1,852 provider relations manager jobs at 1,075 companies in United States
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Provider Relations Manager
Henderson, Nevada, United States
$105k-$119k/yrHybridFull Time
P3 Health PartnersNasdaq Stock Market: PIII: Physician-led population health management supporting Medicare Advantage providers and patients with care coordination and administrative services.
5+ YOE5+ years provider relations or managed care experience, bachelor's in related field required, strong communication, relationship-building, data analysis, and proficiency with Microsoft Office (Excel, PowerPoint).
Microsoft Office, Microsoft Excel, Microsoft PowerPoint
The Treetop ABA Therapy: Provides evidence-based, clinic- and home-based ABA therapy.
Experience in ABA or provider relations with existing local relationships, reliable vehicle for frequent regional travel, organized territory management, and ability to convert referrals into started care.
Independent Living Systems: Provider of comprehensive managed care and social support services.
5+ YOEBachelor's degree or 8+ years equivalent; 5+ years provider relations or network management; contract negotiation experience; leadership managing teams; knowledge of healthcare regulations and payer-provider dynamics.
3+ Mgmt3+ years supervisory/management and vendor/contract experience; strong written/verbal communication and analytical skills; Microsoft Word and Excel proficiency; clean driving record; must pass credit check; self-motivated and flexible; travel up to 50%.
New York City or Staten Island or Yonkers or Long Island City or Astoria or Kings Park or Central Islip or Eastchester or Poughkeepsie or New Rochelle or Newburgh or White Plains or Spring Valley or Carmel or Kingston or Hempstead or Brooklyn or New Jersey or Middletown or Oyster Bay or Bronx
4+ YOERequires 4+ years in healthcare operations, provider relations, network management, managed care, claims, or provider services; provider-facing experience; analytical, communication, and issue-resolution skills; Microsoft Office proficiency.
SCAN Health Plan (Washington): Nonprofit healthcare organization providing Medicare Advantage coverage and care services for older adults.
5+ YOEBachelor's or equivalent, 5+ years healthcare/Medicare Advantage experience, experience with provider organizations and delegated risk arrangements, ability to drive provider performance, present data, and partner cross-functionally.
General Dynamics Information TechnologyNew York Stock Exchange: GD: Provider of enterprise IT services and defense solutions.
Requires 3+ years in provider relations, provider services, or health plan operations; communication, relationship management, issue resolution, SLA management, provider portals, CRM, and Excel skills.
Microsoft Excel, CRM, Service Level Agreement (SLA), EDI, PMP, Green Belt
General Dynamics Information TechnologyNew York Stock Exchange: GD: Provider of enterprise IT services and defense solutions.
3+ YOERequires 3+ years in provider relations, provider services, or health plan operations; strong communication, facilitation, relationship management, documentation, SLA, portal, CRM, and spreadsheet skills. Bachelor's degree preferred.
Cadence: Private clinical AI and remote care delivering chronic disease monitoring and treatment support to older adults.
5+ MgmtRequires 5+ years of people management, experience leading teams with measurable goals, provider-facing healthcare experience, coaching and performance management skills, regular travel, and access to a major airport. Salesforce and digital health experience preferred.
Molina HealthcareNYSE: MOH: Provider of managed healthcare services for government-sponsored programs.
6+ YOERequires 6+ years of provider services experience, managed healthcare knowledge, compensation methodology experience, presentation and negotiation skills, strong communication, organization, and Microsoft Office proficiency.
Microsoft Office, electronic medical record (EMR), Centers for Medicare and Medicaid Services (CMS), electronic data interchange (EDI)
AbsoluteCare: Value-based integrated health care provider for high-acuity Medicaid and Medicare members.
5+ YOEBachelor's or equivalent experience,5+ years provider-facing or healthcare sales/account management,territory and CRM discipline,ability to communicate clinical information,and willingness to travel up to 50% within Ohio.
CRM systems, Microsoft Office Suite, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Salesforce, Tableau, Power BI
Boynton Beach or Palm Beach County or Broward County
FieldFull Time
Medical Specialists of the Palm Beaches (MSPB): Private multispecialty physician group providing value-based care to patients in Palm Beach and Broward counties.
High school diploma required; associate or bachelor's degree preferred. Requires healthcare, customer service, or provider relations experience, communication, analytical, project management, and Microsoft Office skills.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Access, Zoom, Microsoft Teams, Webex
Optum HealthNYSE: UNH: Patient-centered healthcare organization providing primary, specialty, surgical, behavioral and home care to communities nationwide.
2+ YOEHigh school diploma/GED, 2+ years of provider relations or managed care experience, Microsoft Office proficiency, valid US driver's license, reliable transportation, and willingness to travel 50–75%.
Microsoft Word, Microsoft PowerPoint, Microsoft Excel
HumanaNYSE: HUM: Health insurance and care services provider.
2+ YOERequires Illinois residency, 2+ years of healthcare or managed care provider experience, LTSS provider experience, relationship management, complex issue resolution, presentations, and managed care contract knowledge.
Bachelor's degree or equivalent, 0+ years experience, strong communication, negotiation and problem-solving skills, proficiency with Microsoft Word/Excel/Access/Outlook, ~50% travel.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Outlook
HS1 Medical Management: A healthcare organization that develops and manages provider networks.
2+ YOEAssociate degree or equivalent and 2–3 years of experience in a physician office, HMO, managed care, or healthcare environment; provider contracting or network management experience preferred.
Pennsylvania or New York or New Jersey or Delaware or Maryland or Virginia or West Virginia or North Carolina or South Carolina or Georgia or Florida or Connecticut or Rhode Island or Massachusetts or Vermont or New Hampshire or Maine
$85k-$110k/yrFieldFull Time
Eating Recovery Center: Private U.S. behavioral-health provider treating eating disorders, mood disorders, anxiety, and trauma in children and adults.
3+ YOEBachelor’s degree in marketing, business, psychology, or behavioral health; 3–5+ years of account management experience; Salesforce.com and Microsoft Office proficiency; valid driver’s license; travel up to 75%.
LucyRx: Prescription care, brilliantly reimagined.
5+ YOERequires 5–6+ years in PBM, pharmacy network management, or healthcare provider relations; expertise in credentialing, contracting, network operations, negotiations, analytics, and strategic communication.
Gainwell Technologies: Digitally enabled solutions for health and human services.
5+ YOE2+ MgmtRequires 5+ years in PBM, pharmacy operations, claims, network management, or contracting; 2+ years of leadership experience; knowledge of Medicaid, PBM operations, claims adjudication, reporting, audits, data analysis, and Excel.