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Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network.
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Coordinator II is responsible for, Contracting Department tracking, and reporting provider network. As assigned by the Director, support daily management of provider contracting activities.
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A strong understanding of non- Risk Adjustment functions such as Actuarial, Care Management, Accounting, Provider Contracting, Network Management, Product Development, etc., and how they impact Health Plan operations and financials.
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As an Advanced Practice Nurse (APN), the NP will demonstrate leadership as a mentor, educator, researcher and provider. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
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Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Director, Provider Network Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. The Cigna Group Director, Provider Network Management - East TN market supporting Medicare Advantage Bloomfield , Connecticut Apply Now LOCATION: This is a HYBRID position aligned to the Tennessee market.
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Provider Relations or Provider Network Contracting experience, or. The end goal is for the provider to sign a Provider Services Agreement to participate in our client's Quality Program.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Works with Staff and Senior Management to develop and implement provider contracting strategies and provider service strategies to improve member access and enhance Provider satisfaction with the Health Plan. Primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan. Responsible for facilitating positive, professional relationships within the managed care organization, Providers, and the community.
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The Provider Relations Coordinator (PRC) is responsible for a wide range of communication activities to support, develop and maintain service relationships with all participants (physicians, hospitals and health systems, providers and administrators) of the MSO provider network.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The individual will also assist the Director for Provider Contracting and Network Development to develop provider collaborations that ensure network growth and quality/efficiency targets.
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Coordinating contracting activities with the Director of Provider Network Development. As a Provider Network Development Specialist, this Team Member will represent Better Health Group as a brand liaison, creating and demonstrating proactive outreach and recruitment strategies to build and maintain a continuous pipeline of affiliate Provider candidates.
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Our client is seeking a Vendor and Provider Network Manager to play a key role in establishing oversight and management of vendor and provider network partnerships for their integrated care delivery startup.
$95,000 - $125,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Focus on facility financial metrics including but not limited to, provider contracting, budget and strategic planning, Accounts Receivable, Business Office oversight, preparation of monthly and yearly financial packages, FTE management/staffing in relationship to patient volume to name a few.
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5 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis on Provider Contracting/Network Management.
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The Director, Provider Network Management serves as an integral member of the Provider Contracting Team and reports to the Assistant Vice President of Provider Contracting.
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