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The Provider Performance Manager is a key member of a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting, Provider Relations, and Network Development & Solutions.
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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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This Client Relations Representative position will begin with an intensive 6-8 month training program designed to teach you all aspects of the promotional marketing business and specific functions in relation to the business involving customer support, client acquisition & care, entry-level sales management, advertising & brand awareness, and marketing strategy.
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Founded in 1901, Orkin is a global residential and business service provider who provides the most accurate, comprehensive, and efficient pest management services for both residential and commercial customers.
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Collaborates and coordinates work with peers, other departments within matrix/shared service partners (including but not limited to Provider Relations, Pharmacy, Care Management, Utilization Management, Compliance, Appeals, Marketing and Communications, and IT.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Minimum of 8- 10 years of healthcare experience with thorough knowledge of healthcare quality improvement, industry standard performance measures, healthcare reimbursement including valued based purchasing methodology and management, managed care, and tactics that result in member and provider engagement.
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The activities are focused in the areas of talent acquisition – sourcing, selecting, and onboarding talent; talent management – employee/ manager relations, performance management, talent engagement and retention, HR operations – HRIS management/effective use and related transactions; and HR compliance – employment related regulations and mandates.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Atradius is a global provider of credit insurance, bond and surety, collections and information services, with a strategic presence in over 50 countries. The ideal candidates will have a Bachelor s degree in business, finance or economics, and 4+ years of trade credit, financial or business analysis experience with a focus on client relations.
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Ensures that Human Resources objectives are aligned with business strategic goals through effective employee relations, compensation, staffing, training, organizational development, safety, and change management strategies.
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Evaluate payer's existing provider network and determine opportunity for revenue and volume. Demonstrated effectiveness in leading and executing contracting and payer relations in a highly complex environment.
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This position acts as a telephone triage agent, to various 800 hotlines for the HealthChoice and Acute Care Administration in the Division of HealthChoice Customer Relations by providing customer service and resolution of recipient and provider concerns for various Medicaid programs which include but are not limited to HealthChoice, Medicaid Expansion Programs, Maryland Children’s Health Program (MCHP), Family Planning program.
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Minimum Requirements:BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
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Experience: 4 years experience in contracting, provider recruitment and/or provider relations. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals.
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The Donor Relations Manager will be responsible for the development and execution of a comprehensive strategy to increase Parks & People's annual revenue from individual givers. Since 1984, P&P has a history of making investments in green park projects to revitalize neighborhoods and is a major provider of programs to allow children, youth and adults to learn, grow, and explore their natural environment.
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Maintain payer relations. Negotiate/renegotiate system-wide traditional and CIN Value-based Care (VBC) contracts including professional, hospital, skilled nursing and ancillary services (home health, DME, infusion, etc.
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provider relations jobs in Linthicum Heights, MD
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