- MedKoder (Mandeville, LA)
- …that offers a flexible schedule. Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Bon Secours Mercy Health (Lorain, OH)
- …collaboration with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network utilization ... and/or changes in care delivery to optimize care coordination of in- network offerings for empaneled patients. + Identifies barriers and facilitates resolution… more
- Sutter Health (Modesto, CA)
- …and document management. Provides contract administration oversight for managed care provider network . The manager 's role in the contract development process ... of sophisticated hospital-based services. Ensures the consistent management of physician /provider contracts including oversight of the contract management process,… more
- CVS Health (New York, NY)
- …where you will be making informed strategic and tactical decisions. The Senior Project Manager will be responsible for managing existing provider navigation ... new product solutions. As part of the Aetna Commercial Network Product team, the successful candidate will need to.... 5+ years of successful product strategy, development and project management experience related to high level projects. .… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible for all aspects of the LA Care… more
- Dignity Health (Phoenix, AZ)
- …Sick Leave. Arizona Care Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO) sponsored by Dignity Health ... and Abrazo Health. The Program Manager , Network Engagement is an employee of... Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO)… more
- MedKoder (Mandeville, LA)
- …on the unique needs of the client remotely and on-site; + Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task ... is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all… more
- CenterWell (Daytona Beach, FL)
- **Become a part of our caring community and help us put health first** The Physician Lead serves as a health-care professional and capable of handling a variety of ... health-related problems. The Physician Lead works on problems of diverse scope and...(PMPM) costs while maintaining high quality care + Optimizing network ; preferred network specialists - contributing to… more
- Elevance Health (Cincinnati, OH)
- Provider Network Manager (Contract Negotiations) JR149075 **Location:** This position will work in a hybrid model (remote and office). The ideal candidate will ... hours and the other will preferrably work Central Time business hours. The **Provider Network Manager ** develops the provider network for Medicaid, Medicare… more
- Methodist Health System (Dallas, TX)
- …:** 8X5 Day (United States of America) **Job Description :** The CBO Project Manager of Performance Improvement (PMPI) is responsible for measuring performance ... (Internal and External). + Strong knowledge of Hospital and Physician Revenue Cycle. + Proven project management...in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with… more
- CenterWell (Corpus Christi, TX)
- …(PCO) is the largest and fastest growing value-based care, senior-focused primary care network in the country. The Primary Care Physician (PCP) works as ... bonus) could exceed $300K, depending on experience and location** . The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease… more
- Surgery Care Affiliates (Birmingham, AL)
- …should inspire change. If you join our team, they will. Responsibilities The Project Manager is responsible for the management of multiple, concurrent projects ... specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty … more
- East Boston Neighborhood Health Center (Revere, MA)
- …Department: Clinical Pharmacy All Locations: 300 Ocean Avenue - Revere Position Summary: Manager of pharmacy strategy and project management shall be charged ... pharmacy. Responsible for effective management of projects through the project lifecycle (initiation, planning, executing, monitoring, controlling, and closing).… more
- Healthfirst (NY)
- + Serve as plan liaison for physicians/ physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including ... provider, and those identified internally that have an impact on the physician . Coordinates with all Healthfirst staff to assist as appropriate, including creating… more
- Healthfirst (NY)
- + Serve as plan liaison for vendors/physicians/ physician groups in a specified geographical area. Will be the main point of contact for all plan related issues ... and those identified internally that have an impact on the physician /vendor. Coordinates with all Healthfirst staff to assist as appropriate, including… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and incremental margin analyses for deal structuring. This role will serve as a primary project manager role in support of the Associate Director for deals and ... project plans for growth initiatives and network ...conduct groundbreaking research that advances treatment, we educate tomorrow's physician /researchers, and we work with amazing partners, including other… more
- Elevance Health (Wallingford, CT)
- …models and analysis to negotiate rates with providers strongly preferred. + Project management experience. + Health plan network development experience. + ... **Provider Network Management Director** **Location:** Alternate locations may be..., where you'll play a pivotal role as a project management leader in transforming healthcare provider networks. This… more
- AdventHealth (Hinsdale, IL)
- … Project or similar software.** **.** **Working knowledge of physician networks, physician practices, hospital operations and ambulatory operations** ... **The role you'll contribute:** The UChicago Medicine AdventHealth Provider Directory Manager is responsible for administering assigned projects focused on data… more
- HCA Healthcare (Campbell, CA)
- …SCCIPA network including working closely with health plan partners, the physician network and internal stakeholders to develop and implement a ... We care like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with...+ Ability to communicate and train internal teams and network physicians on current performance trend and actions to… more
- Cedars-Sinai (CA)
- …other aspects of Managed Care, quality & efficiency measures, Star ratings, access, physician network integrity, physician network performance, patient ... **Job Description** The Program Manager is responsible for supporting all facets of...and departments within Cedars-Sinai Medical Center, the Cedars-Sinai Medical Network , Marina del Rey Hospital, and other Cedars-Sinai Health… more
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