- CACI International (Springfield, VA)
- Network Capacity Management Quality Analyst Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... forecasts for network services + Conduct regular quality audits of capacity management processes and...management + Participate in capacity planning meetings and provide expert insights + Provide data-driven insights… more
- Amazon (Denver, CO)
- …for a large-scale service provider . The successful candidate will be expected to provide high quality network event management for Amazon's global ... most innovative and progressive technology companies anywhere. Key job responsibilities * Provide critical network operations support to internal customers, dive… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management ** serves as an integral member ... management of the day to day contracting and network management activities for a local given...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- UPMC (Pittsburgh, PA)
- …of care and maximal use of community supports and resources. + Works with Member Services, Network Management and Quality Management staff to assure that ... problem solving based on sophisticated knowledge of in-plan services, the provider network , member services policies, members' rights and responsibilities,… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Connecticut Market. Must live in Connecticut._** The **Contractor, Provider Network Management ** serves as an integral member of ... assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...+ Supports initiatives that improve total medical cost and quality . + Drives change with external provider … more
- Elevance Health (Los Angeles, CA)
- **Manager, LTSS Provider Relations and Network Management ** **Location:** Woodland Hills CA, Costa Mesa CA **Hours:** M - F Standard Working hours ... and adaptable workplace. Alternate locations may be considered. The **Manager, LTSS Provider Relations and Network Management ** directs the activities… more
- Dignity Health (Bakersfield, CA)
- …demonstrated experience in utilizing Quest Enterprise Services or a similar system for provider network management . - Previous experience in maintaining ... Network Management leadership with the management and optimization of the Value Based provider...management efficiency and accuracy. - Monitor and analyze network performance metrics, including utilization, efficiency, and quality… more
- LA Care Health Plan (Los Angeles, CA)
- …departments (Member Services, Provider Network Operations, Claims, Utilization Management , Pharmacy, and Quality Management ) to ensure the use ... the right time. Mission: LA Care's mission is to provide access to quality health care for...work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management , Quality … more
- UPMC (Erie, PA)
- …optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... Professional Care Manager to support the Community Based Care Management team in Erie, PA! The Care Manager will...on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights… more
- Health Plans, Inc. (Charlotte, NC)
- …of work are Monday through Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on enhancing ... and specialty care resources. + Member Education: Educate members about their provider network options, including in- network providers, specialist access,… more
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