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The Advanced Practice Provider (APP) is a licensed physician assistant (PA) or advanced practice registered nurse (APRN) who functions as a member of the health care team to provide high quality, comprehensive acute and/or routine medical/surgical care of Rush University Medical Center patients within the scope of practice granted in accordance with the RUMC medical staff bylaws.
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Title: Senior Manager Payor Provider Contracting Managed Care. Monitor and analyze performance of third-party payer agreements including profitability, volume, strategic initiatives, and payer/provider compliance issues.
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Senior Manager Payor Provider Contracting Managed Care @ Chicago, IL Title: Senior Manager Payor Provider Contracting Managed Care @ Chicago, IL. Monitors the technical links between the Third Party Provider and data tracking systems to assure reported issues are properly captured, reported, prioritized and managed to closure.
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The Advanced Practice Provider (APP) will be a licensed physician assistant (PA) or advanced practice registered nurse (APRN) who functions as a member of the health care team to provide high quality, comprehensive acute and/or routine medical/surgical care of Rush University Medical Center patients within the scope of practice granted in accordance with the RUMC medical staff bylaws.
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Familiarity with infusion provider/pharmacy relationships, models and associated regulatory challenges (e.g., provider models, AICs, home infusion, RN networks/licensure). Any Willing Provider and other pharmacy and network regulatory limitations (e.g., anti-mail & preferred networks allowed/not allowed.
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Experience or technical discipline within the Lab/Precision Medicine or provider ancillary contracting and/or healthcare, hospital industry and interest in scientific categories. Eight years' experience in complex contract negotiations, experience or a technical disciple within the Lab/Precision Medicine or provider ancillary contracting and or healthcare or hospital industry and interest in scientific categories.
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Required 3 - 5 years of experience in Provider Relations, Network Development, Network Management, Contracting or related Provider Services position with demonstrated ability to perform the level of duties of the position.
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The Advanced Practice Provider (APP) is a licensed physician assistant (PA) or acute care certified advanced practice nurse (ACNP) who functions as a member of the health care team to provide high quality, comprehensive acute and/or routine medical/surgical care of Rush University Medical Center patients within the scope of practice granted in accordance with the RUMC medical staff bylaws.
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An Analytics Consultant's primary responsibility is to leverage strong technical skills (SQL, R, Python, and Tableau) and healthcare industry knowledge (payor, provider, pharmacy, public health, epidemiology, etc.
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Provides telephone triage as defined by guidelines and in collaboration with provider coordinating care with infusion room, home health, urgent care or emergency department as required. The Oncology Nurse Navigator 2 care may be focused in medical oncology, hematology, stem cell transplant, gyne-oncology, surgery, radiation oncology, cancer screening or supporting multi-disciplinary clinics.
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SEI (NASDAQ:SEIC) is a leading global provider of investment processing, investment management, and investment operations solutions that help corporations, financial institutions, financial advisors, and ultra-high-net-worth families create and manage wealth.
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As an industry recognized liquidity provider and market maker, Keyrock is a leading European creator of algorithmic trading technology in the digital asset space. This job opening for Rust Developer in the Options Business Unit, for the Americas timezone.
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Since 2014, we have been the sole legal aid services provider serving Cook County with the distinction of focusing exclusively on individuals and families who have been adversely impacted by the criminal legal system in all legal program areas: criminal records, emerging adults, criminal defense, housing law, and family law.
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Cedarhurst, a regional healthcare provider and true friend of older adults, seeks a service-minded, career-oriented individual to join our team as a Full-Time Qualified Medication Aide at Cedarhurst of Dyer community.
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LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering.
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provider job in Calumet City, IL
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