Senior Provider Relations Representative
3 weeks ago
Full Time12238 Silicon DriveProfessional Non-NursingDay ShiftPOSITION SUMMARY/RESPONSIBILITIESWorking with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to assigned providers to ensure that all of the groups are effectively informed and updated by the health plan as necessary. Demonstrates an ability to develop and manage the relationship with large and complex provider groups including IPAs and PHOs. Effectively manages individual providers requiring focused attention. Resolves complex issues effecting provider relations.EDUCATION/EXPERIENCEA Bachelor's degree in health care administration, business or a related area is required. Five years of progressively increasing responsibility and experience in managed care environment may be substituted for the Bachelor's degree. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.LICENSUREValid Texas drivers' license and a reliable vehicle are required.#J-18808-Ljbffr
by Jobble
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Senior Provider Relations Representative
1 week ago
San Antonio, United States University Health System- San Antonio Full timePOSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to...
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Senior Provider Relations Representative
1 month ago
San Antonio, United States University Health System Full timeFull Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary...
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Senior Provider Relations Representative
2 days ago
San Antonio, United States University Health System Full timeFull Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary...
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Senior Provider Relations Representative
4 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to...
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Provider Relations Representative
3 weeks ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Representative
2 weeks ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
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Provider Relations Representative
2 weeks ago
San Diego, United States Molina Healthcare Full timeJob Description***Remote and must live in the San Diego area***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all...
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Provider Relations Representative
3 weeks ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Representative
2 days ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Representative
2 weeks ago
San Diego, United States Molina Healthcare Full timeJob Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider...
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Provider Relations Representative
2 days ago
San Diego, United States Molina Healthcare Full timeJob Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider...
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Provider Relations Representative
2 weeks ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Representative
1 day ago
San Diego, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Representative
3 weeks ago
San Diego, CA, United States Molina Healthcare Full time***Remote and must live in the San Diego area*** Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state...
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Provider Relations Specialist
1 week ago
San Antonio, United States HealthTexas Medical Group Full timeThe Provider Relations Specialist for the continued development, implementation, compliance management of a cost-effective provider network, and support the day to day operational needs. This role will assist in the development of network-wide strategies to improve efficiencies and access. Under the direction of the Contract Manager, s/he performs all...
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Industrial Relations Representative
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San Diego County, CA, United States Department of Industrial Relations Full timeTeamwork and Collaboration: Promotes team cooperation and encourages participation. Capable of cross functionality and working well with others on a team to achieve personal goals, team goals, and organizational goals. Takes responsibility for individual actions in order to achieve consistent results. - **This posting may be used to fill future vacancies in...
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Industrial Relations Representative
2 weeks ago
San Diego County, CA, United States Department of Industrial Relations Full time- Teamwork and Collaboration: Promotes team cooperation and encourages participation. Capable of cross functionality and working well with others on a team to achieve personal goals, team goals, and organizational goals. Takes responsibility for individual actions in order to achieve consistent results. - **This posting may be used to fill future vacancies...
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Provider Relations Representative
1 week ago
San Diego, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Customer Relations Representative
3 weeks ago
San Antonio, United States BUGCO Full timeJob Location 606 W Rhapsody, San Antonio, TX, 78216 Position title Customer Relations Representative Description **Full Job Description** BUGCO Pest Control is looking for someone to assist in our continued growth by assisting in Brand Marketing, Social Media, and Customer Service! BUGCO continues to grow through great customer experiences, customer...
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Customer Relations Representative
1 day ago
San Antonio, United States BUGCO Full timeJob Location 606 W Rhapsody, San Antonio, TX, 78216 Position title Customer Relations Representative Description **Full Job Description** BUGCO Pest Control is looking for someone to assist in our continued growth by assisting in Brand Marketing, Social Media, and Customer Service! BUGCO continues to grow through great customer experiences, customer...