- Elevance Health (Granite Falls, NC)
- Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) - DSS Region 2 (JR170832) _\#HealthyBlueCareTogetherCFSP_ _We are partnering with North ... term services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina where all children and families thrive… more
- Elevance Health (Indianapolis, IN)
- …claims costs, improving the quality of care, increasing member and provider network satisfaction and supporting all value-based provider payments, ... ** Provider Contract/Cost of Care Analyst Senior** **Location:** This...and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce… more
- CVS Health (MD)
- …options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid program. ... with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality... network expansion, identifies gaps in the existing network , and proactively seeks new provider relationships… more
- CVS Health (WA)
- …small group, or local providers. Manages contract performance in support of network quality , availability, and financial goals and strategies. Recruits providers ... development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, … more
- Novant Health (Charlotte, NC)
- …evolve within a culture of continuous learning and teamwork to build ah igh performing provider network . + Instituted an APP Council that p artners with leaders ... Provider for Novant Health Head and Neck to provide primary health care and perform selective medical services...is designed with you in mind. Our expert clinicians provide the latest treatments or management of… more
- Molina Healthcare (MI)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Elevance Health (Lake Mary, FL)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides expert ... **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role...advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on… more
- Rush University Medical Center (Chicago, IL)
- …science, and lactation physiology. Duties & Responsibilities: + 100% Inpatient + Provide delivery room attendance and management , direct patient care, ... Time (Total FTE between 0.9 and 1.0) **Neonatology Advanced Practice Provider ** **Rush University Medical Center** **Chicago, IL** Rush University Medical Center,… more
- Rush University Medical Center (Chicago, IL)
- …nurse (APRN) who functions as a member of the health care team to provide high quality , comprehensive acute and/or routine medical/surgical care of Rush patients ... Department: Ogden - Orthopaedics Orthopedic Lead - Advanced Practice Provider Rush Copley Medical Center Aurora, IL **Rush Copley...Valley area, is a key part of the Rush network , offering state-of-the-art facilities and high- quality care… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality , cost effective care to patients within the APPs ... communities we serve. **We are currently searching for an Advanced Practice Provider , preferably with experience but open to strong new graduate candidates, to… more
Recent Jobs
-
High Fidelity Wraparound Care Coordinator (Preventive Services)
- Gateway-Longview (Buffalo, NY)