- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY:** The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the ... planning, internal coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key… more
- Centene Corporation (Miami, FL)
- …workplace flexibility. Qualified candidates must reside in Florida **Position Purpose:** The Network Performance Advisor (NPA) serves as a key point of contact ... high provider satisfaction and helping providers improve their performance. The Network Performance Advisor will be responsible for executing Network … more
- The Cigna Group (St. Louis, MO)
- …of working 3 days per week onsite and 2 days per week remote._** The Provider Contracting Advisor (PCA) is responsible for the overall management of the ... Behavioral Outpatient network which consists of identified large, high-volume, multi-state or...of identified large, high-volume, multi-state or national practices that provide virtual and digital resources. These regional and/or national… more
- LA Care Health Plan (Los Angeles, CA)
- …provided to LA Care Medi-Cal members. This serves to help maintain a quality and solvent provider network and avert provider network disruptions due to ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304,...we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on… more
- Humana (Albany, NY)
- …health system operations and optimization including contractual performance and provider network management in order to provide the best experience for our ... next generation of military health contracts. The Market Development Advisor is part of a team that is responsible... operations to include customer support and outreach activities, network adequacy, access to care standards, provider … more
- Centers Plan for Healthy Living (Bronx, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that ... Licensed Benefits Advisor (Bilingual Preferred - Field Based) Bronx, NY,...we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing, Claims, Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting ... our mission to improve the health and lives of Louisianans.** **What does an Account Advisor do?** Serve as first point of contact for the organization. The Account … more
- Trinity Health (South Bend, IN)
- …located in Plymouth + More than 85 providers in the Saint Joseph Physician Network located across the Saint Joseph and Marshall counties + Community Health Centers ... for quality care. **About the Job:** + The Insurance Agent & Advisor impartially provides education about the availability of health insurance plans available… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and ... support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to… more
- Humana (Columbus, OH)
- …driving provider performance programs, goals and improvement metrics for network providers and partnerships. The Engagement Professional is an integral part of ... a cross-functional, collaborative organization which includes Provider Service Experience, Network Optimization, Clinical Services, Value-Based contracting,… more
- LA Care Health Plan (Los Angeles, CA)
- …all lines of business. Identification of potential areas of improvement within the provider network . Identify and initiates referrals for appropriate members to ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- AmeriHealth Caritas (Orlando, FL)
- …their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network . + Overseeing the quality of clinical care for ... network and non- network providers. + Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and… more
- AmeriHealth Caritas (Newark, DE)
- …their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network . + Overseeing the quality of clinical care for ... network and non- network providers. + Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and… more
- LA Care Health Plan (Los Angeles, CA)
- …all lines of business. Identification of potential areas of improvement within the provider network . Identify and initiate referrals for appropriate members to ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- University of Colorado (Aurora, CO)
- …NPI number by date of hire + Must be willing and able to obtain valid Colorado Medicaid Provider number within 30 days of hire date + Must be willing and able ... Denver, CO 80236** **Position #00647543 - Requisition #32571** **Job Summary:** **Health care provider positions at SHS, such as this one, qualify for federal and… more
- SSM Health (Madison, WI)
- …Medical and DEA licensures **Job Details** + The new physician will provide both inpatient and outpatient consultation for patients ranging from neonates to ... young adults. In addition to the office practice, the new provider will read EKG's, echos, Holters and exercise testing. + Ideal candidates will have strong echo… more
- SSM Health (Janesville, WI)
- …one of the largest integrated health care delivery systems in the country. Our network consists of more than 60 clinics in South Central Wisconsin, SSM Health Davis ... Duehr Dean Eye Care, insurance provider Dean Health Plan, and pharmacy benefits company Navitus...pharmacy benefits company Navitus Health Solutions. Approximately 500 physicians provide primary, specialty, and tertiary care in the clinics.… more
- SSM Health (Madison, WI)
- …is one of the largest integrated healthcare delivery systems in the country. Our network consists of more than 60 clinics in South Central Wisconsin, SSM Health ... Davis Duehr Dean Eye Care, insurance provider Dean Health Plan, and pharmacy benefits company Navitus...pharmacy benefits company Navitus Health Solutions. Approximately 500 physicians provide primary, specialty, and tertiary care in the clinics.… more
- Ellis Medicine (Schenectady, NY)
- …of Quality and Risk, Director of Family Medicine Residency Program, Physician Advisor Utilization Management, and System Wide Chiefs. The CMO plans, organizes, ... functions. + Serves as primary liaison to all clinical departments related to provider role in progression of care. + Demonstrates the organization's commitment to… more