The MRS Provider Support Line Representative is responsible for assisting providers with inquiries related to claims, contracts, authorizations, benefits, services, registries, and community resources. MRS Provider Support Line Representative are trained in specific functional areas for provider ser...
The Provider Enrollment will be responsible for supporting provider enrollment/screening into the Rhode Island Medicaid program. Update and maintain accurate provider files, including documenting information such as license, Social Security Numbers, Tax ID numbers, and any other changes to the provi...
Provider Relations Specialist - RemoteJob DescriptionThe Sr. Provider Relations Specialist is responsible for managing contracting efforts for low to mid complexity pharmacies. Constantly required to sit, use hands to handle or feel, talk and hearFrequently required to reach with hands and armsOccas...
Experience in Provider Data Analytics, Provider Relations, Network Development, or Contract Review. The Associate Provider Network Data Analyst plays a critical role in supporting cross-departmental communication and collaboration through data analysis and reporting. Provider Network Analysis and To...
AE II thoroughly understands the Plan’s contracts and provider performance and needs, identifying, developing, conducting relevant and tailored provider orientation sessions, making educational visits, and resolving provider issues. Assigned provider accounts may include single or multiple practices...
CHC is one of the country’s most creative and dynamic providers of primary medical, dental and mental health services to the uninsured and underinsured. We are one of the leading health-care providers in the state of Connecticut, providing comprehensive primary care services in medicine, dentistry, ...
As a Healthcare Provider Directory Validation Assistant, you will play a crucial role in ensuring the accuracy and integrity of healthcare provider directories. When not involved in provider directory validation activities, the Healthcare Provider Directory Validation Assistant may be required to pr...
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...
You will be a practitioner on our telehealth platform 'Intellect', where your role is to support our clients' mental health and personal growth based on the individual needs and goals.This is delivered primarily through scheduled 60-minute video sessions on our platform.This is a freelance remote ro...
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...
Medicaid Testing Lead – Provider Management Location: Remote About Us :Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter. ...
You will be a practitioner on our telehealth platform 'Intellect', where your role is to support our clients' mental health and personal growth based on the individual needs and goals.This is delivered primarily through scheduled 60-minute video sessions on our platform.This is a freelance remote ro...
Shared living providers develop strong, supportive, often roommate or family-like relationships with the individual in their home. With a reputation built on "going the distance," Spurwink has the experience and clinical expertise to help both providers and individuals experience success. Spurwink p...
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 Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC) and Healthplex Dental in the field with our providers and the liaison for provider contracting questio...
CHC is one of the country’s most creative and dynamic providers of primary medical, dental and mental health services to the uninsured and underinsured. We are one of the leading health-care providers in the state of Connecticut, providing comprehensive primary care services in medicine, dentistry, ...
We're hiring a Manager, Member & Provider Compliance to join our Strategy team. The Manager, Member & Provider Operational Compliance will ensure compliance excellence and operational integrity while fostering a culture of operational compliance, representing Operations in discussions with regulator...
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...
Datavant is a rapidly growing healthcare technology company with a mission to connect the world’s health data.By joining Datavant today, you’re stepping onto a highly collaborative, fully remote team that is passionate about creating transformative change in healthcare.We look for people who are sma...
As a Healthcare Provider Directory Validation Assistant, you will play a crucial role in ensuring the accuracy and integrity of healthcare provider directories. When not involved in provider directory validation activities, the Healthcare Provider Directory Validation Assistant may be required to pr...
Train staff and providers on the utilization of Veradigm Solutions to ensure that our customers’ successfully implement and utilize our solutions and that success is reflected in improved provider engagement and associated performance when relating to Risk Adjustment, Quality and other Care Gap Clos...
Yes Hearing is excited to launch the Yes Hearing Reach Program, a unique opportunity for talented hearing care providers to establish their own mobile clinic experience. We are committed to expanding access to hearing care through this innovative initiative, where providers will create a meaningful ...
Working with the Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and regulatory requests. The Senior Manager will directly support complex analysis rel...
Intern will assist with ongoing quality assurance activities related to provider data, including validating and updating provider affiliations, service locations, and provider type audits Summer 2025. MA Network Summer Intern will be responsible for supporting active provider data validation project...
Ensures all provider services are completely and accurately coded according to approved coding guidelines. Provides coding support to the providers and staff by performing periodic coding reviews, conducting various coding education and training sessions. Educates providers and coding staff within t...