- The Cigna Group (Tallahassee, FL)
- …quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and ... data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented...to more junior members of the team in the Network Management Organization. **Responsibilities:** + Identifying, recruiting,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …vision, strategy, and operational leadership for Blue Cross Blue Shield of Minnesota's provider analytics suite. This leader will build data driven solutions ... across the organization. * Lead the development of strategic provider and network analytics across multiple complex...the enterprise to enable enhanced client solutions through improved data reporting. * Provide expert guidance, analytics,… more
- Elevance Health (Sacramento, CA)
- …Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the value delivered to Carelon ... **Behavioral Health Provider Quality Manager** **Candidates must posses a licensure...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
- Highmark Health (Harrisburg, PA)
- …+ **None** **Preferred** + None **EXPERIENCE** + One year of experience in Provider Data Management , Credentialing, Customer Services or Claims. **LICENSES ... and deletions of provider information in the Provider File database. Ensures executions of data ...license update + Enumerating providers + Name changes, demographic data updates, specialty changes + Hospital affiliations, network… more
- CVS Health (Indianapolis, IN)
- …in Office 365 systems, including Excel and PowerPoint. + 5+ years related Provider Network experience, proven and proficient negotiating skills. + Strong ... points for new policies + Help create standard PEAT tool/ provider score card data to share with...in Kentucky / Ohio are highly preferred + Kentucky/Ohio Provider Network knowledge and experience highly preferred… more
- Datavant (New York, NY)
- …time, in the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and ... shows, and conferences to build brand awareness and promote provider -focused solutions. + Build a network of...+ Experience with complex sales cycles and strategic opportunity management , preferably with SaaS or healthcare data … more
- The Cigna Group (Olympia, WA)
- …quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and ... data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented...to more junior members of the team in the Network Management Organization. **Responsibilities:** + Identifying, recruiting,… more
- Lockheed Martin (Greenville, SC)
- …recovery: backups and restores of physical servers, virtual machines, databases and network equipment * Virtual Machine Management Service \(Hyper\-V / VMware\) ... ALIS/MPE Administrators directly support JSF operations by assuring the integrity of data stored within the system by maintaining the internal databases and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …access strategy, contracting, and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant US Business Development ... work. The person in this role chairs the ATC Network Optimization, Expansion and Onboarding Committee in partnership with...partner team + Oversee cost of care resources and data , and relevant analytical exercises to support provider… more
- Capital One (Richmond, VA)
- Senior Manager - Global Payment Network and Network Participant Risk Management : Reporting, Metrics & Analysis **Capital One is seeking an energetic, ... Senior Manager to join the newly created Global Payments Network (GPN) Risk Management Team within the...provide insights on changes to the GPN and Network Participant risk environments** + **Collaborates effectively with stakeholders… more