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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Responsible for provider network engagement and management. Works collaboratively with Mission Health Partners (MHP) administrative leadership and clinical staff in the overall clinical management of the network and its care teams.
Part-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The fully integrated network is comprised of PIH Health Whittier Hospital, PIH Health Downey Hospital and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services.
$15.5 - $25.21 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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1+ years of experience working with an OEM or Third-Party provider of printer repair services. 3+ years of experience working with an OEM or Third-Party provider of printer repair services.
$56,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Possessing working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.
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Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools.
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As an Advanced Practice Nurse (APN), the NP will demonstrate leadership as a mentor, educator, researcher and provider. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
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Under the general direction of the Provider Network Operations (PNO) – Contracting Supervisor, the PNO Contract Coordinator is responsible for the managing and supporting the administrative and operational aspects of the PNO Contracting Team. This includes but is not limited to pre and post negotiation management, interfacing with PNO, Claims, Utilization Management (UM) and other departments.
ExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Our practice has: DentaPro software Digital x-ray and Panorex units Fiber-optic handpieces Yearly OSHA and HIPPA and Emergency Management training Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location) Office flow: average 10-12 operative patients and 20-25 hygiene patients State insurance plans, PPO and out-of-network payor mix.
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Curaleaf International is the largest vertically integrated cannabis company in Europe with a unique supply and distribution network throughout the European market, bringing together pioneering science and research with cutting-edge cultivation, extraction and production.
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The C3 AI Platform supports the value chain in any industry with prebuilt, configurable, high-value AI applications for reliability, fraud detection, sensor network health, supply network optimization, energy management, anti-money laundering, and customer engagement.
$145,000 - $187,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The role will lead the continued development and improvement of the myPlace Health 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.
$95,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Experience building vulnerability scanning, endpoint security, network security, and SIEM/SOAR solutions in federal or large commercial enterprise environments. NOVDiné is in search of a Senior Cybersecurity Engineer to become a part of our Defense Enclave Services (DES) team located in Ft. Meade, MD. The DES program is a highly demanding mission and requires expert technical and professional management to support DISA's enterprise Information Technology (IT) services.
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The Network Contracting Manager will be responsible for the management of retail, specialty, and mail order pharmacy contracting, issue management, reporting, and network strategy in support of Navitus objectives.
Full-timeRemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. Experience working in critical care as a respiratory therapist and working closely with hospital management to determine patient care.
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