- CACI International (Sterling, VA)
- Network Problem Management Quality ...Develop and maintain quality standards for problem management processes + Provide training and guidance ... * * * **The Opportunity** : We are seeking an experienced ITIL Network Problem Management Quality Assurance Lead to ensure the effectiveness and efficiency… more
- 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
- Chenega Corporation (Washington, DC)
- Service Quality Management Specialist Washington, DC Join our Talent Network Service Quality Management Specialist Washington, DC Are you ready to ... the Federal marketplace. Chenega Agile Real-Time Solutions (CARS) is seeking aService Quality Management Specialistto support Service Quality Management… more
- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, 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
- The Cigna Group (Fort Lauderdale, FL)
- …need to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management ** serves as an integral member of the ... 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
- AmeriHealth Caritas (Manchester, NH)
- …+ Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ensure network adequacy. + ... will build and nurture strategic provider partnerships that strengthen our network , drive innovation, and ensure high- quality care for our communities. They… more
- Corewell Health (Grand Rapids, MI)
- …Qualifications Required + Bachelor's Degree + 5 years of relevant experience of either provider network management experience, health care insurance or other ... Manage contract success through analysis of monthly reports + Provide mitigation solutions for gap closure and quality...E Beltline - Grand Rapids Department Name PH - Provider Network Management Employment Type… 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
- AmeriHealth Caritas (Columbus, OH)
- …network implementation and maintenance + Manage ongoing projects or programs within the Provider Network Management organization + Develop and implement ... Assist with credentialing, re-credentialing, and investigating member complaints and quality issues + Maintain knowledge of Facets and relay... groups + 3 to 5 years in VBC, Provider Services, including network management … more
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