- Molina Healthcare (Gulfport, MS)
- …subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education ... * Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians.… more
- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is responsible for provider ... Provider Education team through collaboration across Medicaid markets. The Senior Medicaid Provider Education Professional will be an independent contributor… more
- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Consultant Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... within 50 miles of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Consultant Senior ** provides the highest level of… more
- University of Colorado (Aurora, CO)
- …Practice Provider - Nurse Practitioner or Physicians Assistant Senior Instructor** **Description** **University of Colorado | CU Anschutz Medical Campus** ... FREE value-added recruitment advertising agency (https://www.jobelephant.com/)_ _jeid-c2ccdbd3c1f63c45822c293f0a700290_ Advanced Practice Provider - Nurse Practitioner or Physician's Assistant Senior… more
- Elevance Health (Winston Salem, NC)
- ** Provider Auditor Senior ** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Provider Auditor Senior conducts on-site reviews of medical charts,… more
- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... will live within 50 miles of one of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst Senior ** provides analytical support to the Cost of… more
- Centene Corporation (Sacramento, CA)
- …rides with Provider Relations Representatives to gauge their performance and provide coaching and development in order to improve the business results. + ... State and CMS audits. + Resolves high level, complex provider issues. + Member of state senior ...complex provider issues. + Member of state senior leadership team. + Special project as assigned or… more
- Texas Health Resources (Dallas, TX)
- **THPG Senior Compensation Analyst Financial Provider ** _Texas Health Physicians Group is looking for a top skilled Compensation Analyst Financial Provider ... years of Healthcare Finance experience **required** , + 2 years Provider Compensation experience **required** + Physician Employment Agreement experience is… more
- LogixHealth (Bedford, MA)
- …MI, MO, NC, NH, OH, OK, TN, TX, WI, AND WV Purpose The Senior Manager - Software Applications is responsible for overseeing the operation, implementation, and ... continuous improvement of the provider enrollment software, ensuring that it meets both industry...that it meets both industry and organizational needs. The Senior Manager - Software Applications will optimize workflow, maintain… more
- Guidehouse (Chicago, IL)
- …to 75% **Clearance Required** **:** None **What You Will Do** **:** Guidehouse's Provider Strategy & Innovation Solutions Area is responsible for solving the most ... complex strategic issues across a variety of provider organizations (health systems, hospitals, physician groups, ACO/CIN, integrated delivery systems, AMCs, etc.)… more
- Molina Healthcare (Jacksonville, FL)
- …United States _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Dental Provider Network Management and Operations jobs are responsible for dental network ... development, network adequacy and provider training and education, in alignment with Molina Healthcare's... issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert… more
- Point32Health (Canton, MA)
- …submissions, RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as a ... here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Analyst will be part of a team… more
- LogixHealth (Bedford, MA)
- …and WV This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and ... well as off-site workers. Key Responsibilities: + Oversee all employees in the provider enrollment department + Monitor training of new hires and current employ ees… more
- UCLA Health (Los Angeles, CA)
- Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information ... accuracy and integrity of practitioner information within the company's provider data systems + Engage with both internal and...monitor, and study business data via EPIC, MD Staff ( provider enrollment and claim system) or other repositories +… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...upon request. + 3 years of experience in a Provider Relations role working with physicians in a Managed… more
- Centene Corporation (Jefferson City, MO)
- …from healthcare providers to drive improvements in service delivery and provider satisfaction. The role requires strategic thinking, strong project management ... skills, and a deep understanding of provider engagement. The incumbent will oversee the execution of...updates to executive leadership and other key stakeholders. + Provide strategic recommendations and insights derived from survey data… more
- Immigration and Customs Enforcement (IN)
- …Services Support Unit.This is a non-supervisory position. The incumbent serves as a Senior Behavioral Health Provider , Medical Asset Support Team (MAST), for the ... with complex psychiatric conditions. Determines the need for and provide direct mental health services to detainees with identified...on the ground and at sea. SUPERVISORY CONTROLS: The Senior Behavioral Health Provider , Medical Asset Support… more
- Molina Healthcare (Troy, MI)
- …Remote and must live in Michigan _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and ... maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more
- Elevance Health (MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or… more
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