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Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.
$31.25 - $58.05 an hourFull-timeExpandApply NowActive JobUpdated 22 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.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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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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Work with the Director, Provider Relations staff, and other internal PHC departments to monitor access issues and identify various types of healthcare providers and facilities for contracting opportunities.
$72,067.77 - $93,687.81 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Demonstrates extensive-level abilities as a team leader, emphasizing the following areas: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.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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.
$56,200ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred. Resolves complex issues effecting provider relations.
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With the area’s only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest Pain Center in the Brazos Valley; CHI St. Joseph Health is a leader in critical care and the largest provider of cardiovascular care in the region.
$28.5 - $43.46 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Provider Recruiter and Relations Representative may work with providers on the TERM, and/or Medi-Cal Fee-For-Service (FFS) Network(s) as well as Off Panel, Out of Network providers, Skilled Nursing Facilities, Hospitals, which includes the San Diego County Psychiatric Hospital and/or Edgemoor Hospital, as well as other medical professionals.
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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 2 days ago - UpvoteDownvoteShare Job
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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.
$184,000 - $227,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The PNC ensures MSO network providers meet all credentialing and licensing requirements and is responsible for continuous monitoring of the entire provider network. The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Serves as a liaison between PHP providers and the organization to meet provider network services needs or to enhance provider relations. Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management required.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Actively participates in quality improvement activities to increase quality of network recruitment, provider relations and complaint management. 5+ years network or provider relations experience.
$50,225 - $75,335 a yearFull-timeRemoteExpandApply NowActive JobUpdated 3 months ago
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