- UpvoteDownvoteShare Job
- Suggest Revision
Work closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management, care management, quality management), and colleagues within network and provider relations, to enhance the delivery of holistic and integrated care.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
BENEFITS OFFERED Health insurance plan options for you and your dependents Dental, and Vision, for you and your qualified dependents Company Paid life insurance Voluntary options for short-term disability, and long-term disability coverage AFLAC Plans FSA options Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately Paid Time-Off earned Salary: $20 - $25 / hour The estimate displayed represents the typical salary range of candidates hired.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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
- Suggest Revision
In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying 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 patients or members.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Internal Operations and Technology : Support efforts to improve the efficiency of health plan operations (utilization management, claims payment, provider contracting) to reduce friction for members, providers, and associates.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Elderwood Health Plan is a New York State-approved Managed Long-Term Care (MLTC) plan. We have developed a premier provider network and employ a staff of care management professionals to help our members stay at home or return safely to home.
$33 - $45 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
HSA Bank with selection of High Deductible Health Plan. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs.
$18 - $22 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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
- Suggest Revision
Advise provider network team and support plan VBP/APM strategy and programming. Responsible for the sufficiency and supervision of the Provider Network, and ensure compliance with federal, state, and local reporting laws on communicable diseases, childhood abusive.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care and clinical area specific standards.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Employees may choose a different CalPERS health care provider offered by the City, however, any cost greater than the Kaiser HMO premium rate shall be paid by the employee through payroll deductions.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
For Carolina Complete Health plan: At least five (5) years of combined network operations, provider relations, and management experience; must reside in NC.Pay Range: $162,200.00 - $308,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Medical, Dental, Vision Insurance Plans 401K Plan Health & Flexible Savings Account Life and AD&D, Spousal Life, Child Life Insurance Plans Educational Assistance Plan Identity Theft, Legal, Auto & Home and Pet Insurance.
ExpandApply NowActive JobUpdated Today
provider network health plan jobs
FEATURED BLOG POSTS
Collaborative Recruiting: The Key to a Better Talent Acquisition Strategy
Talent acquisition is a multi-stage process where candidates undergo various application steps before getting hired. The unfortunate reality is that it is a labor-intense system, with the hiring manager and recruiter often handling all of the work on their own. Ask any one of them, and you will hear about the overabundance of applications and the demanding task of filtering through them to find the best candidates. The quality of talent suffers under the weight of all that work on one person's hands. It's not easy, but as many companies are starting to realize, there is a better way. The future of talent acquisition lies in collaborative recruiting!
4 Talent Acquisition Trends Going Into 2023
For better or worse, a side effect of the COVID-19 pandemic was a marked shift in talent acquisition practices worldwide. With the struggle to retain talent that began in 2020, companies have had to rethink recruitment strategies. The result has been new talent acquisition trends that are well on their way to becoming commonplace. These are the practices that are going to become even more widespread going into 2023.
Why is Professionalism Important & How to Be Professional
You might have heard the word professionalism thrown around in the workplace, but do you know what it means? And do you know how to maintain professionalism no matter the circumstances?
Why Cover Letters Are Important & How To Write One | Job\Searcher
Most people completely waste their cover letter real estate. Your cover letter is another opportunity to speak directly about how your background and capabilities align with the opportunity you seek. It also allows you to introduce your personality a bit more than a resume does. So, why are cover letters important? Because you can stand out, big time, with a custom cover letter directed to the right person.
Hiring Again After Mass Layoffs
It's never an easy decision to let members of your staff go, but depending on the state of your business, mass layoffs may have been the only way to survive. Now that you're months into the future, you may find yourself itching to start hiring again after previous layoffs.
Why Are Internships Important & How Can You Get One?
Internships are for college students or people who have just completed their degree. If you are a student or recent grad, you may be wondering how to land an internship. If you've never had one, you may even wonder if you need one. After all, didn’t you work in that call center while also doing exams? Or perhaps you’ve bartended your first year in college?
Why is Networking Important & How to Network Effectively
Even if you’ve worked hard to earn a degree from an impressive school, landing your dream job might still come down to who you know – otherwise known as networking. Lots of qualified candidates might apply for a job, but the person who gets it might very well be so-and-so’s sibling, friend, or kid. Sometimes the only way to get your foot in the door is to know someone.