Manager I – Grievances & Appeals – Provider Disputes. Serves as a functional resource expert and mentor to unit and other departments for complex issues and interpretation of claims, provider contracts and data, eligibility, member contracts, benefits, clinical decisions, pharmacy on pre-service and...
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. This role negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Assesses ...
Responsible for providing strategic leadership for provider engagement and contracting across all lines of business for the Nevada market with a benefit spend between $2 billion and $4 billion, including local cost of care and trend management, provider contracting, implementation and local oversigh...
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...
Elevance Health office location.Elevance Health office 1-2 days per week.The rest of the time would be working remotely (from home).Must live within 50 miles of one of our Elevance Health office locations.Open to any Elevance Health office**.Reviews company-specific, CMS-specific, and competitor-spe...
Health Providers Choice (HPC), a Joint Commission Certified Travel Nurse Company sets the standard in quality, professionalism, response, and accountability. ...
Great companies need great teams to propel their operations.Join the group that solves business challenges and enhances the way we work and grow.Working at Gainwell carries its rewards.Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a pre...
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...
Aspen Medical is seeking expressions of interest from Nurse Practitioners for a potential upcoming Clinical Team Lead opportunity in Winnemucca, NV. ...
Remote Licensed PsychiatricNurse Practitioner. Are you a licensed Psychiatric Nurse looking tolaunch a private practice, or grow your existing practice? Headwaycan help you earn more through insurance!. We equip mentalhealth practitioners with the tools and resources they need to runa flourishing pr...
Our mission is to empower everyone living with ADHD to reach their fullest potential.We meet that mission by providing a patient-first, technology-powered ADHD treatment platform that keeps costs down and reduces patient wait times.With guidance from the most advanced clinical leadership and board-c...
Master’s Degree level Family Nurse Practitioner and Psych-Mental Health program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse roles required. MinuteClinic Virtual Care Psychiatric Mental Health Nurse Practitioner. ...
Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Perform modeling of data sources and flows, wo...
Dermatology Nurse Practitioner The #1 medical dermatology team in California, Nevada and Arizona offering the most advanced treatments for acne, skin cancer, rashes and skin growths, cosmetic injectables and laser treatments. Skin & Cancer Institute is a Dermatology group that is looking to expa...
Nurse Practitioner (Psychiatry) Opportunity Available in Metro Las Vegas, NV!!. ...
Ensures data integrity and compliance by performing data cleansing, data audit and/or data validation. Ensure data integrity and compliance by performing data cleansing, data audit and/or data validation. Provides business process, system support and data quality governance through data coordination...
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...
Are you a Nurse Practitioner searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Nevada might just be the opportunity for you!. ...
Experience with distributed data processing tools like Hive, Spark, Airflow and. Experience with distributed data processing tools like Hive, Spark, and Airflow is a plus. The Senior Data / ML Engineer:. Improve machine learning data quality by using & building tools to automatically detect issu...
The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise. Verify analytic data for th...