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Qualifications:Law degree; at least 8-10 years corporate legal department or law firm experience with a demonstrated background in medical provider contracting and the health care managed care/insurance industry.
Full-timeExpandUpdated 13 days ago - UpvoteDownvoteShare Job
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Demonstrated or equivalent experience in leading all aspects of provider network activities, including network development, value based contracting strategies and negotiations, and provider servicing and relations which will facilitate the creation and maintenance of a high performing, accountable and engaged provider network.
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The Associate Senior Counsel position will provide strategic legal advice and counsel for a region of the Cigna US Commercial Medical Network contracting team (anticipated to be Mid-Atlantic and Liberty Valley) on a wide variety of medical provider contracting matters while working alongside the Network Regional Directors and other National Contracting leaders to support the US Medical Network business strategy.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Maintenance of provider enrollment processes and credentialing databases/websites/portals including CAQH, NPPES, Navinet, Availity, PECOS.Support overall Provider Enrollment Department, assist contracting department with requests as necessary and work with RCM to assist with payer issues related to credentialing.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Five (5) years of experience working with financial analysis supporting managed care contracting with providers including but not limited to hospitals, professionals ranging from large medical groups to solo practitioners, mental health practitioners, ASCs, skill nursing facilities, renal dialysis facilities, home health and DME. Current working knowledge of all aspects of a provider contract.
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This individual will also assist the GVP, Provider Contracting and Network Development in creating provider contracting strategies, provider network development and management in an effort to support the needs of the organization's Network of Care model.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Quality Liaison provides day to day support to the MVP Provider teams (Provider Engagement, Relations, Network and Contracting), works directly with Providers, Network and Community Based Organizations (CBO), to improve measures and performance for Medicaid and Medicare.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Law degree; at least 8-10 years corporate legal department or law firm experience with a demonstrated background in medical provider contracting and the health care managed care/insurance industry.
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Lead counsel to regional U.S. Medical Network contracting teams, support Regional Vice President, Regional Directors, and Provider Contracting Directors across multiple states to ensure strategic business goals are met.
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PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. Overview Responsible for strategic development, execution and support of Payor and PBM contracting for PharMerica Pharmacy business units.
Full-timeExpandUpdated 13 days ago - UpvoteDownvoteShare Job
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One to three years' experience of managed care, quality improvement and/ or provider contracting. Position Summary: Nurse Informatics specialistworks in collaboration with the primary care provider and all members of the respective health care team in multiple primary care offices through the division of Medical Practice Management.
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This position will also coordinate with: Compliance & Quality staff on the re-credentialing process; with Provider Contracting staff for contracting issues or concerns; and will periodically assist the Claims staff with auditing and troubleshooting of provider data to ensure proper claims adjudication.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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IES is a national provider of industrial products and infrastructure services to a variety of end markets, including electrical, mechanical and communications contracting solutions for the commercial, industrial, residential and renewable energy markets.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Communications Technician I will install a work area outlet for floor (i.e. monument), modular furniture (i.e. surface mount box) and wall (i.e. box eliminator). Screwdriver (regular and Phillips), drywall saw, torpedo level, tape measure, snips (with belt sheath), pliers (needle nose and channel locks), hammer, wrench set, cable stripper, flashlight and gloves.
Starting at $18 an hourFull-timeExpandUpdated 16 days ago - UpvoteDownvoteShare Job
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Partner with existing clients to assure effective co-development and co-management of necessary market enablers for value-based care, e.g., governance, leadership development, network development, provider compensation models, and practice transformation, and physician IT enablement.
Full-timeExpandApply NowActive JobUpdated 7 days ago
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