- State of Colorado (Denver, CO)
- …or policies pertaining to medical practice and treatment as specified by Clinical Services administration; + May provide initial emergency medical treatment ... CDOC Mid-Level Provider /Advanced Level Practitioner - (Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5025096) Apply CDOC Mid-Level … more
- Elevance Health (Cerritos, CA)
- ** Provider Relationship Account Manager - Behavioral Health** **Location:** Must live within a commutable distance to one of the CA offices listed: Cerritos, ... Health** is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed… more
- The Cigna Group (Erie, PA)
- …improve total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise ... **WORK LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The **Manager, Provider Contracting Network Management** serves as an integral member of the … more
- Humana (Springfield, IL)
- …put health first** Humana Gold Plus Integrated is seeking a Senior Provider Engagement Professional who develops and grows positive, long-term relationships with ... the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex issues… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- The Cigna Group (Los Angeles, CA)
- …improve total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise ... CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for...Conduct regular audits to ensure compliance with regulatory standards. Provide detailed reports to leadership. Collaborates with credentialing, enrollment,… more
- The Cigna Group (Mclean, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise ... Virginia._** The **Manager, Network Management** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This… more
- Molina Healthcare (Des Moines, IA)
- …and responding timely to claim disputes. Team consists of clinical and non- clinical staff. * Establishes Medicare Contracted Provider Post Pay dispute and ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Community Health Systems (Foley, AL)
- …line teams, and outreach staff to enhance access to care, promote provider engagement, and address barriers to satisfaction. Through strategic outreach and ... and track progress. + Develops and manages outreach activity plans, provider targeting strategies, and KPI tracking in alignment with market objectives.… more
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