- UpvoteDownvoteShare Job
- Suggest Revision
Provider Network Performance Analyst III Develops Value Based Contract (VBC) amendments in collaboration with legal and assists with managing the amendment review and negotiation process with the contract representatives.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Established the ODYSSEY program to enhance the new physician and APP experience by empowering our providers to connect, explore and evolve within a culture of continuous learning and teamwork to build a high performing provider network.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As an integral team member of MercyOne PHSO's Operations team, the Provider Network & Operations Coordinator assists PHSO leadership on tasks as assigned. Functions including oversight and management for the MercyOne Provider Network Directory, Compliance & auditing, and coordination of projects.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
A satisfactory equivalent combination of education, training, and minimum 5 years of relevant Healthcare industry experience in a provider network management and value-based environment.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
5 or more years of Provider Relations experience, Health care or Managed care, Provider Contracting, Network Management and Claims knowledge. The Senior Provider Engagement Professional- Practice Transformation is responsible for driving provider performance programs, goals and improvement metrics for network providers and partnerships.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Builds, refines, and manages a tiered network of coordinated external specialists and facilities to form a Coordinated Provider List (CPL) for those specialties outside of HCT and Specialty Care. Local relationship builder with all providers and payor partners in the CPL.Identifies areas to improve provider service levels and quality.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of provider contracts as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for facility, professional and ancillary services.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. The Northwest Hospital Inpatient Heme Onc Consult ARNP/PC may work with a variety of hematology/ oncology patient s to assess and manage basic health needs, address treatment toxicities, perform procedu res, mo nitor for cancer progression or recurrence, and consult with professional peers as needed.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Serve as the key operational liaison with Provider Network Management and Finance: responsible for the reconciliation, under payments, in a timely manner with engagement from the Provider Network Management Relationship Managers to.
$150,000 - $280,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Responsibilities The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building strong, cohesive business partnerships.
$24.96 - $34.31 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Valley Medical Center (VMC) is actively recruiting a full-time (1.0 FTE) Advanced Practice Provider (Nurse Practitioner/ Physician Assistant) to join our Lake Sawyer (Maple Valley) clinic in our collaborative network where you will have easy access to system-wide support as you work alongside a highly motivated and skilled Primary Care team.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Essential Responsibilities: Manage network development processes with key provider partners in conjunction with constituents within PacificSource including health care exchange leaders, government sales and marketing, commercial sales, and product development staff.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The position is critical to maintaining the Fee For Service Provider Network that we manage on behalf of the County. The Contract Administrator may work with providers on the TERM, and/or Medi-Cal Fee-For-Service (FFS) Network(s) as well as Off Panel, Out of Network providers, Skilled Nursing Facilities, Hospitals, which includes the San Diego County Psychiatric Hospital and/or Edgemoor Hospital, as well as other medical professionals.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As a part of Optum, the largest network of medical groups in the nation, Reliant Medical Group, located in Central Massachusetts, is seeking a (Full-time or Part-time) Psychologist, LICSW or LMHC to join our Integrated Behavioral Health Division as an Integrated Behavioral Health Provider.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This role will actively partner with multiple areas of the division and broader organization, including Network Economics, Provider Relations, Payment Integrity and Government Network teams, to identify & implement initiatives related to provider network contracting, provider payment, and Wellmark’s sustainability goals.
Full-timeExpandApply NowActive JobUpdated Today
provider network jobs Title: provider in Anoka, Minnesota
FEATURED BLOG POSTS
4 Ways to Make Your Job Posting More Inclusive
According to a Glassdoor survey,
How to Calculate Net Income
Understanding your finances can be daunting even if you’re good with numbers. Your net income, in particular, is a key metric for determining how well you’re doing financially and whether your current way of operating is sustainable or not.
To ATS or not to ATS
As hiring is becoming more analytical and data-driven, companies have found ways to incorporate technology to help hire and recruit more efficiently. ATS, also known as an applicant tracking system, has become one of the most widely adopted technological recruiting tools to date. In fact, according to data from Capterra:
How to Hire Remote Workers
Remote work used to be a thing of the future. However, with social, economic, and cultural events taking place across the country, it has now evolved into something that both job searchers AND companies are benefiting from. Remote work is multifaceted and can come in handy in a variety of situations. So, to help your small business take advantage of all of remote work's benefits, here is a short guide on how to hire remote workers.
What is Seasonal Employment?
Depending on where you are in your career, you might have first-hand experience with seasonal employment. Seasonal employment can be a great way to expand your skill set and earn extra cash while helping businesses meet seasonal increases in demand.
How to Ask for a Letter of Recommendation
When the job board you subscribe to finally posts your dream job, you may feel like the stars have aligned. But part of securing a position that matches your career plan is ensuring you address all the application basics. You know, the resume, the cover letter, the portfolio. It seems like you've got this in the bag — until you realize they want a letter of recommendation, too!
What Are SMART Goals?
When it comes to achieving our goals, there’s a lot of noise to work through. A study by the University of Scranton has found that only 8% of people who set New Year’s resolutions actually achieve them. Our busy lives might be one reason for this. Another, even more important reason, is our approach to goal setting. Being too vague, too ambitious or simply unclear on the timeframe can set us up for failure.