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JOB SUMMARY: The Senior Provider Relations Representative is office-based and is responsible for resolving Physician, Hospital, Ancillary, and Physician organization (Provider) focused issues including, but not limited to educational needs, contract verification, participation status, claims payment discrepancies, interaction with Community's provider portal, and questions regarding Community's process for obtaining authorizations.
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5 years as a Provider Network Performance Analyst or equivalent experience in provider contracting/relations or health plan organization. 2 years of experience as a Provider Network Performance Analyst or equivalent experience in a health plan.
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
$38.07 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
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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, and two urgent care offices.
$16 - $29.51 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Services include a Level III Trauma Center, mental health and addictions unit, state-of-the-art cancer center, women’s center, outpatient surgery center, ambulatory care, and outpatient rehabilitation center.
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In 2022, Novant Health community engagement contributed more than $1.9 million in charitable contributions to community partners in Charlotte, Winston-Salem and Wilmington that offer community-based health and human services.
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Work in conjunction with other departments, including Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines. CHRISTUS Health System offers the Risk Adjustment Education Specialist position as a hybrid opportunity requiring 50%+ travel to regional locations.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ancillary services include: infusion centers, retail pharmacy, in-house pharmacy, imaging, in-house lab, in-house pathology and radiology, nutritionist, physical therapist, social workers, and chaplain.
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Job Type Full-time Description Behavioral Health SpecialistMonroe County Department of Human Services, Child and Family Services (CFS)Rochester, NY On-SiteFULL-TIME Nonexempt : 40 hours per week seeks a talented Behavioral Health Specialist to contribute their expertise in providing essential business services to our provider organizations and customers.
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Our passionate leadership team and expansive clinical support network ensure the delivery of the highest quality therapeutic and behavioral health services nationwide. Licensed Mental Health Provider (LMHP) ERA ED, a division of The Stepping Stones Group, is hiring immediately for full-time Licensed Mental Health Provider (LMHP) in Moorpark , CA.
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Percentage of time Duties/Responsibilities Education Support & Team InvolvementProvide dedicated partnership/support for Employer Relations & Community Partnerships staff in the UGA Career Center to advance employer outreach and cultivation of career opportunities for graduate and professional students.
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St. Charles also offers services in general surgery, colon/rectal surgery, bariatric surgery, neurosurgery, ENT, pediatrics, diagnostic imaging, emergency medicine, epilepsy, stroke care, Female Pelvic Floor Disorders Center, and a nationally accredited Sleep Disorders Center.
$63.38 - $88.32 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Description General Summary/ Overview: Under the direction of the Supervisor, Revenue Cycle Enrollment, the Provider Enrollment Coordinator will be responsible for the insurance carrier enrollment and re-enrollment of clinical staff and ancillary providers, the maintenance of these providers in the Medical Staff Office system and in CAQH, and the dissemination of the provider information to both internal and external customers.
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The PHMC Health Network Medical Director will oversee strategic clinical leadership, daily clinical operations and coordination of the primary medical care services across the PHMC Health Network portfolio of federally qualified health centers, medical respites and shelter-based nursing care while providing direct patient care on a part-time basis.
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provider network ancillary health services relations representative jobs
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