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Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
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Maintain educational records, statistics, and documentation needed to meet ACCME and MOC program requirements and maintain ASE's accredited provider status. Position Summary: The Education Specialist position is responsible for handling ASE’s Continuing Education credit system for members and using their project management skills to assist the external relations department with faculty and content delivery for sponsored educational products.
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Experience with provider data management, provider directory, provider relations or provider contracting highly preferred. Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports.
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Experience in the health insurance industry a plus, particularly Medicare Advantage, Affordable Care Act, and provider relations. Experience in the health insurance industry a plus, particularly Medicare Advantage, Affordable Care Act, and provider relations.
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The Quality Liaison provides day to day support to the MVP Provider teams (Provider Engagement, Relations, Network and Contracting), works directly with Providers, Network and Community Based Organizations (CBO), to improve measures and performance for Medicaid and Medicare.
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VIC's Crane & Heavy Haul, Inc. began over 70 years ago as a small welding shop, evolving into the Midwests leading provider of crane service, heavy haul, rigging, and transport solutions. As the Senior Human Resources Generalist , you will be responsible for overseeing HR operations, coordinating onboarding, leading recruitment, ensuring compliance, addressing employee relations, and supporting union and non-union workers in partnership with our safety department.
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Reporting to the Board of Directors, the CEO is responsible for the overall leadership and management of Operation ABLE including strategic direction, finances, fundraising, programs, staff, and external relations.
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This position also serves as a consultant to campus and health employees, Leave of Absence Specialists, Labor and Employee Relations representatives, Payroll Representatives, and other HR and UC members on state (CFRA, PDL, KinCare) and federal (FML) leave laws; disability benefits (workers’ compensation payroll, Lincoln Financial); and state and federal disability laws (FEHA, ADA, EEOC.
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PR Newswire, a Cision company, is the premier global provider of multimedia platforms and distribution that marketers, corporate communicators, sustainability officers, public affairs and investor relations officers leverage to engage key audiences.
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The Associate Director of Human Resources will lead and direct the routine functions of the Human Resources (HR) department to include recruitment, onboarding and off boarding, compensation, leaves of absences, training, employee relations, compliance, and enforcing company policies and practices.
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Intimate knowledge of the day-to-day operations of clinical practice operations Financial and analytical expertise in budget development, physician practice productivity, productivity standards, revenue cycle management, provider relations, scheduling and referral tracking management and all other aspects relating to the management of a dynamic and growing practice.
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The Network Relations Manager is responsible for the development and design of the provider network through contract negotiations and relationship development. First (Days) (United States of America) Optima Health-VA beach is hiring a Network Relations Manager for their Network Department.
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Coach, counsel and train all managers and employees company policies/procedures, organizational development training programs, career development, employee relations, and all other training programs.
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Life and Disability Insurance 401K Plan with Generous Employer Match and Immediate Vesting Generous Paid Time Off (PTO) The Reimagined Parking family of nationally recognized brands–Impark, Lanier, Republic Parking, AmeriPark, and ParkOne—is the world's leading tech-powered, people-driven parking solutions provider.
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3+ years Health Insurance Industry experience in patient advocacy, customer service, provider relations or claims preferred. Maintain and share a provider list based on their acceptance of the Plan's payment methodology.
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