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Prior experience with managed care, population health management, care management, Medicaid/Medicare populations and policies, health information technology, and/or provider network support preferred.
$62,065 - $85,000 a yearTemporaryExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The Director will work with the Managed Service Provider (MSP) to ensure the effectiveness of key processes, including the IT service desk, user lifecycle management, and asset and license management.
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Participate in management of post-acute provider network. The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
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Develop a provider network management & construction plan for assigned market(s). Support and/or manage team members responsible for the servicing, education and communication to our provider network.
$144,000 - $189,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position will work closely with the CM Director as well as internal and external stakeholders (including, but not limited to, key internal teams such as Population Health, Quality Improvement, Provider Network, Compliance and Medicare/Medicaid Administration, along with providers and community partners) to develop and lead CM initiatives in accordance with CMS, OHA and NCQA requirements.
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At NYU Langone Health, we leverage both Arista and Cisco systems network routers and switches as well as other network management solutions. The Associate Director of Network Engineering partners with architecture teams to align various network solutions to meet our application and business needs to support our clinical, administrative, education and research staff.
$138,098.48 - $158,447.16 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Work with Office of Billing Compliance and CFO to Develop Departmental billing policies and continuous billing quality improvement in partnership with key University Departments, including: Shared Practice Systems Group, Columbia Physicians Provider Network, Office of Practice Development, and International Services.
$150,000 - $180,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Spot On Networks, the leading provider of managed wireless solutions to the multifamily and commercial building industries is looking for a Network Operations Manager to oversee the configuration, health, deployment and improvement of our nationwide wireless networks as well as manage our internal network infrastructure.
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Reports to the AVP of Network Management and is responsible for the overall direction and management of the contracting value-based care (VBC) and network development strategies.
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Associate's Degree required; Bachelor's degree or equivalent combination of education, training, and a minimum of 10 years of relevant healthcare industry experience in provider network management and value-based environments.
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S/he will have demonstrated success implementing the innovative payment, care management, data system, and culture change reforms needed to succeed in an accountable care network. represents an innovative Alliance of leading independent healthcare providers that is reinventing healthcare throughout the SF Bay Area. Formed in 2015 by UCSF, John Muir Health, Hill Physicians and Meritage Medical Network, Canopy holds a restricted Knox-Keene license and offers Commercial HMO, Medicare Advantage and EPO health plan products through partnerships with United Healthcare and HealthNet.
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