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Kindbody is a leading fertility clinic network and family-building benefits provider for employers offering comprehensive virtual and in-person care. As the fertility benefits provider, technology platform, and direct provider of high-quality care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all.
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Interact with University Hospital Managed Care Office to resolve managed care provider enrollment issues. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.
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Technology platform, and direct provider of care, Kindbody delivers a seamless, integrated. providers with Managed Care commercial payers. Kindbody is the leading fertility clinic network and global family-building benefits provider.
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Establishes and maintains liaison with CD, HSA, PSP, BHU-HQ team (RBHC, BHCC, BH Case Managers, BH Medical Assets Support Team), and other IHSC personnel (i.e., Field Medical Coordinator, Managed Care Coordinator, etc.
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Kindbody's clinically-managed program covers the full-spectrum of reproductive health, including both female and male fertility, which encompasses fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as a full continuum of reproductive care including physical, mental, and emotional support.
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Requires a progressive understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
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7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care, and/or Provider Services. Experience with Medicaid and Medicare managed care plans.
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At least 5 years of managed care experience dealing with major Health Plans, PBMs MCOs, Third-Party Administrators (TPA) and other third-party plans or 5 years of PBM or Health Plan management experience preferred.
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Ciena Healthcare is Michigans largest provider of skilled nursing and rehabilitation care services. Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis.
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Provider Job Opportunity at Bend Memorial Clinic, PC Behavioral Health – Psychiatric Mental Health Nurse Practitioner Summit Health is a physician led and professionally managed multispecialty group practice in Central Oregon with locations in Bend, Redmond, and Sisters.
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Develops and implements an individualized member Plan of Care utilizing various resources, including, but not limited to member, family care giver, primary care provider, and facility-based or community-based care manager, focused on health coaching and care coordination activities, aligned with member needs and preferences in reaching their health goals.
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Minimum of fifteen (15) years with biopharmaceutical market access experience, including direct healthcare systems experience in a health plan environment including significant experience in network development, provider/third party payer contracting, value-based reimbursement, and the development of ACOs; in-depth knowledge of managed care regulations; solid understanding of health plan operations and how they think and make decisions.
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Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH.
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Associate Healthcare Provider Network Contractor. - Provider Relations Specialist. - Senior Healthcare Provider Network Contractor. - Healthcare Provider Network Contractor.
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EWINGS is the leader in helping clients build large-scale healthcare provider networks. - Update provider data and document contracting activities. In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider networks.
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