• Medicare Provider Network

    The Cigna Group (Bloomfield, CT)
    …the incumbent candidate to come into a local Cigna office 3 days per week.** The ** Provider Network Contractor ** serves as an integral member of the ... Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide more
    The Cigna Group (09/17/24)
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  • National Ancillary Provider

    The Cigna Group (Bloomfield, CT)
    Medicare Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... national contracts including clinical programs, MA Supplemental benefits, and direct provider agreements. This role operates at a strategic level engaging **directly… more
    The Cigna Group (08/13/24)
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  • Certified Registered Nurse Practitioner (CNRP)-…

    Health Advocates Network (Danville, PA)
    …advanced nursing practices. General Supervision is received from a facility administrator. CONTRACTOR RESPONSIBILITIES Each Contractor must provide any ... (CNRP)- Short-Term **Pay Rate:** $48 / hour *1099 Independent Contractor Minimum Qualifications Certain certification as Registered Nurse Practitioner by… more
    Health Advocates Network (09/09/24)
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  • Principal Engineer, Major Projects

    MetroLink (Los Angeles, CA)
    …are not to be interpreted as an exhaustive list of responsibilities. + Provide oversight for SCRRA's inspections, condition ratings, state of good repair, asset ... 237 Bridge Engineer, which includes, but not limited to, provide oversight of the QC/QA program for structures in...Class 1 Freight Railroad or as a consultant or contractor working on long term assignments involving Commuter/Passenger or… more
    MetroLink (09/15/24)
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  • Associate Medical Director - Maternal, Child,…

    CareOregon (Portland, OR)
    …plan in support of CCOs, Medicare , contract negotiations and/or other provider expansion activities. + Provide medical support for Care Management ... population health initiatives for the organization including clinical quality in the provider network . Essential Responsibilities + In partnership with the CCO… more
    CareOregon (07/02/24)
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  • Physician - OB/GYN

    Kelsey-Seybold Clinic (Pearland, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... responsible for general gynecological care of women, but also provide care related to pregnancy and the reproductive system....delivery, and postpartum care. The role of the gynecological provider at Kelsey Seybold spans the adult lifetime of… more
    Kelsey-Seybold Clinic (09/05/24)
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  • APC - OB/GYN

    Kelsey-Seybold Clinic (Webster, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... for general gynecological medical care for women, but also provide care related to pregnancy and the reproductive system....and postpartum care. The role of the gynecological APC provider at Kelsey Seybold spans the adult lifetime of… more
    Kelsey-Seybold Clinic (08/15/24)
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  • Otologist/Neurotologist

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... value-based commercial health plans. KelseyCare Advantage (https://www.kelseycareadvantage.com/) , a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated… more
    Kelsey-Seybold Clinic (07/15/24)
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  • Radiology Practitioner Assistant

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... Kelsey-Seybold is actively seeking a Radiology Practitioner Assistant. The provider extender will work in a clinic setting supporting the Radiology Department.… more
    Kelsey-Seybold Clinic (07/10/24)
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  • Per Diem Physician - Pediatrics

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... **Job Summary:** Kelsey-Seybold Clinic's Pediatricians provide care from birth to early adulthood and...work on an "as needed" basis + Attend New Provider Orientation + Follow all KSC policies and procedures… more
    Kelsey-Seybold Clinic (08/29/24)
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  • APC - Dermatology

    Kelsey-Seybold Clinic (Pearland, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... with the desire to focus on Medical Dermatology. The provider extender will work in a clinic setting supporting...physician in an effort to more effectively and efficiently provide optimum care to the Kelsey-Seybold patient population. This… more
    Kelsey-Seybold Clinic (08/21/24)
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  • APC - Cardiology

    Kelsey-Seybold Clinic (Pasadena, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... for department EPIC Optimization requests and implementations from the clinical provider perspective + Substitutes for other department extenders as needed, which… more
    Kelsey-Seybold Clinic (09/18/24)
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  • APC - Gastroenterology

    Kelsey-Seybold Clinic (Porter, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... in Houston. Qualified candidate must have a valid Texas provider license. Duties will be providing supporting GI physicians...rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive… more
    Kelsey-Seybold Clinic (08/09/24)
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  • Physician - Family Medicine (Executive Health)

    Kelsey-Seybold Clinic (The Woodlands, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... Exams. The physician would serve as a Primary Care Provider for Executive Health and Premier Prevention patients for...rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive… more
    Kelsey-Seybold Clinic (07/24/24)
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  • Manager, Eligibility and Enrollment

    Apex Health Solutions (Houston, TX)
    …such as utilization counters and their relation to eligibility; good understanding of provider network arrangements and their relation to eligibility Ability to ... initial points of contact with our client organization membership and shall provide initial onboarding through a disciplined flow of call scripting. Individuals… more
    Apex Health Solutions (08/01/24)
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  • Physician - Palliative Care

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... and clinical policies and procedures **Essential Duties and Responsibilities:** + Provide consultation services in palliative care + Provide education/guidance… more
    Kelsey-Seybold Clinic (09/18/24)
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  • Per Diem Physician - ENT

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... otolaryngologists as ear, nose, and throat (ENT) doctors. They provide both medical and surgical care. The ideal candidate...rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive… more
    Kelsey-Seybold Clinic (09/05/24)
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  • Certified Registered Nurse Anesthetist

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... with anesthesiologists in a multidisciplinary healthcare system. The focus is to provide high-quality, evidence-based anesthesia and pain care services at all acuity… more
    Kelsey-Seybold Clinic (07/12/24)
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  • APC - Plastic Surgery

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... reach of the attending physician to more effectively and efficiently provide optimum care to the Kelsey-Seybold patient population. **Licenses and Certifications:**… more
    Kelsey-Seybold Clinic (09/19/24)
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  • Physician - Nephrology

    Kelsey-Seybold Clinic (Houston, TX)
    …in- network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold ... our nascent and dynamic department. Our focus is to provide comprehensive nephrology care to treat and delay the...rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive… more
    Kelsey-Seybold Clinic (08/21/24)
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