- Community Health Network (Indianapolis, IN)
- …Day Job Hours Monday- Friday 8:00am-4:30pm Bi-weekly, benefited **Clinical Pharmacy Specialist -Ambulatory Care** **Join Community** Community Health Network was ... Clinical Pharmacy Specialist Ambulatory Job Ref 2405133 Category Allied Health...very progressive Ambulatory Care pharmacy team at Community Health Network , you will participate in team based care under… more
- Medical Mutual of Ohio (Dublin, OH)
- …all areas of the company to review projects and documentation relating to Development , Servers and Network resources to determine and document risk associated ... areas of the company to review projects relating to Development , Servers and Network resources to determine...current technical architecture including but not limited to server, network , application firewall. **IT Security Specialist IV**… more
- Medical Mutual of Ohio (OH)
- …and logs correspondence into contract management system. + Assists in spreadsheet/report development for network adequacy and/or fee schedule review. + Assists ... into contract management system. + Assists in typically more complex spreadsheet/report development for network adequacy and/or fee schedule review. +… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under direct supervision, ... remote; Ohio residents preferred._** **Responsibilities** **Provider Credentialing & Data Specialist I** + Categorizes returned mail and determines action needed… more
- HonorHealth (Phoenix, AZ)
- …to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. ... million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary,… more
- City and County of San Francisco (San Francisco, CA)
- …Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network . Duties Include + Experienced Specialist Representative/Consultant of ... Public Health continuously accepts applications for all Senior Physician Specialist positions. + ✅Start with this Required Questionnaire https://forms.office.com/g/2a7KLdZBTz… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Collaborates with internal ... for commercial and government programs pharmacy products. Participates in development , implementation, and testing of new pharmacy initiatives and enhancements… more
- CareOregon (Portland, OR)
- …5 years' progressive experience in managed care contracting, provider relations, network /business development , or financial analysis/accounting with a minimum of ... positions must reside in Oregon or Washington. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title Provider … more
- Intermountain Health (Murray, UT)
- **Job Description:** The Contract Integrity Specialist for Select Health is responsible for reviewing contracts and auditing systems to ensure accurate contract, ... Medicare , Medicaid and fee schedule setup, and to identify...and interprets contracts and ensures accurate system configuration for out-of- network providers. Acquires and maintains an understanding of the… more
- CareOregon (Portland, OR)
- …Exemption Status Exempt Requisition # 24639 Direct Reports N/A Manager Title Director, Medicare Network Performance Pay & Benefits Estimated hiring range $88,430 ... enterprise-wide meetings. + Organize and manage activities such as retreats, team development , and other forums to ensure collaboration and cohesion. + Inform data… more
- SSM Health (MO)
- …clinical documentation comprehensively represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving ... risk adjustment (mortality) findings. + Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation and… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians (LGHP) by ... as a resource to practices for coding issues and education. The Coding Specialist helps to optimize revenue through appropriate coding while adhering to official… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP-Provider ... Network Mgmt **Scheduled Weekly Hours:** 40 **Employee Type:** Regular...of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager -… more
- Trinity Health (Westerville, OH)
- **Employment Type:** Full time **Shift:** **Description:** Patient Financial Specialist I ensure the complete and accurate registration of patients in the Emergency ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and… more
- UPMC (Pittsburgh, PA)
- UPMC's Health Plan and Workpartners are hiring a Casual EAP Specialist for their LifeSolutions Clinical Services Team. This role may work remotely or has the option ... the direction of LS Clinical Director and/or the Medical Director, the EAP Specialist is responsible for providing the clinical services for the Employee Assistance… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Provider Relations Specialist (Remote Option within SHP Service Area) **Cost Center:** 682891544 SHP-Provider ... Network Mgmt **Scheduled Weekly Hours:** 40 **Employee Type:** Regular...of America) **Job Description:** **JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager -… more
- WellSense (Boston, MA)
- …demonstrating precision and efficiency. . Contribute your expertise to the design and development of network development projects and other provider-related ... Contracting Specialist WellSense Health Plan is a nonprofit health...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Community Outreach Specialist will conduct sales and networking to drive Program of All-inclusive Care for the Elderly (PACE) growth through ... referral source network building; developing lead-optimization strategies, plan education; and helping...centers and Alternative Care Sites (ACS). The Community Outreach Specialist will coordinate and attend events in the community,… more
- Point32Health (NH)
- …IPA organization, working closely with the Contract Administrator to keep our Provider Network current. The Specialist also has knowledge regarding contracts and ... Under direction of the Provider Information Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components of the provider… more
- Apex Health Solutions (Houston, TX)
- Summary: The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding eligibility, ... to always ensure maximum production. Collaborates with management in the development and maintenance of departmental policies and procedures and desktop procedures… more