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The Provider Relations Representative role is an exciting and highly visible internal and external position responsible for collaborating with the Manager of Network Development and National Director of Network Management in developing, implementing, and maintaining WellBe’s strategic provider relationships.
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This position has oversight of Provider Relations, Provider Data Management and Contracting. 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment.
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Further, in a matrix management environment, will be responsible for collaborative work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk share contracts.
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This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements.
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Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy. Direct the provider network and contracting activities.
$323,300 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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UPMC Health Plan's growing Actuary department is seeking an Actuarial Analyst II to assist with their Value-Based Contracting work! Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment.
$30.96 - $52.15 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Wider range available depending on experience and locationSchedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PMRole Description:The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
$148,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This is a full-time or part-time on-site role for a Home Care Provider at NIYO'S HOME CARE SOLUTIONS LLC in Pittsburgh, PA. The Home Care Provider will be responsible for providing caregiving, personal care, and elder care services to individuals in need.
$15 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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WellBe’s clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.
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The Sales Executive operates in a hybrid (virtual and in person) environment and will be lead presenter and strategist on each provider target deal. Responsibilities include securing commitment from provider groups and identifying initial scope of Vatica program deployment within the organization.
$95,000 a yearFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Join us at New Directions Mental Health , a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Behavioral Health Advanced Practice Providers (NP/PA) like you to make a difference in the field of behavioral health.
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Assistant Vice President, Network Management, Western PA and West Virginia markets This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley.
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The Capacity Planning Senior Manager collaborates with technology development teams regarding the selection, customization and use of systems, programs, software, and other technology tools associated with workforce planning.
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Johnson & Johnson Innovative Medicine (JJIM) is recruiting for a Manager, Advanced Practice Provider Ambassador, Gastroenterology/IBD, in our Northeast Region which includes the following: MA, CT, NY, NJ, PA, DE, OH, IN, MI, IL. MO.
$215,050 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender and physical condition of the patient.
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Title: provider contracting in Pittsburgh, IN, Pennsylvania
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