- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Provider Relations Specialist is responsible for the development and ... pull notice program and Sharp HealthCare Driver Guidelines. **Essential Functions** + Provider RelationsPrimary liaison between SRSMG and health plan provider … more
- Sanford Health (WI)
- …projects. These on-site responsibilities will be scheduled in advance. **Job Summary** The Provider Relations Specialist acts as the primary liaison between ... substantive and procedural aspects of the Health Plan. Knowledge of Managed Care- utilization management and provider reimbursement. Must be able to communicate… more
- Texas Health Resources (Dallas, TX)
- …physicians, or physician groups. + Identify, initiate, and maintain relationships with key provider practices to increase utilization of Texas Health services. + ... **Growth Specialist ** _Bring your passion to Texas Health so...both physician and patient populations, market share patterns, patient utilization data, and physician practice trends. + Provide… more
- Aveanna Healthcare (Hayward, CA)
- Bilingual Community Relations Specialist ApplyRefer a FriendBack Job Details Requisition #: 203647 Location: Hayward, CA 94540 Category: Client Services Salary: ... $58,656.00 - $62,000.00 per year Position Details Position Overview The Community Relations Specialist is responsible for the generation of new referrals,… more
- HCA Healthcare (Anchorage, AK)
- …professionals including provider office personnel, Medical Staff Office, Provider Relations , Clinical Services, facility leaders, and others. ... access reviews and audits. e) Tracks, monitors, and enhances provider utilization of HCA technologies, by offering...physician office staff needs. c) Provides an overview of provider -facing technology solutions to Provider Relations… more
- HCA Healthcare (Derry, NH)
- …professionals including provider office personnel, Medical Staff Office, Provider Relations , Clinical Services, facility leaders, and others. ... access reviews and audits. e) Tracks, monitors, and enhances provider utilization of HCA technologies, by offering...physician office staff needs. c) Provides an overview of provider -facing technology solutions to Provider Relations… more
- HCA Healthcare (Fort Walton Beach, FL)
- …professionals including provider office personnel, Medical Staff Office, Provider Relations , Clinical Services, facility leaders, and others. ... access reviews and audits. + Tracks, monitors, and enhances provider utilization of HCA technologies, by offering...physician office staff needs. + Provides an overview of provider -facing technology solutions to Provider Relations… more
- HCA Healthcare (Denver, CO)
- …Researches new security requests, applications, and issues to ensure compliance. + Enhances provider utilization of HCA technologies, by offering at the elbow ... over 156,000 hours volunteering in our communities. As a Provider Solutions Specialist II with HCA HealthOne...physician office staff needs. + Provides an overview of provider -facing technology solutions to Provider Relations… more
- Beth Israel Lahey Health (Charlestown, MA)
- …analytical tasks related to the accounts payable function. Activities include, utilization of our ERP system to: process/enter invoices/credits, review and resolve ... obtain proof of delivery and credits as needed. 2. Identify trends and provide process improvement feedback to management, end users and other colleagues as needed.… more
- Intermountain Health (Las Vegas, NV)
- …Possess a strong progressive and customer-focused approach to building and maintaining customer and provider relations . + Must have or be eligible to have a ... with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management, care management, claims, network management, and finance. As the… more
- Parkview Health (Fort Wayne, IN)
- …years of comprehensive experience in managed healthcare, provider relations , project management, medical informatics, utilization management or physician ... Specialist and Manager, as well as to the provider network. Delivers outstanding customer service to internal and...Must have excellent verbal and written communication skills. Must provide own transportation; Will be required to work outside… more
- Highmark Health (Albany, NY)
- …collaborative work with the other members of the value-based reimbursement team, provider relations , senior markets, analytics, actuary and key internal/external ... stake holders to provide the most appropriate support for providers with gain/risk...of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps… more
- Banner Health (Phoenix, AZ)
- …Quality and Safety The **Senior Director, Clinical Risk Management & Patient Relations ** will provide strategic and operational leadership to Banner Health's ... teams responsible for clinical risk management team and patient relations . Great opportunity to collaborate with quality and patient safety, and strategically… more
- Independent Health (Buffalo, NY)
- …approval for new items. This role also includes assisting the Industry Relations Executive, Procurement Specialist , and affiliated companies in ensuring the ... contracts and utilization is recognized. This position assists in pricing, utilization metrics and analysis reports. The Trade Relations Executive helps in… more
- Spokane County (Spokane, WA)
- …Identifies solutions to non-standard requests. + Maintains collaborative and collegial working relations with all provider employees. + Builds and maintains ... Housing & Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing &… more
- Commonwealth of Pennsylvania (PA)
- County Mental Health Program Specialist 2 (CASSP Unit) (Local Government)-Luzerne/Wyoming Co. MH/DS Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4916452) Apply County Mental Health Program Specialist 2 (CASSP Unit) (Local Government)-Luzerne/Wyoming Co. MH/DS Salary… more
- St. Luke's Health System (Boise, ID)
- …Location : City** _Boise_ **Category** _Professional_ **Work Unit** _Office of Provider Relations System Office_ **Position Type** _Full-Time_ **Work Schedule** ... seeking a dedicated and knowledgeable Application Training and Support Specialist 3 to join our Community Connect team. This...clinical and business end users in safe and efficient utilization of the electronic medical record (EMR) system. This… more
- Trinity Health (South Bend, IN)
- …limitations and additions, and employer groups. Acts as liaison between provider offices, physicians, health plans and ancillary departments. Maintains high quality ... authorizations, referrals) and will contact the physician/office and Case Management/ Utilization Review colleagues as necessary. Ensures all authorization information… more
- City of New York (New York, NY)
- …document and report provider performance in Agency and City systems. - Provide coaching and supervision to direct reports. Monitor, analyze, and report on all ... for an expansion of HRA's project-based rental assistance contracts, which can provide savings and create more permanent housing options for New Yorkers experiencing… more
- Sharp HealthCare (San Diego, CA)
- …License - CA State Board of Pharmacy; BPS Board Certified Pharmacotherapy Specialist (BCPS) - Board of Pharmacy Specialties; Pediatric Advanced Life Support (PALS) ... - American Heart Association -PREFERRED + BPS Board Certified Pharmacotherapy Specialist (BCPS) - Board of Pharmacy Specialties -PREFERRED **Other Qualification… more