- UpvoteDownvoteShare Job
- Suggest Revision
Collaborate regularly with internal departments, including but not limited to: Finance, Medicare Operations, Network Management, Provider Contracting, and Health Economics, and external vendors on risk adjustment projects.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Minimum Requirements:BA/BS degree in business or a related field and a minimum of 7 years of management experience in healthcare operations, network management, enterprise level project management experience; or any combination of education and experience, which would provide an equivalent background.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
LaSalle Network is the leading provider of direct hire and temporary staffing services. LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization required.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. May interface internally with Senior level management and legal department throughout investigative process.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Inova is Northern Virginia's leading nonprofit healthcare provider, employing more than 18,000 team members and serving more than 2 million individuals annually through an integrated network of hospitals, primary and specialty care practices, emergency and urgent care centers, outpatient services and destination institutes such as the Inova Heart and Vascular Institute, Inova Schar Cancer Institute and Inova Neuroscience and Spine Institute.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Responsible for providing care management to complex patients, population health management and for assisting the healthcare provider in an ambulatory care setting. Monitors evidence-based clinical indicators to assess progress toward better health and shares these with the patient/families to initiate disease management protocols in collaboration with provider, develops/revises/evaluates process standards and clinical guidelines.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Reflecting the significant growth of our organization, the optimal candidate has deep experience and exposure across health plan operations, such as financial management, revenue cycle management, quality analytics and reporting, call center operations, network management, and more.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
8+ years of experience negotiating and drafting commercial agreements (including partnership agreements, managed care service agreements, participating provider agreements, program incentive agreements, provider network agreements revenue/sales contracts, and vendor agreements in the healthcare space.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
MEDICARE PROVIDER ENGAGEMENT CONSULTANT (HEALTHCARE)Telecommute Option - Must reside in Oregon or WashingtonSome Travel RequiredWHO WE NEED The Medicare Provider Engagement Consultant engages providers on Medicare Advantage, providing strategic leadership, and decision-making support to Network Management and business unit leaders with a specific focus on Medicare provider partnerships and objectives.
$103,000 - $168,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Job Description: This position provides accounting and analytical skills to support the financial management for Nevada's largest healthcare provider, The Valley Health System, a Universal Health Services company.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Advanced Physician Services, PC, the Academic Practice of the Westchester Medical Center Health Network (WMCHealth) is seeking an experienced Medical Director to lead the Department of Pathology and Laboratory Medicine at MidHudson Regional Hospital (MHRH), Poughkeepsie, NY. The candidate must have strong general surgical pathology diagnostic skills and experience/expertise in management of clinical laboratory.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Unified Women’s Healthcare is affiliated with the largest, physician-owned Ob-Gyn practice network in the nation, with more than 900 affiliated practices and 2,500 providers in 17 states and Washington DC. Choose an opportunity from dozens of cities; urban to rural.
Full-timeExpandApply NowActive JobUpdated 7 days ago
provider network management healthcare jobs
FEATURED BLOG POSTS
Learn How to Respond to an Interview Request With Templates
Job interviews are an inevitable part of any job search. So, handling them well is key to building a fulfilling career. Regardless of whether you’re looking at a more junior role or strive for a role as a business executive, you need to maintain your professionalism every step of the way in order to stay in the game.
How to Write an Address Correctly: Explained with Examples
It's hard to imagine a scenario where a text or phone call just won't do these days. With communication at our fingertips, you may think learning how to write an address is a superfluous skill. But it's a skill that will come in handy when you need to fill out healthcare forms, ship a package, order food delivery, or even apply for new jobs.
5 Common Interview Mistakes
Everyone's interview process is unique in some form or fashion. Like most, your interview process is crafted so you can get the most information out of your candidates to increase hiring confidence and make the right hiring decisions. However, there are often small problems in interview processes that could ultimately affect the success of hiring decisions.
How to Write a Job Description?
It might be tempting to overlook the importance of a well-written job description. After all, if you’ve posted job ads before and ended up with tons of resumes in hand, it’s easy to assume that this will always be the case, regardless of how your job ad reads. But, in reality, you really can’t take getting an influx of resumes for granted.
How to Get a W2 From Previous Employers
When tax time rolls around, the last thing you want to worry about is having to track down a W-2 from your former employer. Many times you won’t have to because the IRS requires companies to send these forms to all current and former employees who have earned more than $600 in the last year. Unfortunately, there are employers who don’t do what they’re supposed to. There are even times where something else may happen that prevents the W-2 from getting where it’s supposed to go.
How to Ask Someone to be a Reference + Email Templates
One part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.
Job Rejection Email Response with Examples
Glassdoor estimates that, on average, there are about 250 applicants for every job vacancy out there. If you’ve ever applied for a job, the odds are that you’ve received the dreaded job rejection email.