Great companies need great teams to propel their operations.Join the group that solves business challenges and enhances the way we work and grow.Working at Gainwell carries its rewards.You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a pr...
Provider Configuration Analyst with Facets / NetworX Pricing experience for a remote position. ...
The Provider Growth team is responsible for the adoption and overall experience of our platform’s end users Healthcare providers and their clinicians. Monitor the overall health of our provider partnerships, synthesizing feedback and information, scoping optimization opportunities, conducting side-b...
A company is looking for a Provider Enrollment Specialist - Remote. ...
Engage in ongoing provider relations activities, including conducting virtual provider site visits, providing provider education, and addressing escalated provider claim/service issues. The Provider Relations Advocate plays a crucial role in recruiting and contracting network providers, as well as p...
Key Responsibilities:Manage the Provider Contracting functions and team membersLead negotiations of contracts with the Complex Provider CommunityDevelop and implement standardized provider contracts and contracting strategiesRequired Qualifications:Bachelor's Degree in a related field or equivalent ...
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...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
The Provider Engagement Representative (PER) will manage business relationships for contracted Skilled Nursing Facilities (SNF) for all UHC lines of business in Indiana, including working on end-to-end provider issues and call quality, and training & development of external provider education progra...
Monitors provider agencies and independent practitioners within Vaya Health provider network receiving reimbursement for service provision under Medicaid, the Innovations waiver and state funding. Provide technical assistance to providers during the course of reviews to assist providers in successfu...
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...
Assist Provider Data Management (PDM) team in data entry of key provider demographics and data integrity projects including but not limited to outreaching for additional details required to update CACTUS Credentialing Software's database and directory. The Provider Enrollment Specialist facilitates ...
The Senior Provider Engagement Representative is accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of e...
With our Mobile Health Network of professional and private transportation providers, we service a large community of members of select health plans using your own vehicle. We are seeking professional, punctual, polite, and responsible individuals to use their own vehicles to serve as independent Mob...
Provider data, provider operations, network experience. Be the SME and POC for provider data clean-up for assigned states. ...
Manages key provider relationships and is accountable for interface with providers and business staff. This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. Manages increasingly complex contracts and negotia...
Join the Medicaid Provider Relations team as Provider Relations Manager, where you will act as the primary resource for assigned, high profile providers and groups (i. Create and manage provider-facing communications: newsletters, website updates, provider manual, email/fax blast. Monitor provider p...
Represents the highest level of technical expertise in the area of Provider Configuration, Provider, and Network Maintenance while providing leadership and partnering with Fidelis Care New York’s Senior and Executive Management. Supports initiatives and business as usual tasks required for Complianc...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Additionally, they manage and maintain the Provider Help Center in Zendesk, ensuring accurate provider-facing guides and FAQs, and support monitoring provider experience across the provider lifecycle. Develop and implement an overall communications strategy to increase provider engagement and improv...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Reviews medical documentation from...
The Provider Coordinator plays a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within the health plan system. Provider Data Entry Specialist. In this role, you will receive provider information from external sources for system update...
Actual project experience in SAP S/4 implementation and has led cutover/data migration activities in green field SAP implementations.SAP Functional knowledge and understanding data relationships of SAP objects.Has hands-on experience in the SAP system and the ability to verify data sets in the syste...
We are currently seeking a Senior Director - Healthcare Solutions - Provider Vertical (REMOTE POSITION) to join our team in Plano, Texas (US-TX), United States (US). Senior Director – Healthcare Provider Vertical (REMOTE ROLE--US BASED). In partnership with Provider Sub-vertical provide strategic le...