- Centene Corporation (Austin, TX)
- … members and their families/caregivers on topics such as preventive care , procedures, healthcare provider instructions, treatment options, referrals, prescribed ... of care and service delivery for long-term care members in a cost -effective manner +...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and RN… more
- HCA Healthcare (Tallahassee, FL)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... leadership, and financial stability. Supports the delivery of the high quality, cost effective patient care through activities based on facility strategic… more
- Providence (Portland, OR)
- …collaborative relationships with providers to improve care quality and cost efficiency. + ** Provider Relations Champion:** Cultivate and maintain positive, ... markets. + **Performance Manager:** Manage KPIs to strategically align network adequacy, contract efficiency, provider satisfaction, cost management, and… more
- CVS Health (Swissvale, PA)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works ... VP of CM with completion of financial analyses including cost of care to reimbursement, denials management,...Expert/Liaison to community agencies, AHS and Non AHS primary care provider network and all AHS stakeholders… more
- Veterans Affairs, Veterans Health Administration (Paragould, AR)
- …Physician Employment Contract and no significant restriction on moonlighting. Primary Care Position Description: A Primary Care physician at the Paragould ... charm with a population of approximately 29,000 and a cost of living well below the national average. The...of other clinical and non-clinical staff. The physician will provide primary care in the outpatient clinic… more
- Stanford Health Care (San Jose, CA)
- …the organizational mission, priorities and goals, and ensures the delivery of cost effective, optimal quality care services. Collaborates with the senior ... mission, priorities and goals, and ensures the delivery of cost effective, optimal quality care services. Directly...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… more
- Baylor Scott & White Health (Dallas, TX)
- … provider research and network adequacy assessments, policy development, contract development, provider solicitation, and health system-aligned expansion of ... monitors network performance (including quality, utilization, network retention "keepage", and total cost of care performance), and the leader's team along with… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …rehabilitation and restorative care , hospice, palliative care , and respite care for eligible Veterans. Provide direct patient care in nursing ... Care . Actively participate and lead quality improvement projects. Provide leadership and strategic vision for GEC. Actively participate with interdisciplinary… more
- CVS Health (Lansing, MI)
- …and review medical care provided to Enrollees and medical aspects of the Provider Contract . 5. Ensure clinical programs are compliant with all national and ... for Medicaid. The State CMO will be responsible for cost containment outcomes and defined KPI's and overall growth...care . 7. Partnering with Plan leaders, Network, and provider relations teams to drive differentiated provider … more
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