• Program Analyst, Senior

    Precise Systems, Inc. (Patuxent River, MD)
    …and schedules. Applies government-instituted processes for documentation, change control management and data management. Required Education : Senior - MA/MS ... of service. Powered by our highly skilled workforces, we provide expert consultation on network and weapons systems acquisition...and the Precise solution. We are currently seeking a Senior Program Analyst to support our Pax River, MD… more
    Precise Systems, Inc. (05/30/24)
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  • Provider Data Services Senior

    CVS Health (Hartford, CT)
    …Position Summary At CVS Health, we are looking for an experienced and motivated Provider Data Services Senior Coordinator to join our dynamic team. ... As the Provider Data Services Senior Coordinator,...Demonstrated success in collaborating with others to meet/exceed expectations. Education High School Diploma or Equivalent work experience. Pay… more
    CVS Health (06/11/24)
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  • Senior Analyst, Provider Data

    CVS Health (Lansing, MI)
    …anywhere in the United States. Prefer candidate located in MI- Maintains the Provider Data (demographic and contractual) for all network and non-network ... with other departments regarding database improvements.- Provides support for baseline provider data transactions that cannot be administered automatically… more
    CVS Health (06/09/24)
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  • Provider Data Services Senior

    CVS Health (Phoenix, AZ)
    …care more personal, convenient and affordable. Position Summary - Maintains the Provider Data (demographic and contractual) for all network and non-network ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
    CVS Health (06/18/24)
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  • Provider Data Service Senior

    CVS Health (Sacramento, CA)
    …projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members. Acts in Lead role within the ... information and escalates issues for resolution as appropriate Required Qualifications - Provider Data Services background (2-4 years) - Demonstrated ability to… more
    CVS Health (06/14/24)
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  • Provider Data Service Senior

    CVS Health (Nashville, TN)
    …to recommend process improvements. - Works with other departments to ensure quality provider data to our members. - Runs reports, manipulates data ... + Proficient in Microsoft Office Applications including Excel. + 1-2 years Provider Data Maintenance experience + Previous production environment experience… more
    CVS Health (05/25/24)
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  • Medicaid Provider Data Service…

    CVS Health (Lansing, MI)
    …coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work ... Required + 3-5+ Years of experience and knowledge of Provider Data Services systems and other end...to meet business reporting needs. + Strong communication skills. Education - Bachelor's degree or equivalent 3+ years of relevant… more
    CVS Health (06/09/24)
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  • Senior Analyst, Provider Data

    CVS Health (Phoenix, AZ)
    …training of intake of provider inquiries, administrative review to full provider data updates and claims processing. Collaborate with leadership to ensure ... personal, convenient and affordable. Position Summary This position will provide support and training for all of the Medicaid...Qualifications 2+ years in MPOS or extensive knowledge of Provider Data 5+ years QNXT experience2+ years… more
    CVS Health (05/21/24)
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  • Provider Data Service Senior

    CVS Health (Springfield, IL)
    …support the roster team with focus on the review of incoming requests of large provider data sets, validation of requirements and assignment of work to team ... Qualifications + 3-5+ years of experience and knowledge of Provider Data , provider data...to meet turn around timeframes + QNXT system experience Education + Bachelor's degree or equivalent 4+ years of… more
    CVS Health (06/19/24)
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  • HCC Coding Provider Education

    The Cigna Group (Bloomfield, CT)
    …identified in provider office diagnosis coding. Implement provider office education , where necessary, and provide formal training to providers and staff ... provider sites, whether conducting chart review or providing training/ education , both for historical and/or real time data... meetings for assigned provider groups to provide updates, recommendations, or education (may occur… more
    The Cigna Group (05/29/24)
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  • Advanced Practice Provider - Nurse…

    University of Colorado (Aurora, CO)
    Advanced Practice Provider - Nurse Practitioner or Physician's Assistant Senior Instructor - 30744 Faculty **Description** **University of Colorado | CU Anschutz ... of Medicine | Department of Family Medicine** **Job Title:** **Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Department of Family… more
    University of Colorado (04/17/24)
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  • Senior Provider Engagement…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Senior Provider Engagement Professional- Practice Transformation is responsible for driving ... provider performance programs for Humana Healthy Horizons in Ohio. The Senior Provider Engagement Professional- Practice Transformation represents the scope… more
    Humana (05/10/24)
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  • Senior Credentialing Provider

    CVS Health (Phoenix, AZ)
    …2 years or less + Ability to consistently meet and/or exceed production daily goals Education + Highschool diploma or GED Pay Range The typical pay range for this ... base salary offer will depend on a variety of factors including experience, education , geography and other relevant factors. This position is eligible for a CVS… more
    CVS Health (06/19/24)
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  • Senior Provider Contracts…

    Henry Ford Health System (Troy, MI)
    …general performance improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for ... + Win-Win style of negotiating, effectively communicating, actively listening, and winning provider trust through transparent presentation of data and diligent… more
    Henry Ford Health System (05/14/24)
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  • Healthcare Provider Support- Growing…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE- in ... ElderCare Providers; this may include but is not limited to provider onboarding, scheduling, credentialing, reporting and billing. **Responsibilities** ** Provider more
    Fallon Health (06/11/24)
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  • Senior Consultant - Operations Solutions,…

    Guidehouse (Chicago, IL)
    …purchased services, supply cost, and clinical supply utilization at client provider organizations. Senior Consultants have responsibility for client management, ... Industrial and Operations Engineering, Supply Chain Management or similar + Healthcare provider or fellowship experience and/or education in health economics is… more
    Guidehouse (05/18/24)
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  • Senior Provider Contracting…

    Humana (Bismarck, ND)
    …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
    Humana (05/21/24)
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  • Senior Provider Contracting…

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
    Humana (05/30/24)
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  • Senior Research Assistant (Intervention…

    Brown University (Providence, RI)
    Job Description: The Senior Research Assistant (Intervention Provider ) is a clinical and participant-based research position that will be part of the Hassenfeld ... inclusive campus community. Recruiting Start Date: 2024-02-22 Job Posting Title: Senior Research Assistant (Intervention Provider ) Department: Hassenfeld Child… more
    Brown University (06/16/24)
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  • Senior Provider Contracts Specialist

    Molina Healthcare (NY)
    …and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business ... in New York _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
    Molina Healthcare (06/12/24)
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