- City of New York (New York, NY)
- …The employees of Employment & Support Services Administration- Career Services help provide unique individual services to eligible New Yorkers aimed towards the ... achievement of long-term self-sufficiency. The Provider -Client Services & Special Projects Units are the cornerstone of the agency-mandated services that help ensure… more
- MyFlorida (Miami, FL)
- …unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and ... PROVIDER ENROLLMENT COORDINATOR - 67016149 Date: Dec 5,...year. Resumes and other documentation can be attached to provide additional information but will not replace the required… more
- Point32Health (Canton, MA)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... of all of our colleagues, which helps us to provide service with empathy and better understand and meet...This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
- Point32Health (RI)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the… more
- Humana (Oklahoma City, OK)
- …and/or trainings + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- Humana (Baton Rouge, LA)
- …from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical ... role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into… more
- The Cigna Group (Salem, OR)
- …+ Respond to provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff + Work to achieve ... in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider… more
- Elevance Health (Indianapolis, IN)
- …metrics, provider assignments and oversight of daily activities and provide feedback to manager on performance management, day-to-day training, guidance, and ... employment, unless an accommodation is granted as required by law. The ** Provider Relationship Account Mgr Sr** is responsible for providing quality, accessible and… more
- Humana (Springfield, IL)
- …& referrals). + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide Exceptional Experience in all provider ... us put health first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals (LTSS) who are responsible for day-to-day, front-line relationship… more
- St. Luke's Health System (Boise, ID)
- …and Analytics department and Physician Compensation leaders, support services for provider compensation functions to provide consistent, high quality reporting ... teams to achieve the credibility necessary to enable challenging discussions around provider compensation. + Provide ongoing education for front-line leaders and… more
- Sea Mar Community Health Centers (Lakewood, WA)
- …providers dedicated to serving underserved and diverse communities. Job Summary The Pediatric Provider (MD, DO) will provide primary medical care services to ... practice at Sea Mar and its mission statement. The provider will work collaboratively with staff to provide... provider will work collaboratively with staff to provide team-based coordinated care. The physician prescribes and/or dispenses… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of ... the Provider Contracting...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …account and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide input and/or ... our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network Executive (PNE… more
- Elevance Health (Cincinnati, OH)
- ** Provider Relationship Account Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... will make an impact:** + Develops and maintains positive provider relationships with the provider community by...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Centene Corporation (Nashville, TN)
- …reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider... Provide issue resolution support for most complex provider contracts by researching and partnering to resolve … more
- Elevance Health (Cerritos, CA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... for employment, unless an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior / VBC** is responsible for providing… more
- Humana (Frankfort, KY)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Provider Engagement Professional to join the KY Medicaid Provider Relations team. In ... the contracted working relationship with the health plan. The Provider Engagement Professional, also known as a Provider...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the ...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Elevance Health (Indianapolis, IN)
- …employment, unless an accommodation is granted as required by law. The ** Provider Contract Specialist Mgr** functions with the expertise in managing negotiated ... pricing arrangements involving facilities or large health systems, or high-profile provider groups and/or physician groups tied to large hospital systems joining… more
- Centene Corporation (Austin, TX)
- …This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency. + Provide hands-on ... that candidate possess experience in the following areas:_** + **Train on Provider Performance:** Equip market associates with the knowledge and tools to improve… more