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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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Oversee all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting.
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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.
$32.64 - $65.01 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
$24.29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position is responsible for performing qualitative and quantitative analyses on programmatic data, provider network adequacy and availability, service claims and payments, and overall program expenditures, to monitor service delivery and utilization, ensure compliance with policies and regulations, and identify opportunities for continuous quality improvement.
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As a lead logistics partner (LLP), third-party logistics provider (3PL) and supply chain consultant, we help customers leverage supply chain management as a competitive advantage, reducing total system costs, transforming business processes, improving service and facilitating growth and change.
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Provide support and assistance with managed care contracting and credentialing needs to ensure that the program is maximizing referral opportunities as an in-network provider. Regional Director will be responsible for driving the overall performance, management, and compliance of the assigned region, related to outpatient services including the development and implementation of goals, procedures, and protocols to measure, assess, and improve quality of the outpatient process.
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TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is the largest private broadband company in America, providing advanced digital video, Internet, telephone and home security and automation services over its own nationwide IP network.
Full-timeRemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The role will lead the continued development and improvement of the vendor procurement process, contract management life cycle and provider network administration, and will support Operations, Information Technology and other key departments in KPI development and tracking for vendors.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Regulatory compliance – Ensure network architecture meets compliance requirements for PCI/ISO/SOX. Vendor management – Manage diverse set of vendors to achieve strategic objectives as well as cost reduction goals.
$170,000 - $200,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Analyze vulnerability and compliance reports received from the scanning team and remediate in line with SABIC procedure for network platform vulnerabilities. Internet monitoring and router management; monitoring internet utilization and starting incidents at the provider in case of outage.
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They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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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, and two urgent care offices.
$57.22 - $106.26 an hourFull-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 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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Coordinate with all functional areas, including quality management, utilization management, network development and management, provider relations, member outreach, and education, member services, contract compliance, care management, service coordination, and reporting.
Full-timeExpandApply NowActive JobUpdated 17 days ago
provider network management compliance jobs
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