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Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) Support and validate provider network contracting and unit cost management.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Area Manager-Retail Health is a lead administrative position responsible for the oversight and management of the daily operations for multiple affiliated Retail Health and ancillary service locations (4-7) that are geographically dispersed in the region.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Assist with network development and provider contracting with various providers and ancillary providers. 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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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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Be well-versed on financial aspects of various levels of risk bearing contracts, and possess the ability to gain traction for provider adoption. Participate in regional or Humana national level committees, including meetings related to medical necessity determination processes and Medical Director audit processes.
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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.
$32.64 - $65.01 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Oversee regional utilization management for case types including but not limited to inpatient (acute care hospital, LTAC, Acute rehab, SNF), as well as according to the Humana Medicare Model of Care. ResponsibilitiesVice President, Threat Management & ResponseJob Description:Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people a.
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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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Partner with the Network department and Field Engagement to create and management key relationships with Clever Care Providers and community-based organizations (Providers could be a Primary Care Doctor, Medical Group/MSO or ancillary provider, i.e. Acupuncturist, Chiropractor, Optometrist, or Dentist.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Preferred provider network - Ensure specialists, hospital, ancillary, and post-acute partners reflect top tier quality, outcomes and cost metrics, and both communicate effectively with and follow protocols adopted by CH Clinical Excellence Committee.
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DescriptionHumana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulator.
Work from homeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The Director of Network Management, Ancillary and Institutional Contracting, is responsible for assessing network needs, monitoring operational and fiscal performance and contractual compliance by network; along with coordination of recruitment/ provider negotiation needs with Medical Management, Network Operations, Hospital Contracting and Provider Relations.
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The CMO Group Medicare will be an integral part of the GM Leadership team and will be responsible to lead and provide thought leadership internally and externally on behalf of Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare.
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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.
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Our provider network is comprised of more than 3,500 providers including Primary Care, Specialty, Hospital System and ancillary provider partnerships. Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing Whole-Person care to Senior and Medicaid populations, through advanced value-based models.
Full-timeExpandApply NowActive JobUpdated 12 days ago
provider network ancillary jobs
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