- Children's Hospital Boston (Boston, MA)
- 82412BRJob Posting Title:VP, Enterprise Contracting & PricingDepartment:Finance-VP Finance and CFOAutoReqId:82412BRStatus:Full-TimeStandard Hours per Week:40 Job ... Category:FinanceJob Posting Description: Position Summary: The Vice President of Enterprise Contracting & Pricing is a strategic leader responsible for advancing… more
- Chenega Corporation (Rockville, MD)
- …to provide daily and effective contact and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), ... Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the Department...or License to practice in the US as a physician 's assistant or nurse practitioner. + Licensure: Must possess… more
- McLaren Health Care (Flint, MI)
- …business, health care or related field. + Two (2) years' experience in contracting and/or servicing hospitals and/or physician organizations and their office ... We are looking for a Provider Relations Representative I, to join us in leading our...delivery entities (ie provider offices, specialists, etc.). Responsible for contracting of PCP's, Specialists, and Ancillary providers in their… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Representative II, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... key administrative executive staff of contracted medical delivery entitles (ie physician organizations, physician hospital organizations, faculty groups, large… more
- Fallon Health (Worcester, MA)
- …Under the direction of the Manager's, the Eligibility and Revenue Operations Representative supports Fallon Health's mission, vision and values by providing and ... to determine course of action. The Eligibility and Revenue Operations Representative collaborates effectively with co-workers and other departments to ensure quality… more
- Ansible Government Solutions (Clarksburg, WV)
- …of Staff, or designee. + Attend staff meetings and communicate with the Contracting Officer's Representative (COR) regarding any conflicts that may interfere ... Ansible Government Solutions, LLC (Ansible) is currently recruiting for a Primary Care Physician to provide onsite services to eligible beneficiaries of the Louis A.… more
- Molina Healthcare (Cheektowaga, NY)
- …field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage high priority providers, ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Medtronic (Mounds View, MN)
- …enhance customer relationships and support strategic business objectives. + Track physician engagement and KOL professional profiles, maintains metrics and KPIs. + ... and fellows interactions at congresses and other meetings, including sourcing, contracting , and facilitating + Develops, executes, and manages clinician advisory… more
- Catholic Health Initiatives (Houston, TX)
- …information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and their families with questions concerning ... plans, and Medicare supplemental plans that require pre‐certification. 14. Contact physician 's on scheduled patients, to notify them of authorization requirements… more
- Elevance Health (AR)
- …relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital-based and hospital owned ancillary ... providers. Primary focus of this role is contracting and negotiating contract terms for **Medicare, Medicaid,** and **ACA programs** . Deals with primarily the most… more
- Elevance Health (Atlanta, GA)
- …relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based, and hospital owned ancillary ... providers. The primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and… more
- Munson Healthcare (Traverse City, MI)
- …are subject to final approval of the Health System in its sole discretion. + Representative /Liaison . The Physician shall work to develop and maintain a close ... of long ‑ term strategic planning for the Program. + Direct Contracting . The Physician shall work closely with the appropriate administrative officers of the… more
- Molina Healthcare (Saginaw, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …to the PCC throughout their respective supervisor and leadership chain. As the Contracting Officer's Representative (COR) for the site lease agreements, the ... as an advocate for patients and staff. In collaboration with PCC Physician Supervisors, Nurse Managers, and Supervisory Business Administration Service staff, the… more
- Magellan Health Services (Albuquerque, NM)
- …Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all ... lines of business across the New Mexico territory + Perform provider contracting functions in collaboration with the Network team + Process contract-related updates… more
- Texas Health Resources (Plano, TX)
- …provide administrative oversight and assistance with hospital's medical staff, physician recruitment, hospital operations and clinical programs in collaboration with ... Utilization efficient and effective throughput in the on-going monitoring of physician performance with patient care activities. 6. Facilitate the relationship… more
- Integrative Emergency Services (Dallas, TX)
- …process (submitting of applications) for both Individual Providers and Physician Groups/Rosters with the various government and insurance healthcare payors, ... network managed care contracting plans, and third-party billing entities. This position will...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- Medtronic (Los Angeles, CA)
- …and strengthening long-term relationships with stakeholders including, interventionalist, nurses, contracting and key opinion leaders. + Responsible for pursuing ... interventional suite and/or hospital environment + Experience selling high physician preference medical devices, preferred endovascular space and/or neurovascular… more
- Medtronic (Richmond, VA)
- …Corporate Accounts, and CVG partnerships to capitalize on partnership and contracting opportunities + Probes to understand and confirm customer needs, effectively ... + Knowledge & experience in operating room, hospital & physician office protocol/conduct + Ability to teach & educate...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Medtronic (Boston, MA)
- …to align on Group Purchasing Organizations (GPO) and Integrated Delivery Networks (IDN) contracting strategies and drive physician and local supply chain support ... physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully… more
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