- AmeriHealth Caritas (Detroit, MI)
- …network implementation and maintenance + Manage ongoing projects or programs within the Provider Network Management organization + Develop and implement ... to ensure service accessibility and compliance with mandates + Provide risk adjustment reporting training to providers. Monitor and...provider groups + 3 to 5 years in Provider Services, including network management … more
- UPMC (Media, PA)
- …optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... solves based on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights and responsibilities,… more
- UPMC (Pittsburgh, PA)
- …optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... solves based on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights and responsibilities,… more
- Loyola University Chicago (Chicago, IL)
- …maintain relationships within IT and campus partners to ensure the delivery of quality services. + Network Infrastructure Management : Design, implement, and ... Network Administrator Thank you for your interest in...and recommending strategic investments. + Budgeting and Cost Control: Provide data-driven insights and recommendations to influence budget allocations… more
- Molina Healthcare (Cleveland, OH)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider … more
- AmeriHealth Caritas (Fayetteville, NC)
- …network implementation and maintenance + Manage ongoing projects or programs within the Provider Network Management organization + Develop and implement ... services. Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Provider Network Account Executive (AE II) is responsible for… more
- Henry Ford Health System (Troy, MI)
- …working environment. Additional Information + Organization: HAP (Health Alliance Plan) + Department: Provider Network Operations + Shift: Day Job + Union Code: ... GENERAL SUMMARY: The Senior Management Engineer is responsible for the facilitation of... and coordinates implementation whenever possible. This individual may provide continuous improvement training, education, and works closely with… more
- Point32Health (MA)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Support RFP work… more
- Highmark Health (Pittsburgh, PA)
- …and payment strategy. The role also leads the strategy and creation of provider network designs and programs. The incumbent is responsible for understanding ... to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of… more
- Queen's Health System (Honolulu, HI)
- … Network (QCIPN) and assigned providers for recruiting, onboarding, and network support activities. * Coordinates and facilitates provider onboarding and ... available to them through QCIPN for clinical care coordination, transitional care management , quality , risk adjustment, and other practice management … more