- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care ( Network Development Specialist ) Remote At MultiPlan, we pride ourselves on being ... Management Peers to respond to and anticipate access requirements and network related performance guarantees. Use information derived from Requests for Proposals… more
- St. Luke's Health System (Boise, ID)
- **Overview** St. Luke's Health System in Boise, ID is seeking a Network Engagement Specialist to join our Health Partners team. Under general direction, the ... Network Engagement Specialist facilitates practice engagement around...support programs such as Medicaid Value Care Organization (VCO), Medicare Shared Savings Program/Accountable Care Organization (MSSP/ACO), the St.… more
- Community Health Network (Indianapolis, IN)
- …- Friday 8:00am - 5:00pm, Full-time. Bi-weekly, Benefited. **Clinical Pharmacy Specialist -Ambulatory Care** **Join Community** Community Health Network was ... Clinical Pharmacy Specialist - Ambulatory Job Ref 2401531 Category Allied Health...Pharmacy Department Ambulatory Pharmacy Schedule Full-time Facility Community Physician Network Indianapolis Northside 1 Indianapolis, IN 46256 United States… 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 general supervision, ... (NCQA) accreditation requirements, Quality Programs, and regulations such as Medicare Advantage, Medicaid, and Marketplace Exchange, and Office of Personnel… more
- Healthfirst (Enfield, NY)
- …upcoming events you want to attend + Must work in a concerted manner with Network Development and communicate with them any providers that we should attempt to ... The Complete Care Specialist is responsible fordeveloping and maintaining relationships, leads,...recruit. Ensure Network Development Representatives are abreast of any… 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
- Trinity Health (Sioux City, IA)
- …**Position Purpose** The purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities, in collaboration ... compliance, enhances patient safety, and minimizes liability exposure. The specialist role is a lead resource in the Centers...role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory requirements as well… 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
- Trinity Health (Grove City, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.… 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
- 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
- City and County of San Francisco (San Francisco, CA)
- …Public Health continuously accepts applications for all Supervising Physician Specialist positions. + ✅ START with this Required Exam ... Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network . Positions may also be in the Population Health Division's public… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist - This is an** **onsite** ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- Texas Health Resources (Arlington, TX)
- Admissions Specialist I _We're looking for qualified_ **_Admissions Specialist_** _like you to join our Texas Health family._ **Work Location:** Texas Health ... principles. . **To ensure a seamless visit,** identifies correct network coverage and obtains and/or validates healthcare benefits and/or pre-certification… more
- Texas Health Resources (Bedford, TX)
- **Admissions Specialist I** _We're looking for qualified_ **_Admissions Specialist_** _like you to join our Texas Health family._ **Work Location:** Texas Health ... principles. . **To ensure a seamless visit,** identifies correct network coverage and obtains and/or validates healthcare benefits and/or pre-certification… more
- Texas Health Resources (Denton, TX)
- Admissions Specialist I _We're looking for qualified_ **_Admissions Specialist I_** _like you to join our Texas Health family._ **Work Location:** Texas Health ... principles. . **To ensure a seamless visit,** identifies correct network coverage and obtains and/or validates healthcare benefits and/or pre-certification… more
- Precise Systems, Inc. (Lexington Park, MD)
- …our highly skilled workforces, we provide expert consultation on network and weapons systems acquisition programs, maintenance/modernization programs, and ... the Precise solution. We are currently seeking a Senior Benefits Specialist . This individual will be responsible for coordinating, procuring, implementing, ensuring… more
- Brookdale Senior Living (Cleveland, OH)
- …as one of America's Greatest Workplaces for Diversity Full Time Traveling Sales Specialist Up to a $2,500 Sign On Bonus! Supporting the Akron/Cleveland market ... of generating and closing qualified leads. As our Sales Specialist you'll partner you will be partnering with community...all commissionable sales associates in a community or selling network . Come be part of a team committed to… more
- Trinity Health (Grove City, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.… more
