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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 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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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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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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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.
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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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At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation Medicine, Renal and Mental Health Services.
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For more information, visit mergeworld.com. Promote Health, Wealth & HappinessWe are committed to promoting health, wealth, and happiness in the world by partnering with purpose-driven clients in purpose-driven industries such as healthcare, financial services, and consumer products.
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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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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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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.
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Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments, including but not limited to PHI Health, LLC and/or PHI Group, Inc. Corporate Operations, Corporate Compliance, Legal, Risk Management, Tax, Patient Financial Services, Aviation, Clinical and Financial Services.
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In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by focusing on value-based care, the Network Medical Director provides clinical leadership in the adoption of the key principles, tools, technologies, and clinical support services essential to the population health management of their designated market(s.
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provider network ancillary health services jobs Title: pulmonary
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