- 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...and physician groups in neighborhoods across the country 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
- 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 (Frankfort, KY)
- …make health care more personal, convenient and affordable. Position Summary The Sr. Manager Medicaid VBC KY/WV manages and oversees compliance with our Network ... and product requirements.* This Position will manage combined functions for external provider engagement representatives and internal provider relations… 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 (Troy, MI)
- …and monitoring for key performance measurement activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Provider Engagement contributes to one or more of these ... healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs… 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
- 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
- Kepro (Cheyenne, WY)
- …In this pivotal role, you'll collaborate closely with medical providers, ensuring seamless Medicaid billing and claims submission. As a Provider Relations Field ... culture is fueled by passion and driven by purpose. Acentra seeks a Provider Relations Field Representative/Trainer to join our growing team. Position Summary: Join… more
- Healthfirst (New York, NY)
- …enroll them into one of the government programs offered by Healthfirst such as Medicaid , Child Health Plus (CHP), Essential Plan (EP) or a Qualified Health Plan ... also responsible for assisting current Healthfirst members by recertifying them into Medicaid , EP, QHP or CHP. Marketplace Facilitated Enrollers are required to… more
- BeneLynk (Sunrise, FL)
- …in the healthcare world. We fully understand barriers and surface solutions, then provide the advocacy that changes lives and improves outcomes. Everything we do, ... our employees to thrive in their ability to assist others. MEMBER ENGAGEMENT SUPERVISOR/CALL CENTER SUPERVISOR POSITION SUMMARY We are actively seeking an… more
- CareOregon (Medford, OR)
- …evaluation + Strong knowledge of applicable regulatory and contractual requirements for Medicaid + Strong knowledge of provider payment issues, practice models ... Job Title CCO Behavioral Health Program Manager - Adult System of Care Exemption Status...throughout the continuum. This position works closely with service provider leaders, CCO leaders, advisory councils, other system leaders… more
- Corewell Health (Grand Rapids, MI)
- …with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated activities to ensure ... Organization strategy will be supported by coordinating with Medical Policy and Provider Relations teams to effectively plan and execute program tactics. Manage the… more
- J&J Family of Companies (Raleigh, NC)
- Field Reimbursement Manager (Oncology)- Local Accounts- Carolinas - 2406165064W **Description** **Field Reimbursement Manager (Oncology)- Local Accounts- ... might be found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for...Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is… more