contracting
Remote-TX, United States

Centene Corporation

Network development Provider Relations Healthcare administration Market Expansion Due Diligence Contracting Network Business administration Health Insurance +18

USD 182K+

Manager, Autism Clinical Care
Remote-LA, United States

Centene Corporation

Functional behavioral analysis Behavioral services Quality of care Medical Review Behavioral Analysis Accreditation Claims resolution Clinical Oversight Provider Relations +21

USD 86K+

Senior Provider Education Professional (Medicaid)
Remote US, United States

Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44

Senior Full Time

USD 78K+

Call Center Lead - Healthcare
Any city, OH, US, 99999

Gainwell Technologies

Customer contact operations MMIS Verint Cxone Avaya Provider Enrollment Written and oral communication Analytical Problem Solving Provider Relations +30

Senior Full Time

USD 41K+

Senior National VBC Performance Manager
Remote-NY, United States

Centene Corporation

Bilingual Mandarin Network development Mandarin Provider Relations Bilingual (English Contracting Bilingual (Spanish) Contract management Health Insurance +12

Senior Full Time

USD 86K+

Contracts Manager
Remote-CA, United States

Centene Corporation

Medical office Cost and utilization Contract Development Provider Contracting Operational performance Provider Relations Healthcare administration Healthcare Delivery Procedures +15

USD 86K+

Provider Quality Liaison
Remote-AR, United States

Centene Corporation

HOS P4P Member Experience CAHPS Medical record documentation Grievances Clinical Quality Provider Relations Appeals +21

USD 64K+

Provider Network Operations
Remote US, United States

Analytical work Claims data management Provider Audits Data integrity management Data preparation Large data sets SPSS Provider Relations Microsoft Applications +49

USD 59K+

Provider Engagement Account Executive
Remote-CA, United States

Centene Corporation

Quality measures Value based performance Cost and utilization Health administration Provider engagement Provider Relations HEDIS Clinical operations Performance Improvement +18

Exec Mid Full Time

USD 84K+

Head of Provider and Doctor Relations, East
Remote CA - R1, United States

Optical Industry Commissions Provider Relations Public speaking Advocacy Information security Privacy Verbal communication Communications +14

Exec Senior Full Time

USD 80K+

Head of Provider and Doctor Relations, Central
Remote CA - R1, United States

Health care marketplace Vision insurance Optical Industry Client relationship Commissions Provider Relations Public speaking Advocacy Information security +19

Exec Senior Full Time

USD 80K+

Head of Provider and Doctor Relations, West
Remote CA - R1, United States

Health care marketplace Vision insurance Optical Industry Client relationship Commissions Provider Relations Public speaking Advocacy Information security +19

Exec Senior Full Time

USD 80K+

Provider Relations Representative (CT) - Remote
Any city, CT, US, 99999

Gainwell Technologies

Sharepoint designer Written and verbal communication Provider Relations MS Office Suite Claims Call Center Government SharePoint Billing +24

USD 56K+

Manager, Provider Management - Florida
Work From Home - FL, United States

Healthcare Provider Relations Provider management Network development Network management Provider Relations Medicare Advantage Performance Evaluation Regulatory knowledge Credentialing +31

Senior Mid Full Time

USD 74K+

Provider Engagement Executive
Remote US, United States

Medicare policies Reimbursement methodologies Stars performance Data Sharing Provider engagement Provider Contracting Provider Relations HEDIS Functional strategies +52

Exec Senior Full Time

USD 86K+

Senior Director, Network Contracting & Services
Remote

Network Contracting Contracting Strategies Healthcare Strategy Quality care Network performance Provider Contracting Network development Provider Relations Cost Containment +28

Senior Full Time

USD 192K+

Senior Provider Engagement Account Manager
Remote-CA, United States

Centene Corporation

Cost and utilization Value based performance Quality measures Consultative account management Network performance Provider engagement Provider Relations HEDIS Provider education +15

Senior Mid Full Time

USD 67K+

Provider Relations Senior Manager - CA - Remote
California Work at Home, United States

The Cigna Group

Collaborative care Education delivery Matrix management Provider Relations Service Excellence Health Services Accounts Receivable Consultative Contracting +23

Senior Full Time

USD 110K+

Provider Relations Field Representative, Dental - Kentucky
Work From Home - KY, United States

Claims Submission Operational Solutions Health Plan Operations Provider Credentialing Provider education Provider Relations Microsoft Applications Healthcare Compliance Credentialing +27

USD 44K+

Provider Relations Field Representative, Dental - Utah
Work From Home - UT, United States

Claims Submission Health Plan Operations Provider Credentialing Provider education Provider Relations Healthcare operations Microsoft Applications Eligibility verification Credentialing +27

USD 44K+

Contracts Manager
Remote-AR, United States

Centene Corporation

Contract Development Provider Relations Healthcare administration Health Insurance Contract management Health care Financial analysis Access Insurance +6

USD 84K+

Quality Review & Audit Lead Analyst - DRG Coder - Remote
Connecticut Work at Home

The Cigna Group

Inpatient coding guidelines HIPAA confidentiality DRG Coding ICD-10 Coding Coding Quality Provider Relations Quality review Coding Guidelines ICD +20

Senior Mid Full Time

USD 65K+

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