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Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network.
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Three years of provider relations, provider claims/reimbursement, or contracting experience. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan.
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As a full time Community Liaison Therapist, you will provide consultation, education, public relations and patient assessment services in order to obtain admissions into post acute programs.
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This role serves as a management liaison; referral source for other internal and external services; technical expert for the HR community, and as a direct service provider to campus and/or health system employees and multiple departments to facilitate the interactive process and reasonable accommodation.
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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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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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Recent experience as a provider relations representative, member service representative, or relevant claim experience is highly preferred. The Provider Relations Representative knows and abides by all organizational and departmental policies, sets personal standards, and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner.
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Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
$16 - $24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Under the supervision of the Community Liaison, the Wellness Mentor works with other wellness provider(s) to run day-to-day operations of the wellness center, helps coordinate with hospital staff as needed and assists with community relations and other related activities.
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Helps Provider Relations & Engagement Specialist in obtaining provider information for QNXT such as TIN, NPIs and other information as needed. Prefer experience in Health Plan Services, Provider Relations, Member Relations, Healthcare Marketing & Engagement, or Claims.
$60,314 - $87,695 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Acts as a liaison between strategic providers and Beacon clinical, quality, provider strategy, network departments, operations, claims and provider relations to ensure interdepartmental collaboration and coordination of goals and priorities and to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon.
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Essential Functions Ensure the delivering of exceptional customer service and public relations Develop and implement security policies and procedures for contracted security personnel Liaison with 24/7 security provider at Allegiant Stadium and property to administer security measures and provide operational support, ensuring a safe environment for visitors, fans, and employees.
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4 or more years progressively responsible experience in provider relations or network management required. Represents Provider Relations and the plan at external provider and community events to maintain visible presence.
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Main responsibilities Provider network development: Individual will be responsible for promoting and selling services under current and future scope of pharmacy practice. Understanding of medical plan credentialing and provider enrollment.
$131,200 - $183,640Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of post-acute provider admitting processes, Medicare and managed care reimbursement. Manages and oversees the Community Liaison department. Ability to develop, implement and maintain referral relations with a variety of customers.
$105,584.39 a yearExpandApply NowActive JobUpdated 3 days ago
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