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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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Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i e : internal sales function, provider relations, facility leader) to maintain and develop membership growth.
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As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groups. Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
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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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PSI, an Intertek Company, is a leading provider of ATIC (Assurance, Testing, Inspection and Certification) Services. Conducts planning, growth, profitability, cost control, employee development, quality control, and client relations within Geotechnical department.
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Build and monitor customer perceptions of ST. CROIX HOSPICE as a high-quality provider of services. Assists the Director of Patient Services/Regional Director in establishing organization volume projections in the annual budget and in establishing allocations for the marketing department.
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We are a provider of specialized fund administration services for Managers and General Partners of private equity funds, specifically: Buy‐out, Venture Capital, Real Estate and Fund‐of‐ Funds.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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For new General Partners, we provide consulting services to help accelerate the launch of their funds in addition to our full fund administration services. With guidance from the team members, the Associate oversees the administrative support and the investor relations related to client funds.
$60,000 - $65,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Bachelor of Science or Arts degree with a major in social services, psychology, sociology, human relations, health related field required. Must provide proof of Basic Life Support (BLS Healthcare Provider, American Heart Association; or American Red Cross, Professional Rescuer-LIVE class only) via current card prior to employment or within 60 days of hire and maintains current status.
Part-timeExpandApply NowActive JobUpdated 1 month 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.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Interacts with other End Client staff to resolve customer inquiries, complaints and problems, particularly in Claims Services, Provider Services, ILR/COB, Payment Processing, the Provider Processing Center, Provider Relations, Provider Contracting, Medical Management, Benefits Administration, Pharmacy Services and the Behavioral Health and High-End Imaging vendors.
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As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists provide necessary rehabilitation services for our most vulnerable population. The DOR will achieve specific patient care, employee relations, customer service, and financial objectives through strong leadership and effective management of staff, customers, and referral sources.
$30 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The individual will work closely with the Client Relations, Clinical Operations team, Health Center Provider, and Client HR Team. The mission of the Patient Advocate is to facilitate and ensure continuity in patient care and serve as a conduit of care between the services of the health center and into the community.
Full-timeExpandApply NowActive JobUpdated 4 days ago
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