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Provider Relations or Provider Network Contracting experience, or. Once a target provider signs a Provider Service Agreement (PSA), develop a plan to facilitate a warm handoff to the Client's Quality Team.
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Works with staff and senior management to develop and implement provider contracting and service strategies to contain unit cost, improve member access and enhance provider satisfaction with the Plan. Also oversees provider credentialing, delegation oversight and provider network administration activities.
Starting at $186,201.39 - $363,092.71 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices.
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Participates in cross-functional workgroups to understand impact of plan changes and initiatives on provider network, advocating for providers as appropriate. Bachelor’s degree, preferably in health care administration, and a minimum of 5 years experience in healthcare, plan or provider operations/administration/ relations or related area.
$100,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Base Salary plus Annual Quality Incentive with a target of $15,000 Optum Care Advanced Provider Clinician Partnership Plan 401k with match and UHG Employee Stock Purchase Program 160 hours of PTO, 40 hours CME, and clinics are closed for 8 national holidays Comprehensive Benefits from Optum Partner 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.
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This includes overseeing provider partnerships and developing and executing on strategic and operational plans related to the provider network, delivery of care, population health management and cost of care, and growth objectives for the market.
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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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EXPERIENCEMinimum five (5) years' health plan or provider experience in Provider Relations such as provider relations, provider contracting, network management, healthcare analytics, risk and/or value based contracting, office manager/administrator or other equivalent experience.
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Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
Starting at $44,936.59 - $97,362.61 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Has overall responsibility for the content, maintenance and access to the Health Plan provider quality and practice transformation SharePoint site. Establishes the strategy and operational direction for provider engagement and practice transformation, in collaboration with the Plan President, network and operations staff for larger value based contracted provider organizations.
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Develops and implements provider network and contract strategies, identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's membership.
Starting at $186,201.39 - $363,092.71 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Someone who oversees the development and maintenance of the contracted network of hospitals, physicians and other healthcare providers who provide care to Texas Children's Health Plan. This position assists in the development of policies and procedures for provider contracting which meet regulatory and compliance standards and are consistent with the needs and standards of the health plan.
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The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. The Director - Benefits is responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, retirement plans, etc.
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Graduate of an accredited school of radiologic technology #Registration with the American Registry of Radiologic Technologists required #Required RT license in MA and NH #Trained and certified biennially in BLS Healthcare Provider Level CPR #Northeast Rehabilitation Hospital Network offers competitive compensation and unmatched benefits for qualified employees.
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