With strong support for licensing and credentialing, we ensure our providers are equipped to serve patients in underserved areas. ...
Curana’s Provider Network Management team is looking for an enthusiastic and motivated individual to fill the critical role of Provider Network Analyst. As an Analyst, you will play a vital role in building and maintaining a robust provider network and ensuring the accuracy of provider information. ...
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...
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...
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...
Maintain current availability records in provider portal. ...
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...
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...
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...
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 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...
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Serve as primary contact for providers serving as a liaison between the provider and the health plan. Conduct monthly face to face meetings with the provi...
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. ...
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...
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 Provider Recruitment Associate will support the growth of Privia Health by assisting the Provider Recruitment team with the logistics of the recruitment process to result in the successful placement of physician and advanced practitioner candidates within our practices (care centers). Provide su...
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...
Yes Hearing is excited to launch the Yes Hearing Reach Program, a unique opportunity for talented hearing care providers to establish their own mobile clinic experience. We are committed to expanding access to hearing care through this innovative initiative, where providers will create a meaningful ...
Credit Balance (CB) consists of overpayment recovery specialists who work with both clients and providers to identify and reconcile overpayments at the provider level. A Provider Services Analyst (PSA) is a member of Credit Balance (CB) and our greater Coordination of Benefits (COB) and Data Mining ...
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 – ...