The Provider Development Specialist develops and maintains a network of high quality and culturally competent service providers to meet members' needs; monitors Lakeland Care's (LCI) Provider Network to ensure both adequacy and capacity, and builds positive working relationships with service provide...
This position is at the very forefront of CPSI’s customer service operations and is tasked with delivering exceptional service and support experience to end users.This requires a high level of listening and communication skills to appropriately evaluate and provide resolutions.This role requires tho...
The Senior Manager, Saleforce Operations is responsible for overseeing and optimizing the sales operations of the Provider Engagement team, whose primary goal is contracting with medical providers to grow our provider network. Willingness to dive in and learn about health plans, provider contracting...
The Billing and Posting Resolution Provider is responsible for providing TruBridge services to customers. ...
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...
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...
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...
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...
Coheres Provider Success team is responsible for ensuring consistent delivery of a proactive, supportive, and partner-oriented experience to our national membership of providers/practices across our health plan-clients' networks (, primary care, ancillary service providers, health systems, etc. The ...
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. ...
Provider Network Business Development Manager. The purpose of this role is to maximize transactions in MCG's Collaborative Care solution which includes expanding payer and provider networks, promoting adoption among existing purchasers, supporting strategic sales efforts, and providing thought leade...
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...
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 ...
Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provide...
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...
This involves identifying potential providers, negotiating contracts, and maintaining strong relationships with existing providers. Leading contract negotiations with healthcare providers to ensure favorable terms for both the organization and the providers. Addressing and resolving any provider-rel...
The 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. You will work on the Guidehouse Commercial Healthcare team driving margin and opera...
This CSM should possess acute domain knowledge as well as a strong understanding of how Provider Organizations, Hospital Systems, or Health plans operate to facilitate an optimal CSM-customer partnership. ...
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...
The Billing and Posting Resolution Provider is responsible for providing TruBridge services to customers. ...
Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare.We h...
With over 500 providers nationwide, 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-...
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 Provider Enrollment Specialist, using his/her knowledge of SCP Health policies in conjunction with insurance carrier credentialing and enrollment requirements, facilitates provider enrollment and billing privileges on behalf of all SCP Health applicants through coordination of insurance plan enr...