MD/DO) licensed in California looking to work .We have exciting opportunities for you to work 100% remotely! .Iris Telehealth is seeking compassionate psychiatrists (MD/DO) with .This is a great opportunity to positively impact an underserved community while experiencing the work-life balance you ha...
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. Must be willing to travel locally to different provider offices. Maintain partner...
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 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 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...
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...
Current opportunity: Provider Resource Specialist Location: Chesapeake and Arlington, VA Onsite/Hybrid/Remote: Remote and Hybrid Shifts: Full-Time What you will do: Workplace Options have an exciting opportunity for a Provider Resource Specialist position. Maintain accurate and complete records of a...
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...
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...
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...
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 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...
Make and oversee credentialing system updates ensuring provider contracted and credentialing status is properly reflected in the Provider Data Management tool, Provider360. Communicate delegation & credentialing status to providers and ensure proper updates are made to the provider management system...
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...
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. ...
The Provider Enrollment Representative is responsible for accurate set up of provider records in order to assure proper payment for providers. They also handle all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers. Responsible...
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...
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...
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...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...
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 – ...