- CVS Health (Frankfort, KY)
- …the business and system requirements of internal customers as it pertains to other provider network management areas. + Oversees receipt of and coordinates ... the Provider Engagement department email box and/or Provider Relationship Management System. Works closely with... provider inquiries from the provider network and responsible for reviewing, documenting,… more
- WEC Energy Group (Milwaukee, WI)
- … data protection measures and best practices + Provide expert guidance on data privacy management and risk mitigation techniques + Ensure KPIs related to ... incidents, implementing corrective actions as needed + Regularly review data security policies and standards. Provide input...(VB or C#) + Security Operations Center (SOC) + Data security + Network Access Management… more
- Vanderbilt University Medical Center (Nashville, TN)
- …(NICU). The provider will function independently as an advanced practice provider responsible for the management of critically ill and convalescing infants ... care, education, and research. **Organization:** VCH **Job Summary:** This provider will serve in a split FTE as a...into decision making. Uses electronic health record to capture data on variables for the evaluation and management… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …* Works closely with Medical Director and Network Director to review data and identify provider -specific opportunities related to PTR target measures. * ... with the Manager of Clinical Consultation and the Medical Director to review provider -specific data and to identify actionable clinical opportunities. The role… more
- Evolent (Helena, MT)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more
- Centene Corporation (Getzville, NY)
- …level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. + ... better patient outcomes, cost-efficiency, and quality care + Uses data analytics to track and monitor provider ...more years of managed care or medical group experience, provider relations, quality improvement, utilization management , or… more
- Molina Healthcare (Las Cruces, NM)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims...provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider … more
- Centene Corporation (Atlanta, GA)
- …outcomes, cost-efficiency, and quality care. + Performance Management : Uses data analytics to track and monitor provider performance, offering actionable ... network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- CACI International (Las Cruces, NM)
- Network Management Systems (NMS) Operations Tier 3 Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... * **The Opportunity** : We are seeking an experienced Network Management Systems (NMS) Engineer to oversee...for process improvement and automation. + Analyze system performance data and provide recommendations for optimization +… more
- ADP (Atlanta, GA)
- …join a highly skilled and focused Global Security team, who provide excellent data protection services over the ADP Network platform and across ADP company ... Network Solutions, End User Computing, IT Architecture, Data Stewards, Project Management , Legal, Data...from your managerial expertise and driving high performing teams. Provide input and feedback on network security… more
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