- AmeriHealth Caritas (Newtown Square, PA)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Provider Network Data Oversight Analyst** performs the role ... Network Management team by performing analysis of provider data , payment term changes, and general...Network , and Operational areas to develop lenses that provide event triggered output for monitoring of impending contract… more
- Hartford HealthCare (New Britain, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Trauma Data Analyst is responsible for the ... Work where every *moment* matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Northeast Region States in the USA_** The **Northeast Region Healthcare Provider Network Lead Analyst** serves as an integral member ... assigned markets. + Lead regional market research relating to competitor provider network participation status, competitor product development, regulatory… more
- Sharp HealthCare (San Diego, CA)
- …Management Department to provide education and communicate information to the provider network . (ie Regional Council Meetings, PCP council, Office Manager ... an assigned SCMG provider region. Works closely with the physician network , affiliated hospitals, ancillary providers, Sharp HealthCare and all departments… more
- LA Care Health Plan (Los Angeles, CA)
- …providers based on ongoing network adequacy analysis. Ensures timely submission of provider data , facilitates remediation of data errors, monitors ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....provider dataset is complete, accurate, and current. Provides network adequacy analysis and data to the… more
- AmeriHealth Caritas (Raleigh, NC)
- …services. Discover more about us at www.amerihealthcaritas.com . The Vice President, Provider Network Management, is responsible for developing and overseeing ... as a strategic advisor to executive leadership on emerging trends in provider network management, reimbursement policy, regulatory shifts, and market… more
- CVS Health (Columbus, OH)
- … network providers, including tracking key performance indicators, analyzing provider performance data , and implementing performance improvement initiatives. ... + Controls the development and expansion of the company's provider network by evaluating potential network...the network 's performance and effectiveness by analyzing network data , utilization patterns, and market trends… more
- AmeriHealth Caritas (Dublin, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. **Position Overview:** The Provider Network Account Executive II (AE II) is responsible ... for all products. **Responsibilities:** + Monitor and manage the provider network to ensure service accessibility and...or State program requirements, working with key stakeholders and provide oversight on applicable data -sharing or report… more
- AmeriHealth Caritas (Southfield, MI)
- …services. Discover more about us at www.amerihealthcaritas.com. **Position Overview:** The Provider Network Account Executive II (AE II) is responsible ... now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about...all products. **Key Responsibilities:** + Monitor and manage the provider network to ensure service accessibility and… more
- WellSense (Boston, MA)
- … provider types. The Snr PRC acts as liaison between behavioral health provider network and key internal health plan departments and works closely with ... Senior Provider Relations Consultant, BH Network Strategy...**Identifies system updates needed and completes research related to provider data in Onyx and Facets** +… more
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