As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Guide development of geographically competitive, broad access...
A healthcare company is looking for an Advanced Practice Provider. ...
We prioritize the well-being of our clients and are committed to supporting our providers in delivering exceptional care. We are currently seeking licensed therapists to join our diverse network of providers. Providers achieve 90% of their desired caseload within 30 days. Our executive team includes...
This is a full-time position that is fully remote based out of Richmond, VA.Qualified applicants must reside in the state of Virginia for consideration for this remote opportunity - - This position requires specific credentialing and/or enrollme Enrollment, Coordinator, Remote, Healthcare....
The Director is responsible for overseeing network development and maintenance, which includes oversight of our provider network clinical initiatives, provider engagement and relations, contracting and credentialing, and provider data management. Director, Provider Contracting (Fertility). Maven is ...
Healthcare Provider IT/Digital Solutions team from anywhere in the United States. The ideal candidate has 12+ years of IT Sales experience and strong relationships in the Healthcare Provider industry. Recognized as an expert in Healthcare Provider service solutions industry/industries. Demonstrated ...
We're hiring a Licensed Mental Health Provider to join our Oscar Primary Care Team. You will provide direct patient care to a panel of Oscar Primary Care patients with Primary Care Providers (PCPs) under the collaborative care model, to deliver high quality, evidence-based, integrated behavioral hea...
Provider Solutions and Development, an entity of Providence St Joseph Health, is the national market leader for best-in-class provider recruitment services. Providence is calling a Manager Provider Recruitment who will:. Lead and develop high performing staff who support the recruitment of multiple ...
Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data. Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, systems, reimburseme...
As the Provider Data Services Senior Coordinator,Manages audits of provider information to escalate issues for resolution as appropriate. At CVS Health, we are looking for an experienced and motivated Provider Data Services Senior Coordinator to join our dynamic team. Provider Data Maintenance exper...
Providers (Telehealth) – MD, DO and FNP – Men’s Health. ...
Works in partnership with Delegation Oversight, Provider Network, and Operations to manage day to day operational issues for delegated vendors. ...
Our Provider Relations Advocate is responsible for managing providers and internal team members to identify opportunities for continued enhancements in the provider journey that support lasting and trusting relationships with our network of providers. Making outbound calls to providers to help imple...
Assist in the development and management of governance and utilization of strategies related to provider performance management, engagement, and communication. Manage tool strategy, governance and plan utilization for provider engagement, including performance tool development, enhancement, sunset a...
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...
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) Dental in the field with our providers and the liaison for provider contracting questions, claim and c...
As the LTC Preferred Provider Network Solutions Lead, you will play a pivotal role in supporting our long-term care preferred provider vision. This team focuses on providing access to high-quality and affordable long-term care providers to our customers when they need it. This role reports into the ...
This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, and non production activities. This role will focus on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data...
Inform clinics/providers of any updates and/or changes, related with charges and codes. ...
Provider data, provider operations, network experience. Be the SME and POC for provider data clean-up for assigned states. ...
Principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providersProvider contracting, including language, reimbursement methods, and ratesHealthcare industry specific terms and healthcare relat...
As the LTC Preferred Provider Network Solutions Lead, you will play a pivotal role in supporting our long-term care preferred provider vision. This team focuses on providing access to high-quality and affordable long-term care providers to our customers when they need it. This role reports into the ...
Sandata is uniquely positioned as a software technology vendor serving both Payers and Providers in this growing segment of the healthcare market. The company is experiencing significant growth and is now looking for a Regional VP, Provider Sales to support that growth. In this role you will be resp...
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...
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...