This role is responsible for setting the Specialty Pharmacy Provider (SPP) strategy for Pfizer’s products to drive optimal medication access and patient adherence. Responsibilities include working with the brand teams to develop patient support programs, in conjunction with Specialty Pharmacy Provid...
In order to maintain exceptional quality and member experience on our platform, the opportunity to work on the CirrusMD Provider Network team is limited to high performing providers who have proven the ability to manage patients effectively and efficiently, while earning high patient satisfaction sc...
We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway w...
The Guidehouse Commercial Healthcare Payer/Provider candidate will have experience in the healthcare industry, preferably in performance improvement within Health Systems, Hospitals, Health Plans or Physician Groups. You will work on the Guidehouse Commercial Healthcare team driving margin and opera...
Client-facing, the Provider Success Manager (PSM) is the trusted partner to our provider, providing advice on anything from the grand opening, to product selection, cross-selling, and the P&L. They do this by combining best-in-class software, tailored support services, and the benefits of scale ...
The Provider Coding Educator is coordinates medial record coding audits, conducts provider training sessions on diagnosis coding and develop training guidelines, process and procedures for medical record coding in an effort to maximize reimbursement. Experience with delivering presentations, conduct...
Implement provider office education, where necessary, and provide formal training to providers and staff regarding coding and documentation standards. Conduct chart reviews for providers and review provider. Attend risk adjustment and quality provider meetings for assigned provider groups to provide...
With over 500 nationwide providers, Skin Clique is at the forefront of reshaping the aesthetics industry, providing a unique opportunity for Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to thrive in a flexible and fulfilling role. At Skin Clique, we prioritize the well-...
Responsible for accurately completing the enrollment/re-enrollment processes of providers as identified through department policies, network reimbursement and delegated contracts to ensure timely and continued provider participation. Proactively initiates oversight of existing provider record issues...
Designs, develops, and implements complex data models and enterprise software solutions that support provider data. Leads projects focused on the development of data models, application products and services delivery from end-to-end and has broad knowledge and awareness of evolving technical and bus...
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its cente...
Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provide...
Regional Sales Director position for Service Providers. ...
Acts as a liaison between Tier I providers (hospital systems, large multi-specialty groups, providers on value-based contracts and/or those with complex contracts) and the health plan. Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved p...
Care@Work, by , is the fastest-growing provider of backup child care. As a Childcare Provider, with our Care@Work business unit, you will have the opportunity to care for children of multiple families in your area! You will be responsible for creating a safe, nurturing, and stimulating environment f...
The Compliance Manager will be responsible for ensuring that the business segments and products within the PSaS Provider Solutions organization, Medically Integrated Dispensing “MID” practices, are adhering to McKesson’s compliance program that follows the seven elements of an effective compliance p...
Closely collaborate with other ITS team members and internal UW Medicine customers to provide a service oriented, point of technical leadership for systems supported by the Provider Data System team, including Epic SER, Kyruus Provider Directory, and internal solutions. LEAD, APPLICATIONS ANALYST – ...
Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory. Works with other departments to ensure quality provider data to our members. Conducts and m...
This involves identifying potential providers, negotiating contracts, and maintaining strong relationships with existing providers. Leading contract negotiations with healthcare providers to ensure favorable terms for both the organization and the providers. Addressing and resolving any provider-rel...
The Senior Provider Relations Consultant (Snr PRC) is responsible for managing an assigned territory of professional and facility behavioral health providers to enhance their relationships with WellSense Health Plan across Medicare, Medicaid and Commercial products. The Snr PRC serves as primary lia...
Through ongoing coaching and skills development our Account Executives become consultants on PatientPoint products and are an integral part of the Provider Solutions team. Represent PatientPoint Provider Solutions in a positive and professional manner. Demonstrate knowledge of PatientPoint Provider ...
Job Title: Virtual Primary Care Advanced Practice Provider- Licensed in LA,GA,IL,FL,TN, OH, PA and/or TX (Remote/Part-Time). First Stop Health is in search of part-time advanced practice providers. Our primary care providers will treat patients virtually, via phone or video call,serving their episod...
Reporting to Director of Member and Provider Service, the Operations Manager is responsible for providing operational oversight including compliance, program development, evaluation, and performance monitoring. Collaborate with functional leaders to identify initiatives that improve service to membe...
Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory. Works with other departments to ensure quality provider data to our members. Conducts and m...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...