• Provider Relations

    Humana (Fairfax, VA)
    …a part of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
    Humana (04/01/25)
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  • Senior Provider Relations

    Providence (Mission Hills, CA)
    **Description** Under the supervision of the Senior Manager Provider Relations , this position is responsible for physician recruitment related activities and ... and dissemination of network communications, identifying and vetting new PCP contract opportunities, and overall network performance. This position...upon request. + 3 years of experience in a Provider Relations role working with physicians in… more
    Providence (03/14/25)
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  • Business Service Representative - SRS…

    Sharp HealthCare (San Diego, CA)
    …(COR) and update date field in registration screen. Request and input Primary Care Provider ( PCP ) in demographic field. Provide New Patients with required ... employer business practices. **What You Will Do** The Business Service Representative coordinates all registration functions necessary to ensure the processing of… more
    Sharp HealthCare (04/23/25)
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  • Provider Specialist

    Fallon Health (Worcester, MA)
    …resolution timeframes, PUNKS, QNXT case inventory/assignments, etc.) + Assist and support the Provider Relations Representative on Provider enrollment ... related to assigned territory, [i.e., internal Joint Operations Committee meetings, provider contract knowledge, PCP reports (changes, additions, deletions)], as… more
    Fallon Health (04/19/25)
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  • Network Management Specialist - SCMG…

    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 ... and all departments within SCMG. Specifically, recruit, orient and provide ongoing service to providers and ensure provider...staff. + Assist with development of marketing and public relations materials as requested for SCMG and its providers,… more
    Sharp HealthCare (03/09/25)
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  • Financial Clearance Specialist

    Brockton Hospital (West Bridgewater, MA)
    provider offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks ... is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and...Care Physician ( PCP ) information and ensures appropriate PCP referrals are in place for the provider more
    Brockton Hospital (04/26/25)
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  • Senior Financial Clearance Specialist

    Beth Israel Lahey Health (Burlington, MA)
    provider offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks ... is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and...Care Physician ( PCP ) information and ensures appropriate PCP referrals are in place for the provider more
    Beth Israel Lahey Health (02/20/25)
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  • Director, Human Resources

    CoreSite (Denver, CO)
    …support including coaching business leaders, performance management, employee relations , compensation, policies, compliance, succession and workforce planning, ... workplace + Serve as a strategic advisor on complex employee relations issues, performance improvement, and disciplinary actions, ensuring fair and consistent… more
    CoreSite (03/29/25)
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  • Power Solutions Manager (West)

    CoreSite (Denver, CO)
    …understanding of energy markets, procurement strategies, regulatory environments, and utility provider relations , particularly for data center energy needs + ... objectives Physical Demands: The physical demands described herein are representative of those that must be met by an...letter is signed, which will screen for THC, opiates, PCP , cocaine, and amphetamines. Thank you for your understanding… more
    CoreSite (03/09/25)
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  • Multisite Community Manager

    Thrive Communities (PA)
    …and monthly basis. + Prepare for audits and complete annual reporting. Resident Relations + Initiates and perpetuates a true sense of community. + Maintains positive ... Supervisor all vendor/contractor communications concerning work scheduling, billings, vendor relations and certificates of insurance. + Set up and schedule… more
    Thrive Communities (04/25/25)
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