- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting ... meeting all state and federal regulatory requirements + Supports reporting for network intelligence and network...new product + Manages the new business continuum for provider network reports and deliverables to monitor… more
- LTD Global (Livermore, CA)
- … Network Monitoring Technology + SolarWinds Orion + Network Performance Manager (NPM) - Monitoring and alerting/ reporting + Network Configuration ... Manager (NCM) - Configuration/change mgt. + Network Traffic Analyzer (NTA) - Netflow/traffic flow analysis +...with security, cloud, and systems teams to ensure cohesive network design and security policies. + Provide … more
- EAC Network (Bronx, NY)
- Case Manager (CTCM) - Bronx Community Re entry Assistance Network (CRAN) Job Details Level Entry Job Location 1020 Grand Concourse N. Professional Wing, Bronx, ... time CTCM Case Manager to join the Bronx Community Re-Entry Assistance Network (CRAN) Program. + Salary: $28.93 per hour + Schedule: Monday- Friday 9AM-5PM +… more
- Elevance Health (Louisville, KY)
- ** Provider Network Analyst Lead** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while ... an accommodation is granted as required by law. The ** Provider Network Analyst Lead** reviews and strategizes...Lead** reviews and strategizes between data, creates models, and reporting spreadsheets to help aid the network … more
- Point32Health (VT)
- …of regulatory requests. + Coordinates and oversees the annual re-contracting of the provider network for commercial business. + Works with other departments, ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . +… more
- Centene Corporation (Jefferson City, MO)
- …reporting , claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment ... resolution as it relates to provider set up. Provide ...ancillary providers within assigned area. + Act as account manager for assigned groups acting as gatekeeper for interactions… more
- Health Plans, Inc. (Dallas, TX)
- …will act as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care ... Friday, 8:00 am to 5:00 pm POSITION SUMMARY The Manager of Provider Relations possesses an integration... groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate… more
- CVS Health (Atlanta, GA)
- …heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their ... provider network performance and strategies. This is...a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The POST-ACUTE NETWORK (PAN) Program Manager (PM) reflects the mission, vision, and values of Henry Ford Health, adheres to the organization's ... be part of the Henry Ford Health Post-Acute Department team and will provide leadership in developing a high-performing network that incorporates leadership… more
- CVS Health (Frankfort, KY)
- …& Disputes, and Network Performance Standards. + Prior experience working in provider office (billing, coding or office manager ) + Experience in Medical ... skills. + Collaborate with Provider Enablement & Strategy on Provider -facing communications, desktops, workflows, external trainings, reporting needs, and… more
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