Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state,...
CHC is one of the country’s most creative and dynamic providers of primary medical, dental and mental health services to the uninsured and underinsured. We are one of the leading health-care providers in the state of Connecticut, providing comprehensive primary care services in medicine, dentistry, ...
Molina National Level Contracting jobs are 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. Negotiates assigned contracts and letters of agreements with...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Conducts comprehensive provider practice assessments to establish baseline value-based capabilities of each assigned provider to identify key opportunity areas and provider needs. Must be willing to visit providers throughout the state of Kentucky (in person and virtually up to 25% - 30% of the time...
Manage overall Capital Budget program.Primary point of contact for overseeing Operating Budget.Develop KPI and visualization tools to accurately and concisely report on budget status.Provide engineering and project management support for activities at non-manufacturing sites.Manage overall project s...
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 ...
BLS Provider or equivalent knowledge. Assess and evaluate nursing practice throughout the various provider clinics and collaborate with CNCO and Clinical Staff Operations Manager to provide education specific for improved quality, practices, and productivity in those areas. Collaborates with Departm...
Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned . Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance ...
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...
STINE INDEPENDENT SALES REPRESENTATIVEJob Description:Stine Seed Company, a privately-held, growing national seed company, currently has an opening for an Independent Sales Representative in Green, Adair, Metcalfe, Russell, and Wayne Counties in South Central Kentucky. Communicate and implement Stin...
Remote Licensed Psychiatric NursePractitioner. We are excited to begin helping you ifyou are a fully-licensed, ANCC board-certified Psychiatric NursePractitioner with:. Are you a licensedPsychiatric Nurse looking to launch a private practice, or growyour existing practice? Headway can help you earn ...
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...
Nurse Practitioner/Physician Assistant. ...
Remote Sales Representative Momentous Financial Partners $100,000 Yearly Dental, Life Insurance, Medical, Vision, Contractor Job Description We are seeking motivated individuals to join our team as Remote Work Sales Agents. No previous sales or insurance experience is required. As a Remote Work Sale...
Oversees the evaluation of contract performance to determine necessity for amendments or extensions of contracts, and compliance to contractual obligations. This position will be responsible for all aspects of contract performance, including shaping and strengthening customer relationships, collabor...
Are you a compassionate caregiver looking for a rewarding role with a supportive, team-oriented agency? Home Matters Caregiving is a best-in-class in-home care agency dedicated to providing high-quality care in Cincinnati and Northern Kentucky. We are seeking passionate caregivers to join our growin...
The Outside Sales Rep will be responsible for selling products by identifying leads, educating prospects on our products and providing existing customers with exceptional support. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Prospect and qualify new sales leads. Track all sales activities and keep curre...
Collaborate to understand data needs and create comprehensive data maps to integrate data from a variety of sources within the EHR. Gather and integrate data from disparate healthcare data sources (e. Clean, validate, and prepare data for analysis ensuring data accuracy and consistency by correcting...
The Senior Sales Representative role offers growth potential opportunities, professional development, an engaging team environment, the ability to work a remote schedule, and amazing benefits. We look forward to the opportunity to teach you our sales methodology, value proposition, WK processes and ...
The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise. Verify analytic data for th...
We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. ...
Coordinating leads with outside sales representatives and schedules outside sales representatives for one-on-one appointments, community meeting reservations and agency visits. Generate leads and conducts outbound calls to prospective members to promote the plan; coordinates/schedules with outside S...
This job consults with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations. Develop and implement data collection syste...
Remote (Soft Sales) works from home and interfaces with customers via inbound/outbound calls and/or via the Internet. ...