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PHC is a part of Dignity Health Central Coast’s award-winning network of outstanding hospitals imaging centers laboratories and post-acute services. Thorough understanding of Provider schedules contracts vendors staffing and integration to the hospitals PHC clinics and ancillary services.
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Identify the managed care operations you have managed in a Knox Keene licensed health plan and the associated regulatory requirements, as applicable (i.e., Contracting, (Ancillary, Facility, Fee-for-service, Professional, Risk Based), Contract and Benefits Configuration, Compliance, Disputes and Grievances, Credentialing, Claims, Provider Data Management, Provider Relations, Service Operations, or Provider Services.
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PhyNet Health Network offers the following services varying per clinic location:- Primary Care Physician- Pediatrics / Geriatrics- Chronic Care Management- Occupational Medicine- Women's Health- BioTe Hormone Therapy- Ancillary ServicesEMR: eClinicalWorks.
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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.
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The flagship of the Westchester Medical Center Health Network, this 895-bed academic hospital in Valhalla, NY, provides local residents with acute-care services - Level I trauma and burn care, organ transplants and advanced neurovascular procedures and more - found nowhere else in the region.
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Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of provider contracts as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for facility, professional and ancillary services.
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Assist with network development and provider contracting with various providers and ancillary providers. Become a part of our caring community and help us put health first The RVP, Health Services (Medical Director/Chief Medical Officer) is dedicated full-time to the Contractor's Indiana Medicare & Medicaid Integrated program, Indiana PathWays for Aging.
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Patient check-in: obtain and document chief complaint, vital signs, history, ordered CLIA waived tests; Capture charges for provision of ancillary services. 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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To negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to expand and develop provider network.
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The Regional VP, Health Services is a vital member of the Mid-Atlantic region senior leadership team, as well as the Humana clinical community. The Regional VP, Health Services will serve as the Senior Physician for the Mid-Atlantic region.
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Negotiates fee-for-service durable medical equipment and other ancillary services; contracts for multiple lines of business in the managed care markets. Bachelor's degree with major in Health Services or Hospital Administration from an accredited college or university preferred.
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Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required. Provider Network Negotiation Specialist.
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Provide medical leadership and strategy for the region's Health Services Operations (HSO), including fiscal responsibility for managing medical cost trends for the Mid-Atlantic region. Regional VP Health Services Mid-Atlantic Region Location.
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Regional VP, Health Services (Mid-Atlantic Region)in. Regional VP Health Services Mid-Atlantic Region. Serve as clinical liaison and medical leader in meetings and conversations with inpatient facilities and provider joint operating committees to maintain facility relationship and participate in problem solving, including discussing contract language related to medical management/clinical services, as well as case review discussions.
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Regional VP Health Services Mid-Atlantic Region Posted on. The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.
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With the advent of desktop computers, the arduous task of scouring through weekly job classifieds became a thing of the past. The mid-1990s brought about a new era where job seekers could easily search and apply for jobs online. The introduction of AOL's Instant Messaging feature provided an even faster means for employers and candidates to communicate and schedule interviews. As smartphones became more pervasive in the early 2000s, hiring managers increasingly used phone calls for screening and interviewing candidates. Despite this trend, over 80% of interviews still took place in person.
A Potential TikTok Ban?!
As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.
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One day it's a covert statement to a mother returning to work after maternity leave. Another day it's a lingering gaze at an employee enjoying a culturally rich meal. These microaggressions (or sometimes macroaggressions) can take an employee from a confident, high-performer to one that feels insecure being themselves at work. Your employees engage with people with different ideas and feel most comfortable and valued when they can work without losing their cultural, racial, and gender identity. While most employers know this, why have workplace racism and sexism often been neglected?
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The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).