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Responsible for developing, administrating and negotiating Provider Agreements for Primary Care Physician Services, Medical Specialty Care Services, Ancillary Care Services and Hospital Services.
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Assist with network development and provider contracting with various providers and ancillary providers. Assist with network development and provider contracting with various providers and ancillary providers.
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BayCare Health System is currently in search of our newest Chief Medical Officer who is passionate about providing outstanding customer service to our community at Winter Haven Hosp. 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.
Work from homeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The COO works with various groups such as IT, Claims, Risk Management, Quality, Network, Member & Provider Services, Clinical, Analytics and Community Engagement, and Providers/Hospitals/Ancillary externally.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. The CMO Group Medicare will provide medical leadership and strategy for the GM business. The CMO Group Medicare, requires and in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.
Work from homeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Additional Information: The Provider Relations Coordinator is responsible for performing all physician, hospital and ancillary provider orientation, training and ongoing educational activities for CCHP network providers and their staffs.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Develop goals, work plans, and schedules for Provider Network Management staff and ensure that they are executed. Oversees Provider Services staff and ensures there is enough staff to enable providers to receive a prompt resolution to their problems or inquiries and appropriate education about participation in the Medicaid Segment network.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Physician (MD/DO), Nurse Practitioner, Physician Assistant, Registered Nurse. Oversee quality improvement and HEDIS/STARS metrics to improvement with corporate and local market resources. Attend current/future client meetings to deliver insights re: Humana clinical model of care and other programs designed to positively impact overall member health.
Work from homeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Work type:Full Time AdministrativeLocation:Indianapolis, INCategories:Administrative/ProfessionalGeneral Purpose and Scope of Position:The Vice Chancellor for Academic Affairs is the chief academic officer for the campus an.
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Proficient in Network Management, Provider Contracting. The Senior Manager will be responsible for contracting and implementing fee for service and value based agreements with key physician groups, facilities and ancillary providers to support commercial and individual exchange networks.
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Work with provider relations team to develop and maintain a comprehensive provider network (hospitals, physicians, ancillary) that meets CMS access standards and deliver a full range of healthcare services to our members.
RemoteExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Provider Network Manager - must be located in KY page is loaded Provider Network Manager - must be located in KY Apply locations Fully Remote - Kentucky time type Full time posted on Posted 6 Days Ago job requisition id R1773 At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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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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Work with local market utilization management and case management teams for inpatient cases. Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products. The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business.
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DescriptionThe Regional Vice President, MarketPoint will lead the East Region of the Field Sales team, reporting to the VP of MarketPoint Field Sales. Job InformationHumanaAVP, Stars and Risk Adjustment National Medical DirectorinCincinnatiOhioDescriptionThe Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can c.
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