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Expertise in healthcare revenue cycle operations, provider network management, or provider relations. Leverage expertise in healthcare revenue cycle operations, provider network management, or provider relations to enhance program effectiveness.
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Molina’s Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities.
$97,362.61 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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ROLE AND RESPONSIBILITIES: The Referral Management (Non-Nurse) Reviewer has responsibility for reviewing referrals to ensure accuracy, completeness and appropriateness; effectively collaborates with members of the healthcare team to ensure proper use of the Direct Care System and civilian network resources; and ensures that patients are scheduled timely, with the right provider, and at the designated place of care.
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What you will contribute: Support the Customer Support and Provider Engagement Team project management while delivering customer and provider support to promote efficient gap closure activitiesDevelop, implement and conduct effective training sessions regarding risk adjustment documentation and coding and quality.
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Provider Network Management. Knowledge and a working understanding of healthcare and/or health plan operations concepts, business processes and/or provider networks within the healthcare industry (commercial or federal.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Tria Federal (Tria) is the premier middle-market IT and Advisory services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector.
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Bachelor’s Business Administration, Healthcare Administration or related field, required. Business Administration, Healthcare Administration, or related field preferred. 2-3 years of experience as a consultant, or in Healthcare operations required, preferably in a federal consulting environment.
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Bachelor Degree or equivalent work experience in Business Administration, Healthcare 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment.
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As a member of the Network Innovations team, our Program Manager oversees the continuing evolution and sustainment of the Provider Reporting Insights and Analytics SaaS platform in partnership with internal data teams and our technology vendor – all in service of creating an economically sustainable health care system.
$153,000 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate care that meets the unique needs of each resident. Infinite Medical P.C (Managed by MedElite) is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care to residents in skilled nursing and long-term care facilities.
$200,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago
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