- CACI International (Las Cruces, NM)
- …servers for NMS applications (eg, Riverbed, SolarWinds, Network Node Manager ) + Monitor system performance , identify bottlenecks, and implement improvements ... InfluxDB). + Troubleshoot and resolve system issues, including system failures, performance problems, and network -related issues. + Develop and implement… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- Centene Corporation (Baton Rouge, LA)
- …level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and ... education, including writing and updating orientation materials + Manages Network performance for assigned territory through a consultative/account management… more
- Centene Corporation (Tallahassee, FL)
- …level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and ... provider education, including writing and updating orientation materials** **Manages Network performance for assigned territory through a consultative/account… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …data driven solutions with measurable impacts, including targeted financial measures, network performance , and optimization, primarily focusing on supporting ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid |...across the organization. * Lead the development of strategic provider and network analytics across multiple complex… more
- Centene Corporation (Atlanta, GA)
- …level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and ... to external provider related issues + Manages provider performance for assigned territory through a... Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and… more
- Centene Corporation (Springfield, IL)
- …level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and ... education, including writing and updating orientation materials + Manages Network performance for assigned territory through a consultative/account management… more
- 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… more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... addition to the services listed above, alongside both the Manager of Provider Services and Contracting and...and resolutions and/or areas for improvement. + Demonstrates/models the Network 's Service Excellence Standards of Performance in… more
- CVS Health (Nashville, TN)
- … Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and Network Performance Standards. + Professional experience in behavioral health care ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more