- Consumer Direct Care Network (WA)
- …**###@consumerdirectcare.com** **or call ###.** **If you are** **currently working as a CDWA Individual Provider ** **, do not reapply.** **If you need to be** ... **or call ###.** **Position Overview** Do you want to provide care and support to people in your community?...and support to people in your community? As an Individual Provider (IP), you will be at… more
- Medical Mutual of Ohio (OH)
- …financial analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with consultative and analytical insights. . ... financial analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with consultative and analytical insights. .… more
- Avera (Sioux Falls, SD)
- …for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) Network ... the organization and its customers. Responsibilities include driving AHP's provider network expansion efforts, performing detailed market analysis and intelligence… more
- Point32Health (Canton, MA)
- …Practitioner Change Reports for Commercial and Medicare Preferred. Communicate and confirm provider information changes to individual provider and designated ... the Tufts Health Plan, a Point32Health company.Under direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains,… more
- Avera (Sioux Falls, SD)
- …and our patients. Work where you matter.** **A Brief Overview** The Provider Network Development Analyst is responsible for maintaining a current and comprehensive ... the objective to secure participation and signed agreements with providers. The Provider Network Development Analyst will assist in the development of network… more
- Humana (Indianapolis, IN)
- …put health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2) who is ... Horizons Indiana Medicaid market, as well as responsible for provider onboarding, training, education, responding to provider ...of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and… more
- Medical Mutual of Ohio (Toledo, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 ... performs typically routine to moderately complex initial and ongoing practitioner, provider , and organization data entry and credentialing into the various modules… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …providers dedicated to serving underserved and diverse communities. Job Summary The Pediatric Provider (MD,DO, NP) will provide primary medical care services to ... in the principles of practice at Sea Mar and its mission statement.The provider will work collaboratively with staff to provide team-based coordinated care.The… more
- Integrative Emergency Services (Dallas, TX)
- …to perform the job. Required: + High School Diploma + 3-5 years previous provider payor enrollment ( individual provider and group enrollment) or related ... facilitating the enrollment (submitting of applications) of both the Provider Groups and individual providers with the...company staff requiring professionalism and tact to attain or provide all needed information quickly in order to expedite… more
- Humana (Columbus, OH)
- …us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is responsible for provider education materials ... for Humana's Medicaid segment to drive best in class provider experience. This Professional will create content for new...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Centene Corporation (Dover, DE)
- …network reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider ... Perform day to day duties of assuring that providers ( individual , group, ancillary, etc.) are set up accurately in...group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and… more
- Rush University Medical Center (Chicago, IL)
- …Time (Total FTE between 0.9 and 1.0) **Shift:** Shift 1 *Advanced Practice Provider experience in Primary Care is required. *Applicants must hold an AG-PCNP, FNP, ... located in downtown Chicago, is seeking an **Advance Practice Provider ** to join our growing Primary Care team in...as a member of the health care team to provide high quality, comprehensive acute and/or routine medical/surgical care… more
- BrightSpring Health Services (Conover, NC)
- …transportation, shopping and more. Responsibilities + Receive the Individual into the Provider 's home and to provide the Individual with appropriate ... acts of disrespect, abuse, neglect, or exploitation of the Individual receiving services from the Provider and...'s Service Plan and with due regard for the Individual 's physical and emotional needs. + Provide … more
- AdventHealth (Maitland, FL)
- … Compensation Analyst will monitor the healthcare industry to aid in aligning provider compensation to the ever-changing environment. This individual will assist ... ** Provider Compensation Analyst - AdventHealth Medical Group** **All...2,600 clinical and support staff in over 40 specialties, provide patients with a broad range of medical and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 ... Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- CareFirst (Baltimore, MD)
- …and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate and support all types of ... provider contracting in accordance with guidelines in order to...relates to institutional, ancillary, professional, dental and vendor contracting. Provide subject matter expertise on projects as needed. Also,… more
- LA Care Health Plan (Los Angeles, CA)
- …large provider organizations (ie PPGs; Hospitals; Ancillaries; etc.), or individual practitioners, in a single or multiple locations. The Account Manager II ... Provider Network Account Manager II Job Category: ...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- City of New York (New York, NY)
- …Through the successful implementation of typically enterprise-wide projects, OCM builds individual adaptability and increases the Agency's agility. OCM seeks a ... in building capacity among non-profit, community-based agencies. The Director of Provider Capacity Building & Training (PCB&T) will collaborate with providers, staff… more
- State of Colorado (Canon City, CO)
- …(Social Worker /Counselor III) Sex Offender Treatment Provider - (CANON CITY) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4778460) Apply ... CDOC (Social Worker /Counselor III) Sex Offender Treatment Provider - (CANON CITY) Salary $6,750.00 - $9,450.00 Monthly Location Canon City, CO Job Type Full Time… more
- CareFirst (Baltimore, MD)
- …for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the ... executed contracts to effectuate the professional relationship and structures the provider group accordingly. + Responds to external and internal inquiries regarding… more