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. ...
Prior demonstrated success in provider relations or relations with both large provider groups and/or ancillary providers. The Provider Educator's role is to assist in development, coordination, and management of activities related to the communications and trainings of providers contracting or worki...
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...
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 have always dreamed of! .We offer flexible 1099 a...
HarmonyCares is seeking Home-Based Primary Care Providers (NP/PA) to join our team. ...
Are you an Adult LCSW licensed in .SUD/Dual Diagnosis experience? We have an exciting opportunity for you to work 100% remotely! .Iris Telehealth is seeking compassionate LCSWs with .SUD or Dual Diagnoses experience.EST for a 100% remote outpatient opportunity.This position requires 40 hours per wee...
Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues Service Providers in a multi - channel environment including call, concurrent chat, as required Quickly and appropriately triage contacts from health Customer Service, Representative, Service, Remote...
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...
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're hiring a Manager, Member & Provider Compliance to join our Strategy team. The Manager, Member & Provider Operational Compliance will ensure compliance excellence and operational integrity while fostering a culture of operational compliance, representing Operations in discussions with regulator...
Provider Solutions and Development, an entity of Providence St Joseph Health, is the national market leader for best-in-class provider recruitment services. Providence is calling a Manager Provider Recruitment who will:. Lead and develop high performing staff who support the recruitment of multiple ...
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...
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...
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...
Acts as a liaison between Tier III and Tier IV providers (small to medium 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 orientati...
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...
Monitoring and reporting on network adequacy (geo access), recruitment of new providers (sending and negotiating provider agreements), establishing and maintaining strong relationships with providers, provider education and training, and provider issue resolution. Duties also include provider site v...
Responsible for accurately completing the enrollment/re-enrollment processes of providers as identified through department policies, network reimbursement and delegated contracts to ensure timely and continued provider participation. Proactively initiates oversight of existing provider record issues...
As a Client Manager at Optum, you will be supporting our Provider Market Client Services Team. Builds relationships with Provider leadership and serves as the primary point of contact for overall and day-to-day service delivery. ...
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 w...
Promote understanding of provider reimbursement and system architecture to drive cross functional team collaboration. Facets Pricing experience in provider pricing configuration role. Facets / NetworX Pricing experience, preferably in provider pricing configuration role. Experience supporting Provid...
Working with Cloud Providers and Hyperscalers to develop and demonstrate solutions based on NVIDIA’s groundbreaking software and hardware technologies. ...
As the LTC Preferred Provider Network Solutions Lead, you will play a pivotal role in supporting our long-term care preferred provider vision. This team focuses on providing access to high-quality and affordable long-term care providers to our customers when they need it. This role reports into the ...