- Centene Corporation (Springfield, IL)
- …Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or clinical ... between the health plan and the contracted provider networks serving our communities. Build client relations... to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- HCA Healthcare (Jacksonville, FL)
- …years of experience in sales or public relations , preferably in a home health care company + Reliable transportation and proof of valid automobile liability ... of patients, insurance companies, physicians, hospitals, nurses, community resources, other health care specialists and the local community. Ensures continuity… more
- CareFirst (Baltimore, MD)
- …years healthcare, business or related field. + 1 year experience in contracting, provider recruitment or provider relations . **Preferred Qualifications:** + ... with an emphasis on transitioning from fee-for-service to value-based care . + Reviews the performance of provider ...ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate… more
- Humana (Frankfort, KY)
- …Qualifications** + Minimum of Associate's Degree + 4 or more years of Health care or managed care with Provider Contracting, Network Management or ... part of our caring community and help us put health first** The Provider Engagement Executive develops...+ Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus… more
- Centene Corporation (Atlanta, GA)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure ... delivery of the highest level of care to our members. Engage with providers to align...act as a liaison between the providers and the health plan + Triages provider issues as… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Health Advanced Practice Provider will serve as a Full Time APP to provide care to patients within the Center for International Health at SUNY ... expert level clinical care & coordination of care . + Provide full range of services...with families, referring physicians & all members of the health care team. As an APP you… more
- State of Colorado (Colorado Springs, CO)
- …internal peers to ensure continuity of care ; + Collaborate with other health care professionals, clinical services staff regarding offender health ... + Participate in developing educational materials for offenders or health care professionals; + This position must...to stress, confinement, and high-stakes interaction + Ability to provide direct patient care to offenders; +… more
- University of Utah Health (Salt Lake City, UT)
- …a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care , research and education. ... a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration,… more
- Centene Corporation (Nashville, TN)
- …services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing benefits ... assigned providers and the health plan. + Provide issue resolution support for most complex provider...interpretation, and internal operations of provider relations .Pay Range: $55,100.00 - $99,000.00 per… more
- The Cigna Group (Mclean, VA)
- …Hospital/ Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus...stage of life. We guide our customers through the health care system, empowering them with the… more