- Molina Healthcare (Cadillac, MI)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... Based Relationship Contracts . * Develops and maintains provider contracts in contract management...health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Centene Corporation (Springfield, OR)
- …with providers and community groups._ **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our ... Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. + Completes… more
- Molina Healthcare (Carson City, NV)
- …assumptions through data, but lead with contextual knowledge of claims processing, provider contracts , and operational realities. + Creates succinct summaries ... resolution strategies. + Serves as a thought partner to health plan leadership and provide well-reasoned recommendations...Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of relevant education… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Health Home Care Manager Department: Care Management Location: St. Mary's Campus Hours Per Week: 40 Schedule: Monday - Friday | Days with hybrid ... opportunity SUMMARY: To provide supportive Health Home care management, utilizing...including experience, relevant qualifications, specialty, internal equity, location, and contracts . Rochester Regional Health is an Equal… more
- CVS Health (Frankfort, KY)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... At CVS Health , we're building a world of health...contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers… more
- Bon Secours Mercy Health (VA)
- …including ambulatory offices, with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: ... At Bon Secours Mercy Health , we are dedicated to continually improving ...used to support various practice improvement activities + Conducts provider orientation and facilitates onboarding and offboarding of providers… more
- Molina Healthcare (Las Cruces, NM)
- …and inclusion (DEI) best practices. Contributes to overarching enterprise and/or specific health plan strategy to provide quality and cost-effective member care. ... Population Health . *. Collaborate with cross-functional teams (Quality, Compliance, Health Care Services, Provider Network, Data Analytics, and Community… more
- Humana (Richmond, VA)
- …us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (Maternal-Child Health ) who will lead teams of nurses and ... professionals responsible for maternal and child services care management. The Manager works within specific guidelines and procedures; applies advanced technical… more
- Access Dubuque (Dubuque, IA)
- … Manager Cottingham & Butler/ SISCO Patient Care Technician-Resource-Float UnityPoint Health Finley Hospital Clinic Office Manager Nurtiva Pelvic Therapy RN ... Case Manager Part-Time Dubuque MercyOne Program Manager RN-Patient Safety/Process Improvem UnityPoint Health Finley Hospital Manager of Operations… more
- CoreSite (Denver, CO)
- …future of digital infrastructure while nurturing your professional growth and success. Environmental, Health and Safety Manager Role We are seeking a dedicated ... and experienced Environmental, Health and Safety Manager to join our...sustainability performance to senior management, applying advanced expertise to provide strategic insights and ensure data-driven decision-making. + Oversee… more