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...
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...
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 ...
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...
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...
Create the future of e-health together with us by becoming a Provider Enrollment Account Manager. Compiles and maintains current and accurate data for all providers. Complete Statewide credentialing/recredentialing applications to add providers to commercial payers, Medicare, and Medicaid. Track lic...
Teramind is a hybrid, global workforce building the next-generation Insider Risk Management and User Behavior Analytics platform.Join our team of innovators who are redefining insider risk management through cutting-edge technology.More than 10,000 organizations across the globe have used Teramind t...
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...
Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved provider performance. Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes. Develop strategic partnerships between the health plan ...
Reporting to Director of Member and Provider Service, the Operations Manager is responsible for providing operational oversight including compliance, program development, evaluation, and performance monitoring. Collaborate with functional leaders to identify initiatives that improve service to membe...
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...
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...
With over 500 nationwide providers, Skin Clique is at the forefront of reshaping the aesthetics industry, providing a unique opportunity for Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to thrive in a flexible and fulfilling role. At Skin Clique, we prioritize the well-...
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider. Intervene wi...
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...
Through ongoing coaching and skills development our Account Executives become consultants on PatientPoint products and are an integral part of the Provider Solutions team. Represent PatientPoint Provider Solutions in a positive and professional manner. Demonstrate knowledge of PatientPoint Provider ...
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...
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...
With over 500 nationwide providers, Skin Clique is at the forefront of reshaping the aesthetics industry, providing a unique opportunity for Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to thrive in a flexible and fulfilling role. At Skin Clique, we prioritize the well-...
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...
Provider-side experience in a health system, hospital strategy. Solid background in broad-based provider financial modeling 3+ yrs. Provider-side experience in a health system, hospital strategy. ...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...
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...