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Five (5) years of experience working with financial analysis supporting managed care contracting with providers including but not limited to hospitals, professionals ranging from large medical groups to solo practitioners, mental health practitioners, ASCs, skill nursing facilities, renal dialysis facilities, home health and DME. Current working knowledge of all aspects of a provider contract.
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Familiarity with the Regence health care provider community, contracting protocol and reimbursement methodologies desired. Works with the legal department, regulatory compliance teams, and Network Management contracting staff to file documents, as applicable, with the Insurance Commissioner/Department of Insurance for each state where the Health Plan contracts with providers.
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Understanding and applying FACETS functionality to the ever-changing environment including consumer driven healthcare, and complex provider contracting requirements. Have broad understanding of health plan wide processes, including claims processing, medical/payment policies, product implementations, provider network development and contract management.
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Balfour Beatty US is an industry-leading provider of general contracting, at-risk construction management and design-build services for public and private sector clients across the nation.
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IES is a national provider of industrial products and infrastructure services to a variety of end markets, including electrical, mechanical and communications contracting solutions for the commercial, industrial, residential and renewable energy markets.
$35 - $40 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Understand business rule logic for the functional area and high level business requirements for each product line, provider network etc. Ensuring all existing PHP provider and employer contracts and regulatory requirements are correctly and effectively administered.
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We are a leading provider of high-power semiconductors and fiber lasers for industrial, microfabrication, and aerospace & defense applications, to name a few. Oversees facilities planning and general contracting of projects related to cleanrooms, HVAC, Ultrapure/DI water, Fire/Life Safety Systems, Cryogenic and chemical delivery/waste systems.
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Provider Engagement Director would have a bachelor’s degree (Master's preferred) in Business Administration, Healthcare Administration or related field and 12 years relevant experience in a large healthcare delivery, health insurance or health care consulting organization with specific experience building provider partnerships and/or value-based agreements or equivalent combination of education and experience.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.
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Our client, a leading provider of high purity process piping systems, is seeking a talented and experienced Project Manager to join their team. Flexible work from home options available. Whether you're a fresh graduate stepping into the professional realm or a seasoned professional seeking new horizons, we've got you covered.
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Safety is Priority One - and our record shows it. IES is publicly traded on NASDAQ under the symbol IESC. As of the end of IES's 2021 fiscal year ending September 30, 2021, IES produced over $1.53 billion in revenue and employed over 6,800 employees at over 99 domestic locations across the United States.
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Identifies and communicates new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization. May participate in health plan credentialing operations and clinical aspects of the credentialing program and provider services support.
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Best-in-class Support Center to handle all administrative tasks including but not limited to - client intake, recruiting, payroll, HR, billing, credentialing/contracting, and scheduling. As a CASP Provider, ALP will grant you access to CASP’s entire CEU library which includes over 75 CEU-approved courses (plus 10 CEUs annually via ALP events such as our IMPACT Conference and monthly live sessions.
Starting at $78,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Call Points: Acute Care, Biomed, Radiology, Cath Lab, VP of Imaging, Supply Chain, Contracting, Service Line Coordinators. Our client is a single source provider of medical, surgical, diagnostic imaging, and ultrasound equipment, including sales, service, repair, parts, refurbishing, and installation.
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For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
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contracting provider jobs in Beaverton, OR
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