Healthcare Network Manager II
7 days ago
AmeriHealth Caritas Health Plan is seeking a skilled Healthcare Network Manager II to join our team. This critical role bridges the health plan and its provider network, emphasizing strong provider relationships, contractual compliance, performance improvements, and high-impact account management.
This position combines strategic thinking, problem-solving, and data-driven decision-making to optimize outcomes for members and enhance provider satisfaction. Collaboration with internal teams and effective use of technical systems are central to ensuring the financial integrity and operational success of the provider network.
The ideal candidate will have a bachelor's degree or equivalent education and experience, with 5-10 years of experience in managed care or health insurance, specifically in Medicaid, Medicare, and ACA Exchange programs.
Key responsibilities include:
- Managing provider network value-based contracts and high-dollar, multi-specialty practices
- Ensuring accurate provider data and implementing corrective actions to ensure compliance with regulatory mandates
- Delivering provider education sessions and analyzing performance metrics to implement improvement plans and achieve measurable results
We offer a comprehensive benefits package, including flexible work solutions, competitive pay, paid time off, holidays, and volunteer events. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect.
Estimated Salary: $90,000 - $110,000 per year, depending on location and experience.
-
Healthcare Network Manager
4 days ago
Greenville, North Carolina, United States AmeriHealth Caritas Full timeJob Overview:AmeriHealth Caritas is seeking a skilled Provider Network Account Executive II to join our team in Eastern North Carolina. This critical role requires building and maintaining strong provider relationships, ensuring contractual compliance, driving performance improvements, and managing high-impact accounts.The ideal candidate will have 5-10...
-
Healthcare Network Development Specialist
4 days ago
Greenville, North Carolina, United States AmeriHealth Caritas Full timeCompany OverviewAmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering comprehensive, outcomes-driven care to those who need it most. Job DescriptionThe Provider Network Account Executive II plays a critical role in bridging the health plan and its provider network in Eastern North Carolina. This position emphasizes...
-
Healthcare Network Relationship Manager
3 days ago
Greenville, North Carolina, United States AmeriHealth Caritas Full timeJob OverviewWe are seeking a highly skilled Healthcare Network Relationship Manager to join our team in Eastern North Carolina.This role is critical in bridging the health plan and its provider network, ensuring strong relationships, contractual compliance, and performance improvements.
-
Healthcare Network Development Specialist
3 days ago
Greenville, South Carolina, United States AmeriHealth Caritas Full timeAt AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.We deliver comprehensive,...
-
Healthcare Network Development Specialist
7 days ago
Greenville, North Carolina, United States AmeriHealth Caritas Full timeWe are seeking a skilled Healthcare Network Development Specialist to join our team at AmeriHealth Caritas. As a critical member of our healthcare solutions team, you will play a key role in building and maintaining strong relationships with healthcare providers in Eastern North Carolina.The ideal candidate will have 5-10 years of experience in managed care...
-
Healthcare Relationship Manager
3 days ago
Greenville, South Carolina, United States Prisma Health Full timeAbout the RoleAs a key member of our team, you will serve as the primary point of contact for healthcare providers in our region, fostering strong relationships and ensuring seamless communication. Your expertise will be invaluable in promoting network growth, collaboration, and success.Main Responsibilities- Develop and maintain effective working...
-
Healthcare Operations Manager
7 days ago
Greenville, North Carolina, United States Aveanna Healthcare Full timeAs a Healthcare Operations Manager at Aveanna Healthcare, you will be responsible for overseeing the clinical care delivered by our field staff to ensure it meets or exceeds our standards of excellence. This leadership opportunity involves managing a caseload of medically fragile patients and ensuring their needs are met.With a strong focus on internal case...
-
Network Operations Manager
1 week ago
Greenville, South Carolina, United States Communication Technology Services Inc Full timeJob Description:We are seeking a highly skilled Network Operations Manager to join our team at Communication Technology Services Inc.This strategic role is responsible for shaping and optimizing the Network Operations Center (NOC) operational processes. The ideal candidate will ensure the efficient functioning of monitoring systems, oversee NOC technicians,...
-
Home Risk Assessment Healthcare Professional
7 days ago
Greenville, South Carolina, United States Matrix Medical Network Full timeCompany OverviewMatrix Medical Network offers a range of clinical services and expertise to support primary care providers and at-risk health plan members. Our network of clinicians delivers quality care, identifies chronic conditions, and improves health outcomes.About the PositionWe are seeking a skilled Nurse Practitioner or Physician Assistant to conduct...
