- 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
- AireSpring (Detroit, MI)
- …for real-time human support. * Free solution evaluations: highly certified Solutions Engineers provide no-cost design reviews and recommendations. * Partner ... Founded in 2001, family owned and operated AireSpring is a leading Provider of Cloud Communications, Managed Connectivity and Managed Security which has earned its… more
- JPMorgan Chase (Tampa, FL)
- …optimal support coverage, and conduct regular team meetings, performance reviews, and provide ongoing feedback and support. + Set clear goals and expectations for ... new products and platform releases prior to client rollout. + Provide comprehensive client service by addressing inquiries, processing transactions, and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and build healthy communities. As one of the nation's leaders in health care solutions , we offer our associates the opportunity to impact the lives of millions of ... administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Provider Network Data Oversight Analyst** performs the role of payment terms… more
- Trinity Health (Maywood, IL)
- …difference in the lives of our communities, join the Loyola team as a Provider Recruiter and become Loyola Strong! Loyola Medicine is seeking a dynamic and strategic ... Provider Recruiter to join our Provider Services...world and that these differences often lead to innovative solutions . Our dedication to diversity includes a unified workforce… more
- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Provider Relations Representative to support the Network Management team. This position follows a hybrid ... caseloads from time-to-time as circumstances require. Assure that the provider is fully educated as to appropriate policies and...in a consistent fashion and for identifying and proposing solutions to problems as they arise. + Work as… more
- Molina Healthcare (Longview, TX)
- …understands solutions required to improve health outcomes. * Drives provider participation in Molina risk adjustment and quality efforts (eg Supplemental data, ... **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist, role implements Health Plan ... Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk… more
- Molina Healthcare (Dallas, TX)
- …- CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, ... **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider … more
- Molina Healthcare (Saginaw, MI)
- …- CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, ... in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and … more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of ... provider relations for Commonwealth Care Alliance's SCO and One...setting. * Proactive in identifying issues and developing effective solutions . * Adaptable and able to thrive in high-pressure… more