- Health Care Service Corporation (Philadelphia, PA)
- …is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, ... be responsible for education of providers, and for ongoing provider service. As a manager, this individual will lead...a manager, this individual will lead a team of Network Operations Coordinators. This person will guide and educate… more
- TekSynap (WA)
- …and implement voice networks, LAN and WAN data networks, wireless networks, and network management systems to support voice, data , video, and wireless ... analyzing and designing voice networks, LAN/WAN data networks, wireless networks, and/or network management systems to support voice and data services.… more
- Health Care Service Corporation (Richardson, TX)
- …in your professional development. **Job Summary** The Principal Network Management Consultant is responsible for provider recruitment and contracting of ... for assigned territory. responsible for education of providers and for ongoing provider service. provide subject matter expertise to improve efficiencies and… more
- CVS Health (Indianapolis, IN)
- …process standardization. + 1-3 years' project management experience. + 3+ years' provider data services and network experience. + Proficient Microsoft ... calls. The Senior Analyst will partner across business areas to ensure provider data integrity, facilitate process improvements, and organize the team… more
- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience:** + 5-7 years of experience in healthcare quality improvement, provider network performance and management , population health, or ... of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align… more
- CVS Health (Helena, MT)
- …heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non- network providers. ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
- Point32Health (RI)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... that focus on medical cost, utilization, membership, trends, and comparisons of provider reimbursement positions (using MRF and other data sources).Based on… more
- Elevance Health (Tampa, FL)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... to Medical Directors and management on cost of care issues. Supports large scale...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all… more
- CVS Health (Scottsdale, AZ)
- …we do it all with heart, each and every day. **Position Summary** As a Provider Enrollment Analyst, your primary responsibility will be acting as a point of contact ... by providing their members access to the CVS Health network of pharmacies. **Required Qualifications** - 2+ years minimum...Microsoft Excel, Outlook, Word, Power Point, and Adobe - Data entry and Contract operations skills - Ability to… more
- Elevance Health (Lake Mary, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... **Cost of Care/ Provider Contracting Data Analyst** **Location** :...advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on… more