- CVS Health (Northbrook, IL)
- … Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional ... outstanding opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna Better… more
- Wider Circle (Baltimore, MD)
- …Circle's Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership teams - including ... Wider Circle is looking for a Bilingual Area Manager in Baltimore to join our circle and...health plans and physician groups in neighborhoods nationwide to provide fun and educational in-person and virtual programs for… more
- CVS Health (New York, NY)
- …to make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider /Network ... required by the business and position. + Manages local Provider Experience team to deploy national engagement ...+ Experience with Employee Supervision and leading teams + Medicaid Network experience + Knowledge of Medicaid … more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Assessor/Case Manager is responsible for conducting ... when making recommendation for proposed services and development of the PCSP. Medicaid Special Programs Registered Nurse Assessor/Case Manager is responsible and… more
- CVS Health (Austin, TX)
- …multiple Network Ops and Health Plan they are aligned to within the Medicaid regions. The communication will filter through the designated Liaisons for all scopes ... all MPOS teams.* Be the SME and POC for provider data clean-up for assigned states* Cascade any issues...the Liaison will be the point of contact for engagement with Network Ops and Health Plan for overall… more
- CVS Health (Hartford, CT)
- …network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved ... Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager ...educational material as a result of claims data or provider requests. + Support local market colleagues in ensuring… more
- CVS Health (Austin, TX)
- …of projects and or programs such as financial, regulatory, marketing, etc. + Supports Provider Engagement processes across the Medicaid enterprise with a ... regional focus. Deploy the Medicaid National Provider Engagement strategy through the Local Market...to provide resolution to current opportunities for Provider Engagement + Assist in the creation… more
- CVS Health (Oklahoma City, OK)
- …care more personal, convenient and affordable. Position Summary The Medicaid Sr. Manager , Provider Engagement manages and oversees compliance with our ... Provider Engagement responsibilities. * Reports to local market Lead Director...Relations & Employee Supervision with 2 - 3 years Medicaid Network experience + Excellent interpersonal skills and the… more
- CVS Health (Hartford, CT)
- …work closely with cross-functional teams across the business to support localized Medicaid market provider engagement and vendor programs.Required ... care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical...outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the… more
- HCA Healthcare (Salt Lake City, UT)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a Market Manager Provider Engagement you want with your current employer? We ... colleagues. Do you want to work as a Market Manager Provider Engagement where your...management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted… more
- Catholic Health Services (Melville, NY)
- …reimbursement paradigms shift from fee-for-service to those which are value-based. Job Details The Provider Engagement Manager (PEM) is the face of CHS for ... health service. The CHS delivery system includes CHS Physician Partners, an integrated provider network of over 1,500 physicians which align closely with the health… more
- Molina Healthcare (AZ)
- …and monitoring for key performance measurement activities. **This position requires provider engagement experience in a health plan setting.** ... **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more...analytic insights. * Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Magellan Health Services (Albuquerque, NM)
- …childhood experiences. General Job Information Title CISC Member, Caregiver and Stakeholder Engagement Manager Grade 23 Work Experience - Required Community ... and Administrative departments. Leads the development of strategic plans for engagement , within assigned territories, regions or communities, that nurture and retain… more
- State of Colorado (Denver, CO)
- Behavioral Health Community Engagement Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4498006) Apply Behavioral Health Community ... Engagement Manager Salary $91,272.00 - $120,000.00 Annually Location Denver Metro,...to achieving goals throughout the various State offices, within provider agencies, and throughout each county in Colorado. This… more
- Molina Healthcare (Springfield, IL)
- …hospital facilities and Plan. * Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. * Engages contracted ... * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid … more
- Molina Healthcare (Las Vegas, NV)
- …risk adjustment accuracy for all government lines of business. Supports robust provider engagement to achieve positive operational and financial outcomes. ... **KNOWLEDGE/SKILLS/ABILITIES** + Establishes the strategy and operational direction for provider engagement and practice transformation, in collaboration with… more
- Molina Healthcare (Richmond, VA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... level engagement as required. * Educates internal customers on provider contracts. * Clearly and professionally communicates contract terms, payment structures,… more
- Commonwealth Care Alliance (Boston, MA)
- …and implement improvement projects as needed. + Presents findings to contracting, provider engagement , clinicial leadership to identify actionable next steps to ... Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing… more
- Molina Healthcare (Yakima, WA)
- **Molina Healthcare of Washington** is hiring for a ** Manager of Growth & Community Engagement ** in **Eastern Washington** - with a strong preference for ... external organizations, and internal departments to help ensure Molina is the choice provider of service. This position is fast paced and requires someone who is… more
- Molina Healthcare (Owensboro, KY)
- …Healthcare, health care, managed care, health, medical assistant, medical, community engagement , organizing, public affairs, public relations, office manager , ... Healthcare** is hiring for an **In-Office, Front Desk Community Engagement Specialist** to serve in the Owensboro, Kentucky office....education and resources as it relates to the Plan, Medicaid , and Affordable Care Act, as well as assumes… more