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Provider Relations: Develop and sustain strong connections with service providers to ensure the availability of preferred appointment slots and high-quality services for our clients. LoveBound Destinations is on the hunt for a dedicated remote appointment setter to join our energetic team.
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Upon the successful induction of a new provider to the network, the provider contracting staff shall handover of new provider relations to the ‘Provider relations team’, including structured introduction of the provider (for on-going interactions.
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Administer the City-wide benefit and retirement program activities through the contract administration and outside provider services. Under the direction of the Director of Human Resources, assist with the administration of the Human Resources Department; assist City management staff with interpreting Human Resource rules and policies; administer and coordinate recruitment and selection processes, employer-employee relations, performance management, classification and compensation, workforce training and development, benefits administration, and payroll operations; supervise and evaluate the performance of assigned personnel.
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5+ years of Medicaid managed care, network contracting, network operations, and/or provider relations experience. This includes network contracting, provider operations, value-based payment, and provider services areas.
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Oversee the provider pillar within Medicaid market implementations to ensure timely and accurate delivery of the network build and coordinate with health plan operational functions. Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working with the Director, Network Implementations, Provider Strategy & Operations, to assist with driving efficient management of end-to-end provider-related functions in new Medicaid market implementations.
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The Senior Project Manager (Medicaid Network Implementation) translates network and provider strategies into tactical plans that can be executed on to ensure timely and successful new market launches and requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
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Utilizes payor portals, and payor provider relations lines to timely follow up on submitted, denied and resubmitted claims and appeals. In 2022, we expanded our services to include MGA Behavior Therapy, which offers Applied Behavior Analysis (ABA) and early behavior intervention for pediatric patients with autism spectrum disorder (ASD) and other developmental disabilities.
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Position in this function is responsible for supporting the operations of the affiliate provider network and serving as a resource for the provider network, Operations team, and provider relations teammates to drive superior clinical quality and outcomes for Optum patients.
$16 - $32.55 an hourFull-timeExpandUpdated Yesterday - UpvoteDownvoteShare Job
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Works closely with payer provider relations thorough knowledge of ASC Allowable procedures. Experience in a hospital, outpatient surgery center or related field is a MUST; Computer experience, Excel, Word, Medical Billing Software and Applications; Working knowledge of Medical Terminology.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The nurse e-mails Provider Relations Department of the incorrect attending physician assignment for hospital ER and admitting staff education to ensure correct Hospitalist assignment on future admissions.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Previous contracting, provider relations and/or provider reimbursement experience. Overview Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and other healthcare retail.
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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.
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Conducts planning, growth, profitability, cost control, employee development, quality control, and client relations within Geotechnical department. PSI, an Intertek Company, is a leading provider of ATIC (Assurance, Testing, Inspection and Certification) Services.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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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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
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