- Kelly Services (Exton, PA)
- Pediatric Therapeutic Services (PTS) is seeking a part-time LBS to provide school-based services for a local school district. PERKS: + Access to our free resource ... data collection sheets + This is a 1099 Independent contracting position, allowing for greater flexibility.? + Access to...position, allowing for greater flexibility.? + Access to our Behavioral Health Director for overall clinical support + We… more
- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...of HEDIS and Health Plan quality initiatives; familiarity with behavioral health KPIs such as IET and FUH +… more
- State of Georgia (Fulton County, GA)
- …will assist with coordination, development, and execution of documents needed for provider contracts, while tracking the contracting process from beginning to ... Administrative & Operations Support (https://ga.referrals.selectminds.com/landingpages/administrative-operations-support-opportunities-at-team-georgia-16) Behavioral Health and Developmental Disabilities,… more
- The Cigna Group (Bloomfield, CT)
- **Summary** We are seeking a self-motivated business analytics or actuarial professional with a passion for problem solving and a strong desire to learn, lead and ... our growing team. This role will work collaboratively with Network Analytics, Contracting , Competitive Intelligence, IT, and other matrix partners to support our… more
- CenterWell (Phoenix, AZ)
- …and help us put health first** The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO ... centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare. + Plan,… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... Leaders, Pharmacy Leaders (eg clinical, operational), Physicians, Value Analysis Leaders, HealthTrust Contracting Team. What you will do in this role: Leadership +… more
- WellSpan Health (York, PA)
- …procurement programs to include managing strategic procurement, sourcing, and contracting , supply chain operations and systems, analytics, operational excellence, ... strategies that are scalable and align with organizational goals and objectives and provide visibility to results. + Lead and drive strategic initiatives to enhance… more
- The Cigna Group (Bloomfield, CT)
- …a clinical educator and consultant to utilization management, case management, network, contracting , pharmacy, and service operations (claims). This is an entry to ... quality and performance improvement processes. + Improves health care professional relations through direct communication, knowledge of appropriate evidence-based… more
- Highmark Health (Harrisburg, PA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Mirror (Wichita, KS)
- …supporting the reentry programs and services offered by Mirror to its contracting authorities to include security/accountability and clerical duties that support the ... the daily administrative operations of the program. The Chief of Security shall provide technical support to line staff members by interpreting program policies and… more