With strong support for licensing and credentialing, we ensure our providers are equipped to serve patients in underserved areas. ...
Provider must have a clear active Medical License. Provider must be Board Certified in specialty requested. ...
Lead an organization responsible for implementing and managing a Provider Partnership Model that represents the Operations organization across Centene, defining an integrated provider operations strategy, corresponding roadmaps and initiatives delivery in support of that integrated strategy, and par...
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. ...
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Collaborate with departments on issues related to provider, including but not limited to, Configuration...
Maintain current availability records in provider portal. ...
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...
Provide support to the external provider representative to resolve provider data issues. Submit provider data entries to resolve provider-related demographic information changes. Perform day to day duties of assuring that providers (individual, group, ancillary, etc. Responsible for multiple state d...
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...
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. Perform duties to act as a liaison between providers, the health plan and Corpora...
Serves as the primary liaison between Well Sense Health Plan (“Plan”) and key provider organizations, taking the lead and promoting collaboration within Plan, as it relates to provider network maintenance. Acts as liaison between provider and internal Plan departments such as Provider En...
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...
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...
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 ...
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...
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. ...
Product Manager, Provider Workflows, you will partner directly with our clinical teams to improve the clinical quality and efficiency of our clinical workflows. ...
Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health.We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.Datavant has a network of networks consisting of tho...
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 – ...
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...
Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.Datavant has a network of network...
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...
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...