- MyFlorida (Fort Lauderdale, FL)
- …actions. The Work You Will Do The incumbent oversees the operation of the Provider Development Unit including Provider Enrollment , Provider Training, ... PROVIDER DEVELOPMENT MANAGER - 67032206 Date: Nov 18,...action. + Manage the work of others, ability to provide constructive feedback to direct reports. + Prepare reports.… more
- Henry Ford Health System (Grand Rapids, MI)
- …Agreements, regulatory reporting and audits, and special projects as needed. + Resolve provider enrollment and provider inquiries in assigned Pega ... GENERAL SUMMARY: Coordinate processing and maintenance of provider contracts and maintenance of provider demographic information including new contracts,… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Present reporting and trends to the committee + Develop and manage annual provider communications schedule + Provide guidance and oversight on provider ... 011230 CA- Provider Engagement & Performance **Position Summary:** The ...management (PMP, Agile) or communications (eg, APR). **MA Health Enrollment ** **(required if licensed in Massachusetts):** + No, this… more
- WellSense (MA)
- …as liaison between provider and internal Plan departments such as Provider Enrollment , Claims, Audit, Marketing, Customer Care and Care Management. **Our ... Responsible for managing the assigned territory of professional, institutional and ancillary provider types in order to enhance these relationships so that Well… more
- Molina Healthcare (West Valley City, UT)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all enrollment and provider databases. Staff ... requirements of internal customers as it pertains to other provider network management areas, such as provider ...other provider network management areas, such as provider contracts. This role is a multi facet internal… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health, community-based,… more
- WellSense (NH)
- …and internal Plan departments such as Claims, Benefits, Audit, Member and Provider Enrollment and Clinical Services to effectively identify and resolve ... our members, no matter their circumstances. **Job Summary:** The Provider Relations Consultant - NH will act as the...issues + Run claim reports regularly to support external provider visits + Develop and enhance our physician, clinician,… more
- Valor Health (Cookeville, TN)
- PRN/Per Diem Mid-Level Provider (NP or PA) - Veteran Affairs Outpatient Clinic Cookeville, TN (http://maps.google.com/maps?q=851+Willow+Ave.+Cookeville+TN+USA+38501) ... Patient Aligned Care Team (PACT) to include Primary Care Provider , RN and Medical Assistant and expanded PACT Team...clinical outcomes through the specified VA guidelines. + Must provide excellent customer service to each veteran, both in… more
- Dignity Health (Bakersfield, CA)
- …questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims accurately and timely. ... **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance...Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating… more
- Molina Healthcare (Columbus, OH)
- …and analyzing the systems. + This role is involved in member enrollment , provider information management, benefits configuration and/or claims processing. + ... **Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim… more
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