- Sharp HealthCare (San Diego, CA)
- …with other plan functions that interface with medical management such as provider relations , member services, benefits and claims management, IT management, ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...Chief Medical Officer with activities to promote positive community relations . + Assures plan conformance with legal and regulatory… more
- Elevance Health (Indianapolis, IN)
- …clinical, quality and regional leadership teams while ensuring a responsive provider relations approach including training and education. **Position ... for all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting… more
- Capital One (Richmond, VA)
- Principal Auditor (Experienced Senior Auditor), Consumer Lending Audit ( Hybrid ) Capital One's Audit function is a dedicated group of professionals focused on ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… more
- Capital One (Richmond, VA)
- Principal Auditor- Credit Risk Management ( Hybrid ) Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… more
- Capital One (New York, NY)
- Principal Auditor (Experienced Senior Auditor) Corporate Compliance Audits ( Hybrid ) Capital One's Audit function is a dedicated group of professionals focused on ... environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology,… more
- Elevance Health (Wichita, KS)
- …+ Coordinates and conducts provider training including developing and distributing provider relations materials + May assist with Annual Provider ... for providing quality, accessible and comprehensive service to the company's provider community. Develops and maintains positive provider relationships with… more
- UPMC (Pittsburgh, PA)
- …and engage with prospects for enrollment opportunities. Position reports to Manager , Medicare/SNP Sales. Responsibilities: + Assists in the development of training ... materials related to community relations . Participates in education programs related to scope of...department for internal staff and external groups. + Assists manager in the development of community based initiatives which… more
- Henry Ford Health System (Troy, MI)
- …responsible professional capacity, with at least one (1) year of payor contracting, provider relations or provider reimbursement experience. + Knowledge of ... Reporting to Director or Manager , assist in the development of Contract Strategy...contract portfolio. 5. Coordinate implementation of Payor arrangements and provide ongoing education and support throughout HFHS. 6. Collect… more
- Commonwealth Care Alliance (Boston, MA)
- …of findings, and participation in interdisciplinary care planning. The RN will provide direct or indirect nursing care, support of health maintenance by teaching, ... across various locations. This position reports to the CIC APC Clinical Manager . **Supervision Exercised:** No, this position does not have direct reports.… more
- Henry Ford Health System (Detroit, MI)
- …and monitoring of key metrics to measure success. An empowered project manager , subject matter expert, and passionate storyteller, the senior specialist will lead ... on strategic approaches, innovation and creativity + Serves as project manager for communications workstreams across major system initiatives and storytelling… more