- HCA Healthcare (Asheville, NC)
- …purpose and integrity. We care like family! Jump-start your career as a Provider Solutions Specialist today with Mission Hospital. **Benefits** Mission Hospital ... vary by location._** Come join our team as a Provider Solutions Specialist . We care for our...execute testing procedure training plans, conduct pilot trainings, and provide feedback to project lead to better serve our… more
- BayCare Health System (FL)
- …AM to 5:00 PM (may vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote role. Responsibilities: + ... Administrator or Health Care Administration Certifications + **Preferred:** Certified Provider Credentialing Specialist (CPCS) Experience + **Required:**… more
- Boston Public Schools (Boston, MA)
- …weeks, or during the summer months. We are seeking dedicated individuals to provide direct IEP-based ABA services outside of their scheduled hours of daily service ... job expectations of all direct ABA service providers (ABA Specialists). ABA Specialists provide 6 hours of direct student services per day. Payment for services… more
- Tidelands Health (Myrtle Beach, SC)
- …Tidelands and help people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed ... to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision...Demand The intent of this job description is to provide a representative and level of the types of… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Medical Staff Office All Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the provider ... tasks to ensure appropriate actions are performed at the time of provider departure. The Provider Enrollment Specialist verifies that data obtained from the … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Provider Talent Acquisition Specialist is responsible for assisting with the mission of ... of / attendance at recruitment events, conferences etc. The Provider Talent Acquisition Specialist serves as a resource to employees, managers and applicants… more
- Aspen Dental (Albany, NY)
- …are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist . The Provider Enrollment Specialist plays a ... plans. This role ensures timely and accurate submission of provider applications, updates and recredentialing to facilitate uninterrupted billing, reimbursement… more
- Elevance Health (Indianapolis, IN)
- …for employment, unless an accommodation is granted as required by law. The ** Provider Contract Specialist Mgr** functions with the expertise in managing ... pricing arrangements involving facilities or large health systems, or high-profile provider groups and/or physician groups tied to large hospital systems joining… more
- Magellan Health Services (Boise, ID)
- …Microsoft Office suite and data entry experience . General Job Information Title Provider Engagement Specialist - Tribal Outreach Liaison Grade 23 Work Experience ... outreach and engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. Monitoring… more
- University of Virginia (Charlottesville, VA)
- This Advanced Practice Provider -Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles O. Strickler Transplant Center's Leadership Council, ... the above job responsibilities, other duties may be assigned This Advanced Practice Provider -Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles… more
- Molina Healthcare (Rock Hill, SC)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans… more
- University of Virginia (Charlottesville, VA)
- …assigned MINIMUM REQUIREMENTS Education: Master's Degree as an Advance Practice Provider (Clinical Nurse Specialist ) Experience: None Certification: Advanced ... Pediatric) Licensure: License or license eligible as an Advance Practice Provider (Clinical Nurse Specialist ) as set forth by the state of Virginia. Must… more
- Corewell Health (Southfield, MI)
- …contracts and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. ... + Manages the contract development and negotiations process for provider networks initiatives. Enters/maintains current information in the internal contract… more
- Prime Therapeutics (Annapolis, MD)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Specialist - Remote **Job Description** The Provider ... **Responsibilities** + Research all pharmacy inquiries received through the Provider Relations email box and phone lines and collaborate...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more
- Cleveland Clinic (Cleveland, OH)
- Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the ... Cleveland Clinic Cancer Institute is seeking an Advanced Practice Provider (APRN, PA, or CNS) to serve as the...serve as the **Cancer Screening, Education, and Community Outreach Specialist ** . This position plays a vital role in… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports… more
- J&J Family of Companies (San Francisco, CA)
- …& Johnson Innovative Medicine (JJIM) is recruiting for an **Advanced Practice Provider Specialist , Gastroenterology** , in the Northern California territory. Our ... segment of healthcare providers (HCPs) delivering patient care. The **APP Specialist ** , Gastroenterology is responsible for proactively& compliantly engaging with… more
- Centene Corporation (Nashville, TN)
- …reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider... Provide issue resolution support for most complex provider contracts by researching and partnering to resolve … more
- CareFirst (Baltimore, MD)
- …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more