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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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Position Summary: The Provider Network Services (PNS) Assistant Director (AD) functions in a leadership role within PNS, and works in collaboration with Physicians, Service Line Director and Medical Office Staff.
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The Director of Network Management, Ancillary and Institutional Contracting, is responsible for assessing network needs, monitoring operational and fiscal performance and contractual compliance by network; along with coordination of recruitment/ provider negotiation needs with Medical Management, Network Operations, Hospital Contracting and Provider Relations.
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Responsibilities include provider data management, review of incoming provider applications, copying, filing, scanning, verification of credentials, correspondence, audit preparation and special projects as assigned.
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Functions include, conducting in depth investigations making decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider Network, Appeals and Grievances, Finance, Utilization Management and Analytics throughout the audit lifecycle; ensuring audit compliance with state and federal laws and regulations, contract requirements and company policies and procedures as they pertain to fraud, waste and abuse.
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These positions’ primary focus is project/program management focused on provider data quality and analytics, advance automation, flexible network design, applied AI and MDM. Senior Program Management professional and or experience operations with program management experience.
$72,370.82 - $156,803.45 a yearExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Responsibilities/needs for the IAM Engineer:Knowledge of Active Directory, Identity Management, Authentication and Single Sign On/Federation Services technologiesKnowledge of information security, including network security, infrastructure security, application security, compliance frameworks, and other regulatory requirementsComprehensive knowledge and experience with authentication standards and technologies such as multi factor authentication, JSON Web Token (JWT), etc.
$125,000 - $145,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Avid Technology Professionals, LLC (ATP) is a premiere provider of software and systems engineering, and acquisition program management services for the community. Demonstrated experience supporting security planning, assessment, risk analysis and risk management using the Risk Management Framework (RMF.
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Main responsibilities Provider network development: Individual will be responsible for promoting and selling services under current and future scope of pharmacy practice. Understanding of medical plan credentialing and provider enrollment.
$131,200 - $183,640Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensure timely responses to regulatory agencies (i.e., NYSDOH, DFS) in response to all Provider Network regulatory and compliance issues. The Manager of Provider Relations will serve as the point person for managing the day-to-day relationship between MetroPlusHealth and top level administrators at each assigned network facility and community providers.
$100,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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A provider finder/cost estimation tool, allowing members to find in-network providers and get a cost estimation before the visitA wellness program, where earning points for things like achieve step goals, can be redeemed to purchase wellness related itemsA pregnancy planning tool, that helps track fertility, baby growth, milestones, etc.
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Title: Credit Controller Requisition Id: 32700 Job Function: Finance Career Area: Corporate Jobs Posting Location: Head Office About Us:Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and safeguards the environment.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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A provider finder/cost estimation tool, allowing members to find in-network providers and get a cost estimation before the visitA wellness program, where earning points for things like achieve step goals, can be redeemed to purchase wellness related itemsA gym membership network, where employees may be able to go to their local gym, for less than the cost of a traditional membershipA pregnancy planning tool, that helps track fertility, baby growth, milestones, etc.
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Interaction will include, but not be limited to, practice transformation, care management, quality improvement, membership growth (including Health Home penetration), system integration, SDOH referrals, contract compliance and budget performance.
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The Restaurant General Manager (RGM) leads the restaurant management team and oversees the financial controls, operations, people development, guest service and BKC compliance within the restaurant across all shifts.
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