The Provider Enrollment Supervisor will support the oversight of day-to-day operations of a fast-paced Provider Enrollment team for Nevada Medicaid. Hire, train, coach, lead and evaluate non-exempt Provider Enrollment Analysts (hybrid and remote) as required to meet all productivity, quality, and cu...
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Guide development of geographically competitive, broad access...
Key Responsibilities:Develop and implement standardized provider contracts and contracting strategiesMonitor network adequacy for Medicare and Medicaid servicesOversee development of provider contracting strategies and negotiate contracts with healthcare providersRequired Qualifications:Bachelor's D...
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Guide development of geographically competitive, broad access...
A healthcare company is looking for an Advanced Practice Provider. ...
We are currently seeking a Sales Director, Healthcare Provider (Remote) to join our team in Los Angeles, California (US-CA), United States (US). Sales Director for Healthcare Provider. A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare Provider serv...
Provider data, provider operations, network experience. Be the SME and POC for provider data clean-up for assigned states. ...
Inform clinics/providers of any updates and/or changes, related with charges and codes. ...
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...
Assist in the development and management of governance and utilization of strategies related to provider performance management, engagement, and communication. Manage tool strategy, governance and plan utilization for provider engagement, including performance tool development, enhancement, sunset a...
Maintains the provider file, the provider information inventory workflow system and electronic provider files with updated provider information during processes, such as credentialing, recredentialing, demographic updates, terminations and all other provider file maintenance activities. This role wi...
Responsible for developing and maintaining relationships with UCM hospitals and physicians to support all aspects of the UCM managed care contractual relationships including provider services, provider contract education and communication, provider reimbursement, payer relations and contract complia...
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...
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...
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...
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 ...
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...
The Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC) Dental in the field with our providers and the liaison for provider contracting questions, claim and c...
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...
Working with the Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and regulatory requests. The Senior Manager will directly support complex analysis rel...
Responsible for ongoing review of performance reporting and data, interpreting and prioritizing results; utilize tools and resources to identify performance insights; work with health plan and provider functional leadership to present results and recommend actions to providers. Develop provider perf...
Join Our Team of Early Intervention Specialists and ABA Providers!. Position: Early Intervention Special Instructor and ABA Provider. ...
Serves as the primary liaison between Well Sense Health Plan (“Plan”) and key provider organizations, taking the lead and promoting collaboration within Plan, as it relates to provider network maintenance. Acts as liaison between provider and internal Plan departments such as Provider En...
We are currently seeking a Senior Director - Healthcare Solutions - Provider Vertical (REMOTE POSITION) to join our team in Plano, Texas (US-TX), United States (US). Senior Director – Healthcare Provider Vertical (REMOTE ROLE--US BASED). In partnership with Provider Sub-vertical provide strategic le...
Becoming a host home provider and bringing an IDD individual to your family will likely be one of the most rewarding experiences you will ever have. Host home providers also receive a transportation allowance. WHO WILL HELP SUPPORT HOST HOME PROVIDERS?. REQUIREMENTS TO BE A HOST HOME PROVIDER?. ...