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Skills\Certifications o Working knowledge of healthcare claims, customer service, provider network contracting, and contract compliance o Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
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Subject matter expertise in Provider Network or Risk Adjustment in the context of value -based care required. You are a trusted busines s partner and advisor who understands your customers’ goals and needs for actionable information and recommendations to drive shared healthcare cost savings for Vytalize and its provider and payer customers.
RemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This includes sharing of Network Provider performance against BlueAdvantage requirements, Centers of Medicare and Medicaid Services (CMS) rules for STARS ratings and clinical improvement of patients to include HEDIS improvement and gaps in care closure.
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Reporting to the Network Regional Director, you will manage the everyday workings of the Provider Relations program, including overseeing implementations, trainings, remediating issues with Transportation Providers, ensuring PRM compliance with appropriate procedures, and providing accurate reporting to senior leadership.
$92,500 - $124,900 a yearFull-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Provide weekly network health reports to the Director of Provider Relations including unit cost, rate exception, network development, network digitization and platform use.
$52,900 - $71,400 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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You will implement, monitor, and optimize marketing campaigns, launch and manage A/B tests, and analyze and synthesize results, ultimately contributing to the success of our rapidly growing provider network.
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Linux/Windows systems administration (Server provisioning, network configuration, backups, replications for disaster recover, configuring and maintaining backup, configure monitoring alerts) Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
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Competitive Pay and Independence Flexible schedule Malpractice insurance provided On-going training on latest products Robust management and administrative support team Fully remote Scheduled appointments 15 minute patient encounters Join our Provider Network Today.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides feedback to management and Managed Service Provider as it relates to the services provided from the service desk vendor. The Senior IT Network Engineer is responsible for providing day-to-day technical support to employees for a range of hardware and software related systems.
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Internal Operations and Technology : Support efforts to improve the efficiency of health plan operations (utilization management, claims payment, provider contracting) to reduce friction for members, providers, and associates.
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The ODP Corporation (NASDAQ:ODP) is a leading provider of products and services through an integrated business-to-business (B2B) distribution platform and omnichannel presence, which includes world-class supply chain and distribution operations, dedicated sales professionals, a B2B digital procurement solution, online presence, and a network of Office Depot and OfficeMax retail stores.
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At Matrix Medical Network, we offer you the chance to work with great people on exciting projects with many opportunities for further development. Ensures safety and efficacy of all provider interpreting practices.
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Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Healthcare vendor contracting experience (not Provider Network contracting) Healthcare vendor contracting experience (not Provider Network contracting) Facilitate vendor onboarding process through effective communications and training to educate the vendor on vendor management and contracting processes, and successfully transition business processes and/or operations to operational business teams.
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Backing of the leading provider of facilities-based medicine and largest network of post-acute care clinicians. As part of our nationwide team of world-class clinicians, you will grow with professional development tools, educational resources and access to our powerful network of clinical professionals who share and shape best practices.
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provider network jobs in Jackson, MS
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