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Key stakeholder departments include, configuration, provider relations, provider credentialing, provider enrollment, claims, medical management and payment integrity. SUMMARY: The Provider Contracting Manager is responsible for leading or assisting with network development activities of commercial and government programs including: preparing contract proposals in accordance with financial, operational and quality objectives, drafting and negotiating contract terms, contract implementation and maintenance.
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Minimum of four years in a media or marketing analytics role; experience at a broadcast or cable network, advertising agency or primary research vendor/provider a plus. Understanding of the digital ad tech ecosystem, with an emphasis on data management and tagging.
$46.59 - $70ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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.
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Management Applications, Inc., a leading provider of Network Management, Design and Implementation is seeking a Program Manager and a Quality Manager for a long-term contract with the US Patent and Trademark Office (USPTO.
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At least 3 years of experience in auditing information security (application security, network security, cyber security, data protection), or cloud computing controls (design, operation, risk management, auditing) or a combination.
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Assistant Vice President, Network Management, NY Market This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, NY/NJ. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.
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Utilize your two or more years experience in School Based Health Center & Reproductive Health to provide comprehensive physical examinations, first aid, immunizations, and management of chronic conditions as well health education; adolescent pregnancy prevention services and education at this single Provider site.
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The IPS Employment Specialist in ACT should result in a network of employers and job opportunities, which can be shared with other rehabilitation programs within the provider agency. Network with businesses and Mental Health community to solicit leads and educate, community regarding available services (i.e., Business Advisory Council, Chamber of Commerce, Associations, etc.
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Provide broad-based experience in IT Service Management and apply the experience to specific cyber security initiatives relating to system design, development, and operations and maintenance. Experience working among different Cloud Provider environments (Azure, AWS, GCP.
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Assists other MetroPlusHealth departments with resolution of member concerns related to retention, utilization management, quality management, customer service, and provider relations.
$96,682 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Ensure timely responses to regulatory agencies (i.e., NYSDOH, DFS) in response to all Provider Network regulatory and compliance issues. The Manager of Provider Relations will serve as the point person for managing the day-to-day relationship between MetroPlusHealth and top level administrators at each assigned network facility and community providers.
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At least 2 years of experience in information technology (operations, software delivery, access management, microservices), information security (application security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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At least 4 years of experience in information technology (operations, software delivery, access management, microservices), information security (application security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination.
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Within our extensive network, a team of exceptional physicians who offer expertise in various fields, including family medicine, internal medicine, nephrology, rheumatology, surgery, urology, obstetrics/gynecology, pain management, and physical therapy.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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In addition, this individual will work closely with multiple internal departments including Provider Network Operations, Medical Management, Enrollment and Membership services and BPO Products.
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provider network management jobs in New York, NY
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