• Advanced Practice Provider - Nurse…

    University of Colorado (Aurora, CO)
    Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Department of Family Medicine Flex APP - Sr. Instructor - 33305 Faculty **Description** ... of Medicine | Department of Family Medicine** **Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Department...or another EHR. + Knowledge and skills necessary to provide care appropriate to the age of the patients… more
    University of Colorado (04/18/24)
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  • Advanced Practice Provider - Nurse…

    University of Colorado (Aurora, CO)
    Advanced Practice Provider - Nurse Practitioner or Physician's Assistant Senior Instructor - 30744 Faculty **Description** **University of Colorado | CU Anschutz ... of Medicine | Department of Family Medicine** **Job Title:** **Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Department of Family… more
    University of Colorado (04/17/24)
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  • Provider Education Lead Analyst - Hybrid-…

    The Cigna Group (Chattanooga, TN)
    …efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or specialty care provider trainings as necessary to ... trends or patterns identified in provider office diagnosis coding. Implement provider office education, where necessary, and provide formal training to… more
    The Cigna Group (04/02/24)
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  • Manager - Provider Relations (Network…

    EssilorLuxottica (Mason, OH)
    …+ Partner with Sales and Account Management team to intake, analyze, and provide recommendations on Strategic Provider needs and custom network builds + ... regular leadership dashboards on network management, network health, and provider economics + Lead efforts and provide ...and provider economics + Lead efforts and provide recommendations to leadership on provider escalations,… more
    EssilorLuxottica (03/02/24)
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  • Senior Provider Contracting Specialist…

    CareFirst (Baltimore, MD)
    …and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate and support all types of ... provider contracting in accordance with guidelines in order to...with other internal areas affected by network changes. + Provide ongoing network management support to the Departmental Manager,… more
    CareFirst (04/20/24)
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  • Provider Education Data Senior Analyst-…

    The Cigna Group (Memphis, TN)
    …efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or specialty care provider trainings as necessary to ... trends or patterns identified in provider office diagnosis coding. Implement provider office education, where necessary, and provide formal training to… more
    The Cigna Group (03/28/24)
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  • Hematology Advanced Practice Provider

    Dartmouth Health (Lebanon, NH)
    …an interest in teaching, education, and research. The APRN/PA functions as part of the provider team to provide care to the department’s panel of patients. This ... teaching, education, and research. The APRN/PA functions as part of the provider team to provide care to the department’s panel of patients. This position is… more
    Dartmouth Health (02/22/24)
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  • Provider Contract Manager

    Medical Mutual of Ohio (West Chester, OH)
    …oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, ... as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Provider Contract Manager I Under direct supervision, develops and maintains… more
    Medical Mutual of Ohio (04/25/24)
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  • Provider Liaison

    MyFlorida (Orlando, FL)
    …the following: Review Qlarant reports and identify deficiencies needing correction, Notify provider of deficiencies needing correction and provide plan of ... PROVIDER LIAISON - 67055525 Date: Apr 23, 2024...SKILLS, AND ABILITIES + Ability to : demonstrate and provide responsive customer service. Ability to work with individuals… more
    MyFlorida (04/23/24)
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  • Provider Enrollment & Development Coord

    MyFlorida (Wildwood, FL)
    …unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and ... providers only if general revenue payments will be issued to the provider . Provide technical assistance to providers in regard to service provision requirements.… more
    MyFlorida (04/15/24)
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  • Provider Analyst

    Medical Mutual of Ohio (OH)
    …oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, ... as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** ** Provider Analyst II** Provides analytical support during contract negotiation… more
    Medical Mutual of Ohio (04/11/24)
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  • Provider Data Quality Auditor II…

    LA Care Health Plan (Los Angeles, CA)
    …to perform root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide optimal customer service ... Provider Data Quality Auditor II (Temporary) Job Category:...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
    LA Care Health Plan (04/09/24)
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  • Medicaid Provider Data Compliance Lead…

    CVS Health (Hartford, CT)
    …Medicaid network compliance requirements, focused first on Medicaid credentialing and provider data tasks. The role will collaborate cross functionally with ... local Medicaid Health Plans, Medicaid Network Contracting and Medicaid Provider Relations, and other departments to maintain compliance of...prior to your first day of employment and to provide proof of your vaccination status or apply for… more
    CVS Health (04/02/24)
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  • Provider Network Performance Analyst…

    Medical Mutual of Ohio (Brooklyn, OH)
    …Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance standards. ... the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and maintains...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
    Medical Mutual of Ohio (04/25/24)
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  • Provider Dispute Resolution Intake…

    LA Care Health Plan (Los Angeles, CA)
    Provider Dispute Resolution Intake Coordinator II Job Category: Provider Relations Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Dispute Resolution Intake Coordinator II supports the PDR… more
    LA Care Health Plan (04/24/24)
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  • Provider Relations Manager

    Modivcare (Ridgeland, MS)
    …with transportation providers and outside agencies relevant to network health and provider business support. + Provide weekly network health reports to ... be the right fit for you! Modivcare is looking for an experienced Provider Relations Manager to drive ongoing network development and ensure available contract rate… more
    Modivcare (04/18/24)
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  • Network Relations Consultant (LTSS Provider

    Elevance Health (Topeka, KS)
    …for providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions ... for payment as part of consideration for employment. **Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND > Provider Relationship Account Mgmt… more
    Elevance Health (04/16/24)
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  • Provider Data Senior Representative-…

    The Cigna Group (El Paso, TX)
    …to provider concerns, grievances, claims and care delivery. + Provide tactical operations support to assigned groups, including contracting, data integrity, ... CareAllies Provider Engagement Internal Representative ( Provider Data...be provided the opportunity to develop management skills and provide experience working in a dynamic, flexible work environment.… more
    The Cigna Group (03/28/24)
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  • Provider Network Data Associate II

    LA Care Health Plan (Los Angeles, CA)
    …Managed Care (DMC), Managed Risk Medical Insuarence Board (MRMIB) and Geo Access. Duties Provide support to the Provider Relations Department. Support of the LA ... Provider Network Data Associate II Job Category: ...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
    LA Care Health Plan (03/27/24)
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  • Provider Recruitment Manager

    Trinity Health (Boise, ID)
    …and surgical clinical specialty areas. Must have knowledge and ability to provide input for continually improving provider recruitment related processes. ... Acquisition, and as a key member of the Saint Alphonsus Health System provider recruitment team, provides leadership to the recruitment team for support of growth,… more
    Trinity Health (02/23/24)
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