Are you an Adult LCSW licensed in .SUD/Dual Diagnosis experience? We have an exciting opportunity for you to work 100% remotely! .Iris Telehealth is seeking compassionate LCSWs with .SUD or Dual Diagnoses experience.EST for a 100% remote outpatient opportunity.This position requires 40 hours per wee...
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...
Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provider education, including writing and updating orientation materials. Must be willing to travel locally to different provider offices. Maintain partner...
Provider-side experience in a health system, hospital strategy. Solid background in broad-based provider financial modeling 3+ yrs. Provider-side experience in a health system, hospital strategy. ...
The Provider Pricing Specialist is responsible for managing provider database information, provider association with claim and set up of online customer portals. The Provider Specialist assists with research to settle claim pricing questions, as well as the provider and member appeal process. Mainta...
The ideal 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. He/she will work on the Guidehouse Commercial Healthcare Operational Effectiv...
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 ...
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...
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...
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...
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...
Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved provider performance. Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes. Develop strategic partnerships between the health plan ...
The Provider Enrollment Specialist is responsible for managing the payer enrollment and revalidation processes for clinicians within Netsmart's client network. This role ensures that all healthcare providers are properly enrolled with payers and that their credentials are kept current to maintain co...
Coheres Provider training team is responsible for ensuring that provider organizations are supported throughout their lifecycle of using the platform. As a Lead Specialist, Provider Training & Development, you will work closely with many teams at Cohere to deeply understand our mission and the p...
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...
The PNR partners with Provider Relations in the provider contracting process; in researching provider inquiries; in identifying and creating Best Practices; and providing an overall seamless level of customer service to the provider network. This position maintains provider networks to overall persi...
Curana’s Provider Network Management team is looking for an enthusiastic and motivated individual to fill the critical role of Provider Network Analyst. As an Analyst, you will play a vital role in building and maintaining a robust provider network and ensuring the accuracy of provider information. ...
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...
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 – ...
Job Title: Virtual Primary Care Advanced Practice Provider- Licensed in LA,GA,IL,FL,TN, OH, PA, IN 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 ep...
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider. Intervene wi...
We are seeking a Channel Development Manager, Service Providers who can evangelize Intermedia’s unique value propositions for our solutions, including UCaaS, CCaaS and other business collaboration tools, and differentiate our service provider program in a compelling manner to prospective partner exe...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...
The Sandata solution has been implemented by 15,000 Provider Agencies, 19 State Payers, and 50 MCO Payers to ensure their compliance with changes in regulatory/compliance requirements and ongoing complexities. ...
As the product manager for the Provider Coding pod, your goal is to discover and develop a solution for one of the most pressing problems that providers are facing today: how to ensure that they get paid appropriately, and how to accomplish this in an environment of increasing costs and fewer people...