Director Provider Contracts Medicaid jobs

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VP, Provider Network Management MSO
AmeriHealth Caritas - 312 reviews - Palm Beach Gardens, FL
Contract implementation process(s) for all contracts. Reviews reports on annual provider satisfaction surveys;...
Medicaid State Operations Director - Texas (Must reside in t...
Medicaid experience required. Medicaid State Operations Director – Texas Health Plan. Family of companies focused on serving Medicaid, Medicare and uninsured...
Executive Director of Population Health/Case Management
Understanding of Medicare, Medicare Advantage and Medicaid programs and third party payer medical policy requirements....

Director of Provider Relations & Contracting

UCare - 78 reviews - Minneapolis, MN 55413 (Northeast Park area)
Previous involvement with Medicare, Medicaid, and commercial insurance products/programs, either from the provider or payer perspective....

Director of Provider Audit and Special Investigations

Boston Medical Center HealthNet Plan - Boston, MA
Three or more years in a Medicaid or Medicare-centric organization (e.g., state Medicaid agency). Designs, implements and monitors strategies to ensure that the...

Network Director

UnitedHealth Group - 11,048 reviews - Brentwood, TN 37027   +1 location
Knowledge and experience with TennCare Medicaid. Advanced proficiency in Medicaid policy and regulations....

R0004012 Network Strategy Director

ChenMed - 16 reviews - Miami Gardens, FL
Knowledge of national provider network. Understand how payer contracts, networks, and formularies impact ChenMed;...
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Director, Provider Relations & Contracts - Managed Care

Denver Health - 153 reviews - Denver, CO
$123,760 a year
Manage and direct a team of provider representatives in order to maintain Provider File and Provider Contract data across Large Hospitals, Physician Groups, and...

Dir Network Relations

Anthem, Inc. - 2,799 reviews - Little Rock, AR
Analyzes provider network for adequacy in addressing members’ medical needs and assists in the identification and recruitment of key providers where network...

Director of Quality Improvement

University of Maryland Medical System Health Plans - Timonium, MD
Serves as resource for internal and external customers including Medical Directors, network providers, FQHCs, and provider organizations....
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Fraud Investigator II, Healthcare Provider Review

University of Massachusetts Medical School - 697 reviews - Charlestown, MA
The Fraud Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern...

Vice President of Quality Assurance and Compliance

Boys & Girls Village - 14 reviews - Milford, CT 06461
Demonstrated knowledge of Medicaid regulations. Our broad range of programs and services are designed to work collaboratively with families, state and local...

ACO Network Development - Senior Manager

WellCare - 885 reviews - Houston, TX 77081 (Bellaire area)
Coordinates the development of professional, effective relationships within area hospitals, physicians, and ancillary providers....
Chief Administrative Officer
North Carolina Provider Owned Plans, Inc. - Morrisville, NC 27560
Perform financial impact analysis for provider and other contracts and support negotiations. President and CEO, North Carolina Provider Owned Plans, Inc....
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Director, Provider Relations - Growing Health Plan with Heal...
Fallon Health - 78 reviews - Worcester, MA
Review and resolve provider issues received from Provider Relations Department staff, direct communication with providers, government agencies or other internal...