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Must reside within 50 miles/1 hour commute from the following Elevance Health locations: Costa Mesa, Walnut Creek, Woodland Hills, or Palo Alto, CA.The Provider Network Management Director-CA develops the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers.
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CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services.
$41.92ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) require either a certification from an American Health Association (AHA) for Healthcare Providers or an American Red Cross CPR/AED for Professional Rescuers and Healthcare Provider.
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Under the direction of the Supervisor, Contracts Management, the Senior Contract Manager will collaborate with the Contracts and Provider Relations teams, lead negotiation and implementation of provider contracts with SFHP's network: clinics, medical groups, hospitals, and ancillary providers.
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5+ years experience in health care provider contracting in a managed care setting. You will anticipate network development opportunities and upcoming regulatory changes to ensure the health plan's network is well-equipped to provide extraordinary care to SFHP's members.
$126,000 a yearExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Manages the content of the Provider Network Operations (PNO) Website content to assure content is refreshed and accurate for network providers. Prior demonstrated success in provider relations or relations with both large provider groups and/or ancillary providers.
$59,204.95 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Develops the overall Provider Network contracting strategy for all Health Plans Networks and associated Provider Relations Department, which includes contracting, orientation and servicing of all Physician, Ancillary, Nursing Homes, LHCSAs, and Hospital Providers rendering care to VNS Health Plans.
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The Senior Contract Manager will serve as the primary point of contact to manage contract negotiations with integrated health delivery systems, hospitals, local care units, physician practices, federally qualified health centers/community health centers, select ancillary providers and other providers as required.
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Monitor ad-hoc out-of-network service agreements to determine provider contract opportunities. You will also collaborate with both external providers of health care services and internal customers to establish and maintain all provider contracts, resolving contract related issues that arise between any internal or external customers.
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Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.
$22.25 - $41.32 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Summary: Performs tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed health care provider.
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St. Joseph Health is a leader in critical care and the largest provider of cardiovascular care in the region. As an integrated healthcare system St. Joseph Health includes a comprehensive network of over 100 employed providers including primary care physicians specialists and advanced practice clinicians.
$13.03 an hourPart-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Utilize recruitment databases and contract management tools to design, build, load, audit, and edit complex contracts, agreements, amendments and fee schedules for physician/medical groups, IPAs, hospitals, and ancillary providers to support provider network maintenance and growth.
$107,200 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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You will be responsible for the overall leadership and communication of professional activities for Cook Children's Medical Center's Fort Worth and Prosper medical staff organizations, as well as the credentialing of Medical Centers, Network and Health Plan providers.
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Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland.
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