-
Cybersecurity Network Specialist
7 days ago
Greenville, North Carolina, United States Find Great People Full timeJob Title: Cybersecurity Network SpecialistAbout the Role:We are seeking an experienced Cybersecurity Network Specialist to join our team. The ideal candidate will have a strong background in designing, implementing, and maintaining network infrastructures that ensure optimal performance, security, and scalability.Main Responsibilities:Network Architecture...
-
MRI Technologist for Healthcare Excellence
7 days ago
Greenville, South Carolina, United States Health Advocates Network-Allied Full timeJob Title: MRI Technologist">About the Role:"> We are seeking an experienced MRI Technologist to join our team at Health Advocates Network-Allied. As a travel MRI Technologist, you will have the opportunity to work in various healthcare settings while developing your skills and expertise.Key Responsibilities:"> "> Perform high-quality MRI scans using...
-
Medical Network Development Specialist
7 days ago
Greenville, North Carolina, United States AmeriHealth Caritas Full timeJob Title: Medical Network Development Specialist">About Us:AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering comprehensive, outcomes-driven care to those who need it most.We are committed to helping people get care, stay well, and build healthy communities. Our integrated managed care products, pharmaceutical...
-
Pharmacist II
6 days ago
Greenville, North Carolina, United States ECU Health Medical Center Full timeAbout ECU Health Medical CenterECU Health Medical Center is one of four academic medical centers in North Carolina, serving as the flagship hospital for ECU Health and the primary teaching hospital for The Brody School of Medicine at East Carolina University. Our 974-bed facility provides a wide range of healthcare services to a 29-county region with over...
-
Healthcare Supply Chain Director
7 days ago
Greenville, North Carolina, United States Telamon Group Full timeTelamon Group is proud to represent Prisma Health as they recruit a visionary leader for the VP-Supply Chain Management role, reporting directly to EVP/COO.This exceptional leadership position offers an opportunity for an experienced and innovative leader to advance healthcare across Prisma Health, serving more than 1.5 million patients annually.The Vice...
-
Respiratory Care Practitioner II
7 days ago
Greenville, North Carolina, United States Vidant Health Full timeAt Vidant Health, we are seeking a highly skilled Respiratory Care Practitioner II to join our team. This is an excellent opportunity for individuals passionate about delivering top-notch patient care and advancing their career in respiratory therapy.About the RoleThis position offers a competitive salary of up to $30K commitment incentive per year, making...
-
Travel Healthcare Specialist RN
7 days ago
Greenville, North Carolina, United States GHR Healthcare - Travel Division Full timeGHR Healthcare - Travel Division is seeking a skilled travel healthcare specialist RN to join their team for a travel nursing job in North Carolina.Job OverviewSpecialty: OncologyDiscipline: RNDuration: 2 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelThe ideal candidate will have experience working as an oncology nurse and possess...
-
Healthcare Professional
7 days ago
Greenville, North Carolina, United States Vidant Health Full timeVidant Health is seeking a highly skilled Registered Nurse to join our team at the James and Connie Maynard Children's Hospital. As a key member of our pediatric intensive care unit, you will provide exceptional care to patients of all ages, from newborns to teenagers.The 198-bed Level II pediatric trauma center offers highly specialized services, including...
-
Greenville, North Carolina, United States IDR Healthcare Full timeExciting Opportunity in Greenville, North CarolinaWe are seeking a skilled and dedicated travel nurse RN to join our team at IDR Healthcare. As a trusted staffing firm, we empower healthcare professionals to achieve their full potential while creating positive change within the healthcare community.This PCU - Progressive Care Unit role is a fantastic...
-
Travel Healthcare Specialist
7 days ago
Greenville, South Carolina, United States Health Advocates Network-Allied Full timeAbout the JobWe are seeking a skilled MRI Technologist to join our team in Greenville, South Carolina.Job DescriptionThe ideal candidate will have at least 2 years of recent experience as an MRI Tech and be authorized to work in the United States. They should also possess American Heart Association BLS certification, ARRRT required, and 1 year EPIC...
-
Network Security Architect
2 days ago
Greenville, South Carolina, United States Greenville Water Full timeJob Summary: We are seeking a highly skilled Network Security Architect to join our team at Greenville Water. As a key member of our IT department, you will be responsible for designing, implementing, and maintaining the security and network infrastructure of our organization.About the Role:You will lead and participate in network planning, design, and...