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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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EXPERIENCEMinimum five (5) years' health plan or provider experience in Provider Relations such as provider relations, provider contracting, network management, healthcare analytics, risk and/or value based contracting, office manager/administrator or other equivalent experience.
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Focus on facility financial metrics including but not limited to, provider contracting, budget and strategic planning, Accounts Receivable, Business Office oversight, preparation of monthly and yearly financial packages, FTE management/staffing in relationship to patient volume to name a few.
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Windstream Holdings, Inc., is a leading provider of advanced network communications and technology solutions for consumers, small businesses, enterprise organizations and carrier partners across the U.S.
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Build productive relationships within all departments in the Health Plan i.e. Provider Relations, Network, Hospital Service, Contracting, HEDIS/Quality, etc. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.
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About The ODP Corporation: The ODP Corporation (NASDAQ:ODP) is a leading provider of products and services through an integrated business-to-business (B2B) distribution platform and omnichannel presence, which includes world-class supply chain and distribution operations, dedicated sales professionals, a B2B digital procurement solution, online presence, and a network of Office Depot and OfficeMax retail stores.
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Provides feedback to management and Managed Service Provider as it relates to the services provided from the service desk vendor. The Senior IT Network Engineer is responsible for providing day-to-day technical support to employees for a range of hardware and software related systems.
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Experience working in or managing a trade ally/service provider network. In this role, you would be responsible for participation requirements, innovative reporting, and analysis, conducting market research, and facilitating communications and coordination across a Residential Trade Ally/Service Provider (TA) network throughout Arkansas.
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Participates in provider network development and new market expansion as appropriate. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
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Develops alliances with the provider community through the development and implementation of the medical management programs. Certification in addiction medicine or in the sub-specialty of addiction psychiatry preferred.
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Windstream Enterprise is a leading managed services provider providing strategic communications and security products to mid-size businesses and enterprise clients. As Kinetic, Windstream offers bundled services, including premium broadband, security solutions, voice, and digital TV to consumers through an enhanced fiber network.
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The Windstream team provides innovative software and network solutions to connect people and empower business in a world of infinite possibilities! Life and AD&D, Spousal Life, Child Life Insurance Plans.
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We are seeking a highly skilled and compassionate Nurse Practitioner to join our Advantmed provider network. Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers.
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As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. 10+ years in technology and consultative services sales with multi-platform expertise, ideally including mainframe, open systems, cloud, network, storage, disaster recovery, and optimization experience.
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Primary focus to drive our small business sales professionals to achieve 100% of forecast. WINPRIDE - LGBTQ+ Employee Resource Group. Identity Theft, Legal, Auto & Home and Pet Insurance. Manages staffing models, training, participates in field sales activity, coaching and team building.
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provider network jobs in Sherwood, AR
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