- University of Virginia (Charlottesville, VA)
- …Center, a nationally recognized Level 1 Trauma Center, is seeking an Advanced Practice Provider (APP) Manager to lead and support an expanding team of APPs ... as the APP team continues to expand. The APP Manager will oversee APPs staffing a 24/7 ED observation...hiring, and onboarding processes to support program growth. + Provide coaching, mentorship, and performance evaluations for APPs. +… more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Bon Secours Mercy Health (Richmond, VA)
- …collaboration with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network utilization ... and/or changes in care delivery to optimize care coordination of in- network offerings for empaneled patients. + Identifies barriers and facilitates resolution… more
- Cisco (Chicago, IL)
- …Team** In this role you will work as part of the Americas Cloud Service Provider (CSP) Route-To-Market (RTM) team to expand the value of our AWS alliance and ... work together across the physical and digital worlds. These solutions provide customers with unparalleled security, visibility, and insights across the entire… more
- EAC Network (New York, NY)
- …Transitions Case Manager ) to join the Manhattan Community Re-Entry Assistance Network (CRAN) Program. + Wage: $28.93 per hour + Schedule: Monday- Friday: 9AM-5PM ... Bachelors Degree Description Join Our Team as a Case Manager for our Manhattan CRAN program! Are you passionate...and making a real difference in their lives? EAC Network , a leading not-for-profit social service agency dedicated to… more
- Aspen Dental (Albany, NY)
- …credentialing issues in a timely manner. + Research and resolve out of network claims issues by investigating provider participation status and effective dates ... wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in...new opportunity to join our dedicated team as a Provider Enrollment Specialist. The Provider Enrollment Specialist… more
- EAC Network (Bronx, NY)
- …Percentage None Category Human Service Description Join Our Team as a Case Manager (CTCM)! Are you passionate about supporting the Behavioral Health & Justice ... and making a real difference in their lives? EAC Network , a leading not-for-profit social service agency dedicated to...NYC, is looking for a dedicated full time Case Manager (CTCM) to join the Bronx Community Re-Entry Assistance… more
- The Cigna Group (Jersey City, NJ)
- …integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting ... and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. +… more
- Humana (Springfield, IL)
- …(LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, ... Professional (LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience… more
- Elevance Health (Indianapolis, IN)
- …metrics, provider assignments and oversight of daily activities and provide feedback to manager on performance management, day-to-day training, guidance, ... (eg: MGMA, AFP, AAP, HFMA). + Research complex issues that may impact future provider contract negotiations or jeopardize network retention. + May be responsible… more