Reporting to the Director, Credentialing & Enrollment, the Manager, Credentialing is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Privia’s high performance medical group. Assures compliance with all health plan requirements as ...
Coheres Provider training team is responsible for ensuring that provider organizations are supported throughout their lifecycle of using the platform. As a Lead Specialist, Provider Training & Development, you will work closely with many teams at Cohere to deeply understand our mission and the p...
Care@Work, by , is the fastest-growing provider of backup child care. As a Childcare Provider, with our Care@Work business unit, you will have the opportunity to care for children of multiple families in your area! You will be responsible for creating a safe, nurturing, and stimulating environment f...
Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provider education, including writing and updating orientation materials. Maintain partnerships between the health plan and the contracted provider network...
The role of Part-time Assistant Professor University Support Provider includes teaching courses within a programmatic core discipline as assigned, and serving as a liaison between students and the clinical placement site they are assigned for clinical practice. Part-time Assistant Professor Universi...
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...
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...
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...
The Provider Enrollment Specialist is responsible for managing the payer enrollment and revalidation processes for clinicians within Netsmart's client network. This role ensures that all healthcare providers are properly enrolled with payers and that their credentials are kept current to maintain co...
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 ...
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...
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...
The Senior Manager, Sales 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 and...
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...
Job Title: Virtual Primary Care Advanced Practice Provider- Licensed in LA,GA,IL,FL,TN, OH, PA, IN and/or TX (Remote/Part-Time). First Stop Health is in search of part-time advanced practice providers. Our primary care providers will treat patients virtually, via phone or video call,serving their ep...
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...
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...
The Provider Pricing Specialist is responsible for managing provider database information, provider association with claim and set up of online customer portals. The Provider Specialist assists with research to settle claim pricing questions, as well as the provider and member appeal process. Mainta...
Datavant is a rapidly growing healthcare technology company with a mission to connect the world’s health data.By joining Datavant today, you’re stepping onto a highly collaborative, fully remote team that is passionate about creating transformative change in healthcare.We look for people who are sma...
Join the Provider Data Management Team with Louisiana Healthcare Connections** This role is Monday- Friday 8-5pm CST. The Provider Data Management team supports business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. ...
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...
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 Manager of Global Operations has an overall responsibility to ensure all required tasks are performed in a consistent, timely, and highly professional manner.The Manager of Global Operations ensures objectives, principals, values, mission and foundation are clearly stated.The position also ensur...