- Microsoft Corporation (Redmond, WA)
- …for next-generation SDN accelerators which can do arbitrary packet manipulations, provide network security, enhance connection establishment performance, and ... or related field AND 1+ years technical experience in network design, development , and automation. + Doctorate Degree in Electrical Engineering, Computer… more
- Centene Corporation (Raleigh, NC)
- …pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community that support development and implementation of the medical… more
- Centene Corporation (Tallahassee, FL)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- Centene Corporation (Austin, TX)
- …collaboration between state-based health plans and business units, including IT, Finance, Network Development , and Payment Integrity. + Mentor, manage, and ... Analytics drives the execution of analytics strategy through the discovery, development , and implementation of leading-edge analytics that answer important business… more
- Centene Corporation (Tallahassee, FL)
- …collaboration between state-based health plans and business units, including IT, Finance, Network Development , and Payment Integrity + Mentor, manage, and ensure ... Analytics drives the execution of analytics strategy through the discovery, development , and implementation of leading-edge analytics that answer important business… more
- Centene Corporation (Austin, TX)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and ... documentation for completeness and accuracy to support billed claims. + Generate provider reports through billing software. + Coordinates, schedules, and meet with… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... and enroll prospects based on the customer's needs + Provide a positive customer experience with excellent customer satisfaction...that we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are… more
- Insight Global (Woonsocket, RI)
- …This PM/SM will support a new strategic initiative focused on enhancing the Provider Portal, including front-end development and a revamp of eligibility ... Skills and Requirements * Experience in healthcare or insurance, particularly in network / provider domains * Proven success managing large platform modernization… more
- Health Care Service Corporation (Chicago, IL)
- …leading the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider ... management operations OR 8 years of experience strategic planning, market research, network management, or product development in health care industry. +… more