PROVIDER NETWORK MANAGEMENT RELATIONS jobs in ALBUQUERQUE NM, United Kingdom

Overview Now hiring a Provider Network Management Relations Executive Provides oversight of network strategies... Network Relations Service Executive is a professional accountable for proactively identifying issues, resolving disputes...

Presbyterian Health Services

as needed. Responsible for day to day network management and provider relations, including implementing processes between network management... coordination between provider credentialing, contract administration and all Magellan departments, including field network...

Magellan Health

/network management, provider contracting, UM operations, clinical improvement, or healthcare client management (Preferred... for a Sr. Provider Solutions Manager to join our Provider Relations Team. The candidate selected for the role will serve...

Evolent Health

development and management of a provider network Support all education opportunities on UnitedHealthcare businesses which include... development for other roles you may be interested in. Required Qualifications: 2+ years of provider relations or provider...

UnitedHealth Group

development and management of a provider network Support all education opportunities on UnitedHealthcare businesses which include... development for other roles you may be interested in. Required Qualifications: 2+ years of provider relations or provider...

UnitedHealth Group

, quality management, network development and management, provider relations, member outreach, education and member services.... This position is responsible for Optum behavioral health operations, contract management and relationships with customers, including...

UnitedHealth Group

, quality management, network development and management, provider relations, member outreach, education and member services.... This position is responsible for Optum behavioral health operations, contract management and relationships with customers, including...

UnitedHealth Group

and deductible monies due. Illustrate insurance contract requirement knowledge and use of tools to respond to provider network... of practice, acquiring a PCP at the location, scheduling inquiries, release of information HIM requests, and message management...

Presbyterian Health Services

and use of tools to respond to provider network questionsThe Ambassador welcomes patients and visitors by facilitating registration... requests, and message management as examples. How you belong matters here. We value our employees' differences...

Presbyterian Health Services

is submitted to Health Information Management for incoming or outgoing records Patient Relations * Comprehend quality service... representatives regarding in-network coverages (respecting CDS and RDS guidelines) Set patient expectations regarding Prior...

Presbyterian Health Services

and growth of Abstraction programs and act as a key resource for provider relations and education with an emphasis on HEDIS... successful growth, implementation and ongoing management of Medical Record Retrieval, Review and Reporting processes to support HEDIS...

Presbyterian Health Services

entity (RBE), pharmacy, underwriting, medical adjudication, claims and provider relations, and assist with issues...; strong knowledge of management practices, human relations, consensus building and collaborative ability Excellent communication skills...

UnitedHealth Group

entity (RBE), pharmacy, underwriting, medical adjudication, claims and provider relations, and assist with issues...; strong knowledge of management practices, human relations, consensus building and collaborative ability Excellent communication skills...

UnitedHealth Group

to respond to provider network questions. The Ambassador welcomes patients and visitors by facilitating registration, wayfinding... but not limited to Provider Based Billing. Knowledge command of in-network dependencies with multiple payors. Responsible...

Presbyterian Health Services

monies due.Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questionsThe... a PCP at the location, scheduling inquiries, release of information HIM requests, and message management as examples...

Presbyterian Health Services

and use of tools to respond to provider network questionsThe Ambassador welcomes patients and visitors by facilitating registration... requests, and message management as examples. How you belong matters here. We value our employees' differences...

Presbyterian Health Services

monies due. Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions... hospital and departmental operations, policies and procedures, including but not limited to Provider Based Billing Demographic...

Presbyterian Health Services