• MCO Director Payment Integrity

    AmeriHealth Caritas (Newtown Square, PA)
    …automation, coupled with continuous policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts to monitor effectiveness, ... address operational gaps, support provider escalations, and guide ongoing improvements in payment integrity strategies and support systems. Key to the role is… more
    AmeriHealth Caritas (11/21/25)
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  • Clinical Concierge - NCT with MA/LVN - Full time,…

    Texas Health Resources (Mckinney, TX)
    …clinical functions including front and back-office duties and working closely with the provider and other clinical team members * This position will float across ... variety of clinical functions, including but not limited to assisting the provider with care and treatment, laboratory testing, x-ray examinations, and other duties.… more
    Texas Health Resources (11/19/25)
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  • Network Management Specialist (Contract…

    Magellan Health Services (Albuquerque, NM)
    …Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for Presbyterian Health Plan ... Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing… more
    Magellan Health Services (11/13/25)
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  • Network Director, Advanced Clinical Recruitment

    WMCHealth (Valhalla, NY)
    Network Director, Advanced Clinical Recruitment Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Human ... Advanced Clinical Recruitment providers strategic leadership for the physician and provider recruitment function across WMCHealth. This role is responsible for… more
    WMCHealth (11/13/25)
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  • Medical Assistant Orthopedics

    HCA Healthcare (Rochester, NH)
    …location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Frisbie ... you do in this role:** **Prepares patient for examination as directed by provider . This may include updating the medical history, documenting any current symptoms,… more
    HCA Healthcare (11/10/25)
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  • Psychiatric Nurse Practitioner/FNP: Addiction…

    Saratoga Hospital (Saratoga Springs, NY)
    …Spa State Park. Job functions include: Patient assessment and treatment: This provider will meet with patients of our outpatient addiction treatment program (2 ... who have expressed a need for addiction services. This provider will gather relevant history, assess symptoms and prescribe...history, assess symptoms and prescribe medications as appropriate. This provider will have discretion as to how often to… more
    Saratoga Hospital (11/07/25)
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  • Physician Support Spec

    University of Rochester (Rochester, NY)
    …not limited to, providers' time and calendar management while optimizing provider patient schedule, coordination of patient care and information/data support. ... scheduling system and other systems as needed. TYPICAL DUTIES: Provider Assistant - Serves as primary contact for ...Provider Assistant - Serves as primary contact for provider (s). Manages provider (s) calendar, prioritizes appointments and… more
    University of Rochester (11/06/25)
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  • Network Payor Relations & Compliance Specialist…

    Henry Ford Health System (Jackson, MI)
    …team meetings and trainings. GENERAL SUMMARY: Under general supervision, performs provider enrollment and compliance functions within a Clinically Integrated Network ... with the payor to resolve. * Provides enrollment assistance/support to Network provider members for nondelegated health plans as needed. * Supports new practice… more
    Henry Ford Health System (11/04/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Oklahoma City, OK)
    …realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan ... based on data and market research. Working closely with Contracting and Provider Relation Leaders and others across the enterprise to develop targeted reimbursement… more
    Highmark Health (10/29/25)
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  • EMS Outreach Liaison

    Community Health Systems (Naples, FL)
    …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
    Community Health Systems (10/28/25)
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