- Chenega Corporation (Rockville, MD)
- …to provide daily and effective contact and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), ... Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the Department...or License to practice in the US as a physician 's assistant or nurse practitioner. + Licensure: Must possess… more
- Molina Healthcare (TX)
- …managed healthcare setting ideally in negotiating different provider contract types, ie, physician , group and hospital contracting , etc. + Working familiarity ... setting ideally in negotiating different provider contract types, ie, physician , group and hospital contracting , etc. To all current Molina employees: If you are… more
- Fallon Health (Worcester, MA)
- …Under the direction of the Manager's, the Eligibility and Revenue Operations Representative supports Fallon Health's mission, vision and values by providing and ... to determine course of action. The Eligibility and Revenue Operations Representative collaborates effectively with co-workers and other departments to ensure quality… more
- Ansible Government Solutions (Clarksburg, WV)
- …of Staff, or designee. + Attend staff meetings and communicate with the Contracting Officer's Representative (COR) regarding any conflicts that may interfere ... Ansible Government Solutions, LLC (Ansible) is currently recruiting for a Primary Care Physician to provide onsite services to eligible beneficiaries of the Louis A.… more
- Molina Healthcare (Houston, TX)
- …a managed healthcare setting ideally in negotiating different provider contract types, ie, physician , group and hospital contracting , etc. To all current Molina ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Molina Healthcare (Kenosha, WI)
- …field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage high priority providers, ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Catholic Health Initiatives (Houston, TX)
- …information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and their families with questions concerning ... plans, and Medicare supplemental plans that require pre‐certification. 14. Contact physician 's on scheduled patients, to notify them of authorization requirements… more
- Munson Healthcare (Traverse City, MI)
- …are subject to final approval of the Health System in its sole discretion. + Representative /Liaison . The Physician shall work to develop and maintain a close ... of long ‑ term strategic planning for the Program. + Direct Contracting . The Physician shall work closely with the appropriate administrative officers of the… more
- Pfizer (Frankfort, KY)
- …team and relevant HQ teams to support effective and compliant pricing and contracting discussions with Key Accounts, in support of the biosimilar portfolio. HSDs are ... and Deployment team, Field Sales, et al) to support effective pricing/ contracting strategy/discussions with Hospital & Biosimilars Key Accounts. + Work closely… more
- Molina Healthcare (Saginaw, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more