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Assist in supporting compliance with Model Risk Management and Critical Spreadsheet policies, procedures, and standards. In 2020, AmeriHome ranked as the nation’s third-largest correspondent mortgage provider, primarily purchasing mortgage loans from a network of independent mortgage originators.
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Works with the legal department, regulatory compliance teams, and Network Management contracting staff to file documents, as applicable, with the Insurance Commissioner/Department of Insurance for each state where the Health Plan contracts with providers.
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5 years of relevant work experience in Network Management, Contracting or Provider Relations in a managed care setting, health plan or large medical group administration. Job Summary: The Manager of Network Operations is responsible for the general management of the Provider network as assigned by the Director of Network Operations.
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Collaborates with the line of business leaders, Medical Management, Finance, Provider Network, and Information Technology to ensure the effective and efficient administration of services.
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Responsibilities of this position include the development and implementation of a business growth strategy including, payor strategy, provider contracting, provider relations, operations to support service line success, network development, provider education, and product and market expansions, and will be responsible for the plan’ successful execution.
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Works cross-functionally with Network Management staff to draft, coordinate, implement and revise new and renewing provider contracts in a timely manner. Proficient in the use of contract filing software and applications in order to manage regulatory compliance needs related to contract document, template, and provider contract/network filings.
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This position interacts with analyticalcoding staff in all regions, vendors, as well as internal departments such as Finance, Actuarial, Operations, Network Management, Provider Contracting, Legal, and Compliance.
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Security SaaS, Continuous Security, Network Security, IT Asset Visibility, Container Security, Cloud Security, Web Application Security, Policy Compliance, PCI Compliance, File Integrity Monitoring, Certificate Security, CyberSecurity Asset Management, VMDR, Vulnerability Management, Patch Management, and Endpoint Detection and Respons (EDR.
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Serves as internal point of contact on centralized IT written and verbal communications to Heartland Human Care Services Staff, and ORR funder on compliance requirements, and in collaboration with managed service provider CIO, director of operations, COO, and CEO.
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Assist with network development and provider contracting with various providers and ancillary providers. Serve as co-chairman of and participate in meetings of the PathWays Quality Management and Improvement Committee Attend all FSSA quality meetings, including the Quality Strategy Committee meetings and Subcommittee meetings.
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Execute internal audits, SIEM, management, Incident response, configuration management, compliance studies, and change management oversight to establish a modified Cyber Security Service Provider function for a nonstandard network.
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The Provider Relations Specialist for the continued development, implementation, compliance management of a cost-effective provider network, and support the day to day operational needs.
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The Provider Engagement Account Manager Key Accounts reports to the NY Director of Network Management with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements.
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XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. What you’ll do on a typical day: Areas of responsibility include but are not limited to; administrative support in recruiting and selection, benefits, onboarding, engagement, training, performance management, reward systems, and employee relations Conduct consistent and thorough on-boarding and orientation of hourly employees to include paperwork, XPO University and completion of other new hire tasks.
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Comtech Systems, Inc (CSI) is a leading provider of mission critical solutions to government and civilian agencies with a focus on C4ISR solutions using any type of network, whether mobile, fixed, static, terrestrial, marine, airborne or in space.
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