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Live Nation Entertainment is the world’s leading live entertainment and eCommerce company, comprised of four market leaders: Ticketmaster.com, Live Nation Concerts, Front Line Management Group and Live Nation Network.
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We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into 100’s of primary sources, we are uniquely positioned to enhance visibility into the entire provider network management process.
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Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County.
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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.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Solid understanding of managed care processes including authorizations, referrals, care coordination, and provider network management. Support system enhancements to align with population health management and value-based care initiatives.
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The company also provides managed care services, including claims processing, stop-loss insurance, provider network access, medical management, care management and wellness programs, actuarial services, and other administrative 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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Works with 1915 (i) Care Coordination manager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
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A leading hospice, palliative, and pediatric comfort care provider in the Southeast, Agape Care Group is dedicated to serving patients and families with love and delivering the highest quality care.
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These businesses power Live Nation Network, the leading provider of entertainment marketing solutions, enabling over 800 advertisers to tap into the 200 million consumers Live Nation delivers annually through its live event and digital platforms.
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Key responsibilities will include claims payment and remittance, network management, provider credentialing, data exchange and reporting and quality oversight. The Provider Network Manager develops the provider network through contract negotiations, relationship development, and servicing.
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Familiar with automated development lifecycles and pipelines (DevOps, DevSecOps)Project management experience with Agile (Kanban/Scrum)Experience with cloud security strategy, cloud provider ecosystems (Amazon AWS/Microsoft Azure)Knowledge of cloud networking architecture, cloud operations, security, automation, and orchestration.
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Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.
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Assists with responsibility for human resources management within the Patient Safety Companion Department to achieve consistency and positive employee relations. Capacity Management Transportation Tracking Compliance.
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This role includes administration of screening tools, home visiting, parent education programs, resource management and referral, concrete supports, financial literacy and family coaching. The family coach serves as a direct service provider for families both in the office and in the community.
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