- CenterWell (Phoenix, AZ)
- …to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to shaping how our ... delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. +… more
- Corewell Health (Southfield, MI)
- …problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. In this high-impact ... within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + Provides… more
- Aspen Dental (Albany, NY)
- …are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist . The Provider Enrollment Specialist plays a ... a timely manner. + Research and resolve out of network claims issues by investigating provider participation...out of network claims issues by investigating provider participation status and effective dates of enrollment. +… more
- University of Virginia (Charlottesville, VA)
- This Advanced Practice Provider -Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles O. Strickler Transplant Center's Leadership Council, ... the above job responsibilities, other duties may be assigned This Advanced Practice Provider -Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more
- University of Virginia (Charlottesville, VA)
- …assigned MINIMUM REQUIREMENTS Education: Master's Degree as an Advance Practice Provider (Clinical Nurse Specialist ) Experience: None Certification: Advanced ... (Adult-Gero, Neonatal, Pediatric) Licensure: License or license eligible as an Advance Practice Provider (Clinical Nurse Specialist ) as set forth by the state of… more
- CareFirst (Baltimore, MD)
- …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more
- UT Health San Antonio (San Antonio, TX)
- Specialist - ENT Midlevel Provider - Otorhinolaryngology: Head and Neck Cancer San Antonio ... Job Sign Up for Job Alerts Department of Otolaryngology - HNS Physician Assistant/ Specialist NTT The Department of Otolaryngology-HNS , Joe R. and Teresa Lozano Long… more
- General Dynamics Information Technology (Egg Harbor Township, NJ)
- …guidelines to access the managed data. + Plans and coordinates with the IT/ Network Specialist to implement security measures that safeguard information against ... Data Manager / DBA at GDIT. Your work will provide transformative solutions to our clients' big-data obstacles and...technology testing and airport applications research to, + Capture network design and as-build network documentation. +… more
- Corewell Health (Grand Rapids, MI)
- …equivalent education and experience + 2 years of relevant experience of either provider network management experience, health care insurance or other health care ... Health - 1239 E Beltline - Grand Rapids Department Name PH - Provider Network Management Employment Type Full time Shift Day (United States of America) Weekly… more