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...
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...
Experience with provider data management, provider directory, provider relations or provider contracting highly preferred. The Manager of Provider Data Automation, Analysis & Audit will oversee development of automated batch loads of provider data, all reporting and data submissions related to provi...
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...
Acts as a liaison between Tier I providers (hospital systems, large multi-specialty groups, providers on value-based contracts and/or those with complex contracts) and the health plan. Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved p...
Maintain current availability records in provider portal. ...
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...
As the Director of Sales for our Service provider and Managed Security Service Provider (MSSP) division, you will be responsible for leading and managing our sales efforts to drive strategic revenue growth and expand our service provider partners. This position requires a strong understanding of cyb...
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...
Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management). Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure ...
The provider experience is the backbone of how Headway providers deliver care. As a product manager on provider engagement, you will be in the driver’s seat to build experiences that make a provider’s day to day less stressful and more productive. You will help define product strategy for this buddi...
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...
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...
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. ...
The Provider Coding Educator is coordinates medial record coding audits, conducts provider training sessions on diagnosis coding and develop training guidelines, process and procedures for medical record coding in an effort to maximize reimbursement. Experience with delivering presentations, conduct...
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...
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...
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-...
Draft and send communications to provider network and specific provider populations, as instructed by leadership. Manage incoming provider support questions and requests for assistance. Analyze and troubleshoot process and technical issues reported by providers. Drive continuous improvement of the p...
With over 500 nationwide providers, 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-...
Our decades of experience in Release of Information services continues to drive value for providers and has been recently enhanced through digital connectors and technology tools that automate workflows, ensure compliance, improve provider experience and save time and costs. Datavant’s Provider prod...
Collects, analyzes, and interpret market data in order to build and maintain compensation models for physicians and providers that meet business needs as well as recruit and retain provider talent with minimal oversight. Oversees the collection and submission of market survey data for all providers ...
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...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...