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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services.
$38.24 - $57.36 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size.
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Would have a Bachelor's Degree in healthcare, business or related field and 6 years of progressive experience in healthcare administration, project leadership or project support, including at least 2 years of experience in a Network Management/Provider Services role or equivalent combination of education and experience.
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From Level I, Level II, and pediatric trauma venters, the region's only acute care children's hospital, an academic medical center, several community hospitals, dozens of specialized institutes and centers, skilled nursing, assisted living facilities, homecare services, and one of the largest mental health systems in New York State, today WMCHealth is the pre-eminent provider of integrated healthcare in the Hudson Valley.
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LaSalle Network is currently partnering with a nationwide Managed Service Provider that is looking for a Remote CA Datacom Systems Programming Administrator. LaSalle Network is the leading provider of direct hire and temporary staffing services.
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Comprehensive knowledge of managed care operations and how they can work to improve quality of care and reduce costs, including core operations, network management, provider relations and medical management/care management.
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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.
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Access : Ensure Humana members with behavioral health needs have access to appropriate and high-quality behavioral health care by optimizing network design, benefit design, care management, and referral pathways.
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Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH.
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ResponsibilitiesVice President, Threat Management & ResponseJob Description:Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people a. Assist with network development and provider contracting with various providers and ancillary providers.
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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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Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. You will also facilitate the delivery of high quality, appropriate, and cost-effective behavioral healthcare for Humana's members, which includes guiding the development and implementation of behavioral health strategies, tactics, policies, and programs to ensure appropriate outcomes and drive reductions in total cost of care.
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Against that backdrop, we are seeking an accomplished healthcare leader for the newly-created role of Associate Vice President, Behavioral Health Strategy. You much also be passionate about collaborating and partnering across the enterprise (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.
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DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. Work collaboratively with enterprise teams to evaluate and synthesize data to inform clinically appropriate, cost-effective solutions to advance the behavioral health management of members.
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Minimum of fifteen (15) years with biopharmaceutical market access experience, including direct healthcare systems experience in a health plan environment including significant experience in network development, provider/third party payer contracting, value-based reimbursement, and the development of ACOs; in-depth knowledge of managed care regulations; solid understanding of health plan operations and how they think and make decisions.
$330,000 - $370,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday
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