- CVS Health (MI)
- …And we do it all with heart, each and every day. **Position Summary** The Provider Data Service Senior Coordinator is responsible for loading ... new and updated provider fee schedules into the ...system. Conducts thorough pre-load and post-load reviews to ensure data accuracy, policy compliance, and successful system updates. **Key… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** CVS Health has an opportunity for a full-time Provider Data Services Senior Coordinator. The Provider Data ... is responsible for supporting the loading of new and revised Medicaid participating provider data transactions into Aetna/CVS source systems. This role requires… more
- CVS Health (Workman, MN)
- …for automating and manually loading all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement ... arrangements. + Communicates directly with providers and/or outside vendors to clarify data quality issues. Manages audits of provider information to escalate… more
- Humana (Detroit, MI)
- …to resolution. + Understanding of health insurance claims and ability to analyze data to resolve provider service issues. + Excellent written ... caring community and help us put health first** The Senior Provider Relations Professional is responsible for...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Point32Health (MA)
- …backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of ... Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst...of all of our colleagues, which helps us to provide service with empathy and better understand… more
- Geisinger (Danville, PA)
- …urgent enrollment items and escalations. + Ensure timely and accurate submission of provider data to all applicable payers, including Medicare, Medicaid, and ... with key stakeholders to set and monitor KPIs and service level expectations for provider readiness and...times. + Establish communication channels and reporting tools to provide visibility into provider enrollment status across… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Senior Director,** **US** ** Provider Access** **Strategy & Marketing** reports ... leads the development of scalable, future-focused initiatives that enhance provider readiness, optimize CAR-T service line economics,...and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- LogixHealth (Dania Beach, FL)
- …to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly ... and WV This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and… more
- Molina Healthcare (Syracuse, NY)
- … provider compensation methodologies, including but not limited to: fee-for- service , value-based care, and capitation * Strong working knowledge of quality ... **Job Description** **Job Summary** The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality… more