We have exciting opportunities for you to work 100% remotely! .Iris Telehealth is seeking compassionate psychiatrists (MD/DO) with .This is a great opportunity to positively impact an underserved community while experiencing the work-life balance you have always dreamed of! .We offer flexible 1099 a...
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 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...
Responsible for ongoing review of performance reporting and data, interpreting and prioritizing results; utilize tools and resources to identify performance insights; work with health plan and provider functional leadership to present results and recommend actions to providers. Develop provider perf...
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...
Experience with provider data management, provider directory, provider relations or provider contracting highly preferred. The Manager of Provider Data Automation, Analysis & Audit will oversee development of automated batch loads of provider data, all reporting and data submissions related to provi...
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 ideal candidate will bring extensive healthcare industry experience with a proven track record of delivering innovative clinical and strategic performance solutions to physician practices and provider systems. This individual will lead the design, development and implementation of solutions to c...
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 ...
The role of Part-time Assistant Professor University Support Provider includes teaching courses within a programmatic core discipline as assigned, and serving as a liaison between students and the clinical placement site they are assigned for clinical practice. Part-time Assistant Professor Universi...
Create the future of e-health together with us by becoming a Provider Enrollment Specialist. Compiles and maintains current and accurate data for all providers. Completes provider enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed. Maintains co...
As a full-time mental health provider for Spring Health, you will focus on care delivery of Spring Health’s member network. You have been a 1099 Provider with Spring Health for at least 3 months. You like working independently but would also enjoy having the support of a team and opportunities for c...
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...
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...
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...
Reporting to the Director, Credentialing & Enrollment, the Manager, Credentialing is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Privia’s high performance medical group. Assures compliance with all health plan requirements as ...
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...
The Enrollment Specialist will be the primary contact for the Florida's Market’s Enrollment Department for all Privia independent providers and care centers, and responsible for all aspects of managing the payer enrollment process. The Enrollment Specialist will take steps necessary to enroll all ne...
Collects, analyzes, and interpret market data in order to build and maintain compensation models for physicians and providers that meet business needs as well as recruit and retain provider talent with minimal oversight. Oversees the collection and submission of market survey data for all providers ...
Create the future of e-health together with us by becoming a Provider Enrollment Account Manager. Compiles and maintains current and accurate data for all providers. Complete Statewide credentialing/recredentialing applications to add providers to commercial payers, Medicare, and Medicaid. Track lic...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...
Make and oversee credentialing system updates ensuring provider contracted and credentialing status is properly reflected in the Provider Data Management tool, Provider360. Communicate delegation & credentialing status to providers and ensure proper updates are made to the provider management system...
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-...