- Commonwealth Care Alliance (Boston, MA)
- …this position does not have direct reports. Essential Duties & Responsibilities: - Support LTSS network program operations o Developing agendas, taking, and ... the development of reports to share with CBOs to provide information about their operations and performance...years of experience in LTSS , social work, provider relations, healthcare communications, project management, or network… more
- Commonwealth Care Alliance (Boston, MA)
- …contracting, quality, compliance, medical management, and analytics teams to advance provider network operations , education, and performance improvement. ... with dual-eligible (DSNP) populations preferred. - 10+ years of experience in provider relations, contracting, or network operations , including 3-5… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Prioritize and organize own work to meet deadlines. + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate ... answered. + Establish regular contact with and visits to provider sites. Visits may include regular operations ...provider network . Participate in contracting strategy discussions… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Prioritize and organize own work to meet deadlines + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate ... provider network When necessary, participate in contracting...Experience with behavioral health providers preferred + Understanding of provider office operations as they relate to… more
- Commonwealth Care Alliance (Boston, MA)
- …multiple organizational areas and involves close collaboration with program leadership, operations teams, and external provider partners. The ideal candidate ... facilitate regular meetings, virtual or in person, with CBOs focused on provider education, program operations , regulatory requirements, performance and care… more
- Commonwealth Care Alliance (Boston, MA)
- …this position does not have direct reports. Essential Duties & Responsibilities: * Support LTSS network program operations o Developing agendas, taking, and ... the development of reports to share with CBOs to provide information about their operations and performance...years of experience in LTSS , social work, provider relations, healthcare communications, project management, or network… more
- Humana (Springfield, IL)
- …and/or FQHCs. + Experience working with Illinois Medicaid. + Experience in provider operations , building strong relationships with provider organizations, ... and help us put health first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line… more
- Commonwealth Care Alliance (Boston, MA)
- …contracting, quality, compliance, medical management, and analytics teams to advance provider network operations , education, and performance improvement. ... with dual-eligible (DSNP) populations preferred. * 10+ years of experience in provider relations, contracting, or network operations , including 3-5… more
- Commonwealth Care Alliance (Boston, MA)
- …multiple organizational areas and involves close collaboration with program leadership, operations teams, and external provider partners. The ideal candidate ... facilitate regular meetings, virtual or in person, with CBOs focused on provider education, program operations , regulatory requirements, performance and care… more
- AmeriHealth Caritas (Manchester, NH)
- …and/or indirectly overseeing Medical Affairs, Provider Network Management, Provider Network Operations , Quality, Population Health, Marketing and/or ... and experience in a leadership role in corporate or health plan operations including enrollment, member services, provider relations, regulatory compliance,… more
- Elevance Health (Atlanta, GA)
- …I** is responsible for providing non-clinical support to the Medical Management and/or Operations areas. **How you will make an impact:** Primary duties may include, ... management, case management, QI, Med Review). + Provides information regarding network providers or general program information when requested. + Regularly interacts… more
- Elevance Health (Gastonia, NC)
- …**Clinical Care Advisor - Prevention and Preservation** is responsible for coordinating operations and workflows related to case management activities in support of ... other challenges and their families, that is organized into a coordinated network . + Builds meaningful partnerships with designated populations and their families,… more
- Elevance Health (Jacksonville, NC)
- …by law. The **IDD Specialty Care Manager** is responsible for coordinating operations and workflows related to Intellectual, Developmental & Disability - IDD case ... other challenges and their families, that is organized into a coordinated network . + Builds meaningful partnerships with designated populations and their families,… more
