• Provider Engagement

    Humana (Oklahoma City, OK)
    **Become a part of our caring community and help us put health first** The Provider Engagement , Clinical Quality Executive develops and grows positive, ... the contracted working relationship with the health plan. The Provider Engagement , Clinical Quality...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
    Humana (11/01/24)
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  • Clinical Engagement Lead

    DocMatter Inc. (San Francisco, CA)
    …collaboration goals within your supported clinician networks + Utilize KPI's to monitor clinical engagement and discussion quality , and proactively identify ... of healthcare professionals. As a senior member of the Clinical Engagement Team, you will be responsible...areas. You will drive the strategy to support high quality peer to peer education and collaboration in clinician… more
    DocMatter Inc. (11/13/24)
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  • Provider Engagement Professional

    Humana (Tallahassee, FL)
    …members ( clinical , provider engagement ), to discuss key operational, clinical , and quality related topics. **Use your skills to make an impact** ... first** Humana Healthy Horizons in Florida is seeking a Provider Engagement Professional to join the Florida...and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the… more
    Humana (10/29/24)
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  • VP, Health Equity and Social Impact

    Humana (Columbus, OH)
    …the leader will provide strategic direction around benefit design, member engagement , clinical quality performance and organizational capacity building. ... creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health… more
    Humana (11/23/24)
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  • Staff Vice President, Regional Provider

    Centene Corporation (Jefferson City, MO)
    …aimed at enhancing provider performance across key indicators such as quality , cost-effectiveness, and clinical efficiency tailored to fit the needs of ... specified region encompassing multiple local markets. Reporting to the Vice President, Provider Engagement and Governance, this position requires a strategic… more
    Centene Corporation (11/20/24)
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  • Provider Engagement Professional…

    Conviva (Tallahassee, FL)
    …part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with ... quality performance within the contracted working relationship with payers. The Provider Engagement Professional work assignments are varied and frequently… more
    Conviva (11/19/24)
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  • Provider Engagement Executive

    Humana (Columbus, OH)
    …part of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with ... performance within the contracted working relationship with the health plan. The Provider Engagement Executive is the relationship quarterback to our value-based… more
    Humana (11/21/24)
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  • Senior Provider Engagement

    Molina Healthcare (Seattle, WA)
    …education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality ... education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of these… more
    Molina Healthcare (10/27/24)
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  • Specialist, Provider Engagement

    Molina Healthcare (Detroit, MI)
    …education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality ... and monitoring for key performance measurement activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Provider Engagement contributes to one or more of these… more
    Molina Healthcare (10/27/24)
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  • Sr. Specialist, Provider Engagement

    Molina Healthcare (NM)
    …education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality ... monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of… more
    Molina Healthcare (11/10/24)
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  • Advanced Practice Provider (CNS)…

    University of Virginia (Charlottesville, VA)
    …competency Health System: The CNS helps to advance the practice of nursing and clinical care through improvement of quality , safety and service in collaboration ... the sharing of clinical expertise as evidenced by patient outcomes, employee engagement survey + Willingness to embrace and lead change when change is necessary,… more
    University of Virginia (09/29/24)
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  • Provider Engagement Account Manager

    Centene Corporation (Tallahassee, FL)
    …of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
    Centene Corporation (11/23/24)
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  • Advanced Practice Provider (PA/NP/App)…

    University of Virginia (Charlottesville, VA)
    This Advanced Practice Provider - Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles O. Strickler Transplant Center's Leadership Council, ... supporting Adult and Pediatric solid organ transplant clinical practice across the entire care continuum, quality , safety, and regulatory compliance initiatives,… more
    University of Virginia (11/12/24)
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  • Clinical Educator, AMI Clinical

    AbbVie (Irvine, CA)
    …Follow Allergan Aesthetics on LinkedIn. Job Description The Manager, AMI Clinical Engagement will play an integral role in deploying ... skin care, and more. Our goal is to consistently provide our customers with innovation, education, exceptional service, and...a necessary part of job training, the Manager, AMI Clinical Engagement will also participate in on-going… more
    AbbVie (11/22/24)
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  • Clinical Educator, AMI Clinical

    AbbVie (Atlanta, GA)
    …Follow Allergan Aesthetics on LinkedIn. Job Description The Manager, AMI Clinical Engagement will play an integral role in deploying ... skin care, and more. Our goal is to consistently provide our customers with innovation, education, exceptional service, and...a necessary part of job training, the Manager, AMI Clinical Engagement will also participate in on-going… more
    AbbVie (11/22/24)
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  • RN Clinical Provider Post Service…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …and implementations team. FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered ... encompasses a member and provider call center, provider correspondence and appeals, clinical review, member...ownership + Offer opportunities for continuous learning and associate engagement + Build bench strength to secure talent +… more
    Blue Cross Blue Shield of Massachusetts (10/23/24)
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  • Clinical Engagement Manager Dach…

    Molnlycke Health Care (Austin, TX)
    Clinical Engagement Manager DACH & CEE JOIN US AND MAKE A DIFFERENCE If you have a passion for science as well as the commercial side, if you like partnering ... the opportunity for you. We are looking for a Clinical Engagement Manager DACH & CEE (m/f/d)....the region. + Lead the development of case studies, quality improvement projects, and small-scale clinical studies… more
    Molnlycke Health Care (10/16/24)
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  • Senior Consultant - Clinical Solutions,…

    Guidehouse (Chicago, IL)
    …and health plan executives help healthcare organizations undertake cross-continuum clinical transformation efforts to generate sustained improvements in care access, ... efficiency, quality , and reliability. Areas of expertise include care and...care at home. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of… more
    Guidehouse (11/17/24)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    …complex financial analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with consultative and analytical ... analysis. Maintains market intelligence and analyzes network performance to provide Provider Engagement with consultative...and/or clinical outcomes. . Updates and provides quality assurance of provider rate loading. .… more
    Medical Mutual of Ohio (11/20/24)
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  • LTSS Provider Education & Outreach…

    Humana (Indianapolis, IN)
    …members ( clinical , provider engagement ), to discuss key operational, clinical , and quality related topics. **Use your skills to make an impact** ... a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2) who is responsible...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
    Humana (11/09/24)
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