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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.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Maplewood Senior Living is a state-of-the-art, forward-thinking senior living provider. The Internal Director of Sales (Community Relations Director) is responsible for achieving maximum occupancy and total revenue potential of the community by attracting qualified prospects to the community from professional outreach activity, inquires, tours, and other sales related initiatives.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Key point of contact for outside departments: Claims, Provider Relations, Customer Care, and Contracting; researches all requests triggered from coding denials and potential configuration issues.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Interface with CCAs provider departments including credentialing, PDM, Provider Relations and Contracting. The Provider Services Department provides a single point of contact for questions, problem solving, and access to care, for providers on behalf of members of the Senior Care Options (SCO) and One Care Programs.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Position SummaryAs a member of the Network Strategy and Enablement team, the Network Training and Quality Assurance Manager will be responsible for designing and building training and quality programs to support Recruiting, Provider Relations, and Provider Operations ensuring consistent adherence to network best practices, and monitoring the quality of interactions Network Development colleagues are having with providers.
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Reporting to the Regional Provider Relations Manager, the Senior Provider Network Account Executive is responsible for managing the relationships of a large territory of complex provider organizations and key constituents.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The company operates through several market-leading companies including Tri-anim Health Services, the largest specialty distributor of respiratory products, Bound Tree Medical, the largest supplier of EMS products, EMP and Cardio Partners, a full Sudden Cardiac Arrest Solution provider, and Digitech, the leader in EMS revenue cycle management.
Work from homeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Monitors, analyzes, and develops strategies for improving provider performance through provider relations initiatives, provider and staff assessor training, and other methods.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The role is responsible for vendor relations and contracts with key vendors for the business. Sarnova is the leading national specialty distributor of health care products in Emergency Medical Services (EMS) and Respiratory Markets and is the industry leader in Revenue Cycle Management within Emergency Medical Services (EMS.
Work from homeExpandApply NowActive JobUpdated 3 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.
Full-timeRemoteExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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4 or more year’s progressively responsible experience in provider relations or network management required. Represents Provider Relations and the plan at external provider and community events to maintain visible presence.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Able to prioritize work tasks with the day to day business from other departments, including but not limited to Provider Relations, Compliance, Claims, COB/TPL and Provider Appeals.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Collaborates on selling strategy on a case-by-case basis in conjunction with underwriting, provider relations, and other internal teams. Develops a database of qualified leads through referrals, agents, brokers, telephone canvassing, face to face cold calling on business owners, direct mail, email, and networking.
RemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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As a startup established in 2018, boasting over 900 clients, they have garnered prestigious awards, including "IoT Product of the Year" and "IoT Solution Provider of the Year." Join a dynamic team of experts, collaborate closely, and mentor junior engineers.
$150,000 - $200,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Established in 2018, this startup has already garnered over 900 clients and earned accolades such as "IoT Product of the Year" and "IoT Solution Provider of the Year." In this role, you'll collaborate closely with a dynamic team of skilled professionals, guiding and mentoring junior engineers.
Full-timeExpandApply NowActive JobUpdated 11 days ago
provider relations jobs in Boston, MA
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