- Omaha Children's Hospital (Omaha, NE)
- …care transitions. + Facilitate and supporting regular meetings with leadership board. Provide data -driven network administrative leadership, directing the ... disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the...a regional network of community providers (the " Network "). The Program Manager (PM) will provide … more
- AmeriHealth Caritas (Raleigh, NC)
- …working to resolve provider issues. ;Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the ... positive working relationships between Plan and its contracted providers. ;Assigned provider accounts may include single or multiple practices in single or… more
- Centene Corporation (Sacramento, CA)
- …and route request to provider changes or other cross functional teams + Maintain provider data management systems for accuracy + Handle and resolve ... Associate's degree in related field preferred. 3+ years of provider data or network administration...Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and… 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
- 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
- Dignity Health (Bakersfield, CA)
- … Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating new ... with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to… more
- Elevance Health (Grand Prairie, TX)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg ... **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:**...and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills, Abilities & Language (nice to have): * Familiarity with provider network management systems and healthcare data standards. * Project ... in meetings/calls with ASAPs and LTSC Agencies * Performance reporting/ data management support o Link with CCA's...social work, provider relations, healthcare communications, project management , or network management within… more
- Seattle Children's (Seattle, WA)
- We are seeking a dedicated **Advanced Practice Provider (Nurse Practitioner or Physician Assistant)** to join our Child Protection Team. This part-time position ... independent and team-based clinical practice and consultation in the evaluation and management of pediatric patients referred for possible child abuse and neglect.… 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 ... and accurate accounting of time allocated to each audited provider . + Analyzing data in Excel or...as strong written/verbal communications skills preferred. Strong computing and data management abilities, analytical, and interpersonal and… more