- UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of managed care, contracting, policies, and procedures. As assigned by the Director, support daily management of provider contracting activities. professional, facility, and ancillary contracts for the PHC provider network.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
WeAreInnovaCareOur practices offer: Women's Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp servicesPremier Family Health is a leading healthcare provider that is committed to providing comprehensive and personalized care to families of all ages.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
What we are searching for 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.
$131,200 - $183,640Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Must have Acute Care Nurse Practitioner Certification, Active state license, American Heart Association CPR Certification, DEA License, state Controlled Substance Registration MUST currently reside in or near Maryland or Pennsylvania (reasonable driving distance to either state)We are not able to consider candidates with less than 2 years of acute experience as an advanced provider.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Maintains a working knowledge of all company managed care activities: Provider Contracting, Member Services, Utilization Management, Claims, Capitation, Enrollment Provider Relations, Finance, etc., to provide RPA, payment integrity and Facets Configuration solutions for the enterprise.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Liaisons with physicians, psychiatrist, other facilities and managed care organizations to promote optimal use of the continuum of care for each individual transferred. Advocates for internal and external customers including the client, family, physician, medical facility, behavioral healthcare facility and managed care organizations.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Collaborate and partner with internal CHS Departments, Credentialing, Managed Care, Accounts Receivable, ensuring the integrity of the revenue is preserved. The Provider Enrollment Specialist is responsible for enrolling providers with Government and Commercial payors timely and error-free.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Basic knowledge of local, state and federal regulations relating to care of patients in a clinic setting; and prior experience with county, state and federal programs such as CHDP, FPACT, EWC, Medi-Cal, Managed Care, and Title X is preferred.
$90,000 - $115,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Associate Healthcare Provider Network Contractor. - Provider Relations Specialist. - Senior Healthcare Provider Network Contractor. - Healthcare Provider Network Contractor.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
In close partnership with payor partners, care coordination, quality programs, the VBC analytics specialist will design, develop, and optimize reports that leverage multi-source payor portals and provider data to help guide strategy, operations, and clinical initiatives.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Dignity Health Woodland Memorial Hospital is Yolo County’s largest health care provider serving the community since 1905. Leads and creates the annual operating and capital budgets implementation of strategic/operational initiatives including but not limited to new services/programs revenue enhancement expense reduction managed care utilization systems and inpatient and ambulatory strategies for pharmacy care.
Full-timeExpandApply NowActive JobUpdated Today
managed care provider jobs
FEATURED BLOG POSTS
How to Ask for a Raise at Work
Here we go again; it’s time to talk money. Whether you’re one year in at a new company or approaching year five on the same team, learning how to ask for a raise should be part of your long-term career plan. These conversations are rarely fun (thanks to society, which has conditioned us to believe that money is taboo), but they are necessary if you want to, well, get paid what you’re worth. Trust us, there’s a lot of money on the table for taking. Below, we’ll discuss tips on timing, approach, and follow-up.
Technology in the Workplace: How to Improve your HR Function with AI
It’s safe to say that the last two years have brought fundamental changes to the way we work and do business. Companies have relied on technology in the workplace to digitize their services and build a remote-friendly infrastructure that could prepare them for the future.
How to Maximize Action Verbs in Your Resume
Writing a resume that stands out takes more than using keywords and savvy formatting. It’s not just about having an impressive list of accomplishments. It’s also about how you position them using action verbs and deliberate word choice. So if you are looking for a way to craft a resume that stands out and gets calls back? Start by sprucing up your resume with captivating action verbs.
What is Your Desired Job Title?
You’ve decided to look for a new job. So now comes the question — what is your desired job title? There are lots of considerations to think through when deciding on the right title for your next role.
4 Things to Consider When Building a Global Workforce
The rise of remote work has given employers a unique chance to rethink how they approach workforce management. This ranges from rethinking the size and design of their office space to updating their tech stack to accommodate different working styles. It has created new opportunities for companies of all sizes to expand their hiring pool and look for top talent on a global scale.
Operations Job Titles for Entry, Mid, and Senior-Level Positions
An operations team can take on many functions within a business. With wide-ranging responsibilities come wide-ranging job titles. This means that you have to be more vigilant in your job search. On one hand, the perfect job might be hidden under a title you might not expect. Meanwhile, operations titles that you’re used to looking at may mean something different at a given organization depending on their structure.
How To Request Accommodations at Work (According to Someone Who’s Done It)
Doing a job for eight hours a day, five days a week is exhausting for anyone. But for those with a disability or chronic pain, it can be especially taxing—something must change. Asking for reasonable accommodations at work can feel tricky, especially if you’re new to the job. Under the Americans with Disabilities Act (ADA), physical disabilities, health conditions, and symptoms of mental health are all valid workplace accommodations. When you request accommodations, it means that your condition is impacting your ability to perform at work.