- Banner Health (AZ)
- …Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered… more
- Allegion (Carmel, IN)
- …Indiana-Parsippany, New Jersey-Security (near Colorado Springs), Colorado-(Hybrid)** The Product Experience Network Specialist will support the development ... customer issues as needed. As part of new product development efforts, this person will support the customer experience-based...project team for consideration and action. The Product Experience Network Specialist will go to customer sites… more
- CenterLight Health System (Flushing, NY)
- …the Director of Provider Data Operations & Network Analytics, the Provider Data Network Specialist supports the management and maintenance of ... staff (Physicians, Nurse Practitioners). + Triage regular and troubleshoot ad-hoc provider network data/system cleaning, loading, and reporting requests for… more
- CVS Health (St. Paul, MN)
- …internal and external customers. Position Summary/Mission Performs routine quality audits for network operations, and claim testing for PPO Network creation. ... (*) * May perform or assist with special projects/reviews * May provide technical or subject matter expertise concerning policies, procedures, and function-related… more
- CareOregon (Portland, OR)
- …provider application data; submit to provider contracting staff. Administration + Provide input and contribute to the development of relevant policies and ... and other internal Behavorial Health focused teams, and suppoorts the Behavorial Helath Provider Network . Job Summary This position operates in a team leadership… more
- Magellan Health Services (Boise, ID)
- …outreach and engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. ... in eligibility, authorization and claims problem resolution. 2+ years' experience in network development with demonstrated focus on contracting and rate… more
- CareOregon (Portland, OR)
- …and other internal Behavioral Health focused teams and supports the Behavioral Health Provider Network . Job Summary This position serves as a primary liaison ... on physical, behavioral, and/or community-based healthcare networks. Essential Responsibilities Provider Development & Education + Develops and effectively… more
- CareFirst (Baltimore, MD)
- … contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals. In ... contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network ...and gain consensus with other internal areas affected by network changes. + Provide ongoing network… more
- Health First (Melbourne, FL)
- … relocation to meet appropriate compliance and regulatory standards. Initiate new provider network and application access request to Information Technology (IT) ... ensure timely network access deactivation, to mitigate potential risk. 5. Provide current and ongoing updates to the payor enrollment department to ensure… more
- Molina Healthcare (AZ)
- …duties, projects and programs as assigned.. * Acts as a lead for provider relations, quality and network development . **Required Education** Bachelor's ... quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider...data and analytic insights. * Acts as a lead specialist to provide project-, program-, and /… more
- University of Washington (Seattle, WA)
- …and collaborates with UW partners to develop strategic customer solutions. The Network Specialist in CX is responsible for providing frontline in-depth ... a variety of IT disciplines, technologies and toolsets. The Network Specialist partners with other UW-IT service... partners with other UW-IT service teams in the development , design, and delivery of services. Position Complexities: UW-IT… more
- Molina Healthcare (CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Service and Alternative Payment Methods including Pay for Performance. * Supports network development throughout state to including researching, recruiting and… more
- Magellan Health Services (Albuquerque, NM)
- … relation activities, providing necessary written materials. + Conducts administrative provider site visits and coordinates report development and completion ... Minimum of 1 year experience in related position/field. General Job Information Title Network Management Specialist Grade 21 Work Experience - Required … more
- Air National Guard Units (Mcconnell AFB, KS)
- …, testing, installation, operating, management, maintenance concepts and methods to provide network services in support of ANG enterprise requirements. ... TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST ( NETWORK ), Position Description Number T5824800 and is part of the KS… more
- Molina Healthcare (Tacoma, WA)
- …full execution utilizing approved standardized contract templates/amendments. + Supports network development throughout state to including researching, ... and negotiating with providers. + Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's network… more
- Bank of America (Plano, TX)
- Transport Core Network Technology Operations Specialist II Chandler, Arizona;Plano, Texas **Job Description:** At Bank of America, we are guided by a common ... **About the Role:** The role of the **Transport Core Network Technology Operations Specialist II** is to...YAML or Django, API calls (to ticketing systems and network devices), and frontend web development +… more
- WellLife Network (Elmont, NY)
- Learning & Development Specialist - QAS063 - Mon-Fri 8AM-4PM Job Details Job Location Elmont - Elmont, NY Position Type Full-Time Education Level High School ... Description POSITION SUMMARY:Reporting to the Director of Training, the Learning and Development Specialist will develop, coordinate, and deliver regulatory and… more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. Position Summary Maintains the Provider Data (demographic and contractual) for all network and non- ... Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (ie, directory listings). - Develops… more
- WellLife Network (Jamaica, NY)
- …with employers in the community, and job coaching interventions as needed. The IPS Employment Specialist in ACT should result in a network of employers and job ... time off-site, in the community. + Develop an employer network . + The IPS Employment Specialist must...participants in individual and group settings in facilitating vocational development . + Provide direct care vocational and… more
- Army National Guard Units (Springfield, IL)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST ( NETWORK ) (TITLE 32), Position Description Number D0262000 and is part of ... the IL DCSIM, National Guard. Responsibilities As a IT SPECIALIST ( NETWORK ) (TITLE 32), GS-2210-11, you will function as a technical specialist on issues… more
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