- Centene Corporation (Tallahassee, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... Engage with providers to align on network performance opportunities and solutions , and consultative account management and accountability for issue resolution. Drive… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Present reporting and trends to the committee + Develop and manage annual provider communications schedule + Provide guidance and oversight on provider ... 011230 CA- Provider Engagement & Performance **Position Summary:** The ...stakeholders. + Proactive in identifying issues and developing effective solutions . + Adaptable and able to thrive in high-pressure… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …development of analytic capabilities within the enterprise to enable enhanced client solutions through improved data reporting. * Provide expert guidance, ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Provider Analytics Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics &… more
- State of Colorado (Pueblo, CO)
- Nurse Manager- Mid Level Provider - CMHHIP Nursing- Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5171266) Apply Nurse Manager- Mid ... Level Provider - CMHHIP Nursing- Pueblo Salary $8,788.00 - $12,302.00...behavioral health acute care facility that is intended to provide a safe, secure, and therapeutic setting for patients… more
- Elevance Health (Norfolk, VA)
- …ideally in provider -facing and/or operations role (eg, clinic operations, provider back-office operations, provider technology solutions ) preferred. + ... solutions . + P&L, growth, and/or functional ownership within provider environment preferred. + Works well independently and possesses growth-focused… more
- CareFirst (Baltimore, MD)
- …strategize and manage complex negotiations for larger top-tier provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... offering insights during contract development and negotiations with large top-tier provider practices based on claims and market analysis including implementation… more
- CVS Health (St. Paul, MN)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining Medicaid Provider … more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities.; Responsible for ... assisting the leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all … 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 ... Engage with providers to align on network performance opportunities and solutions , and consultative account management and accountability for issue resolution. Drive… more
- Humana (Boise, ID)
- …in complex Medicare reimbursement methodologies. This role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...compliance + Determine root causes driving issues and developing solutions + Working closely with IT and pricing software… more