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BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
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Provider Relations or Provider Network Contracting experience, or. The end goal is for the provider to sign a Provider Services Agreement to participate in our client's Quality Program.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Once a target provider signs a Provider Service Agreement (PSA), develop a plan to facilitate a warm handoff to the Client's Quality Team. Secure a fully executed Provider Service Agreement (PSA.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Network Relations Manager is responsible for the development and design of the provider network through contract negotiations and relationship development. Optima Health-VA beach is hiring a Network Relations Manager for their Network Department.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Minimum of 5 to 7 years' experience in Provider Relations; experience in Medicaid servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation.
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Ranked among the nation's best rehabilitation hospitals and the top physical rehab provider in Virginia by U.S. News & World Report, our organizational values and approach to care facilitate superior patient outcomes and the realization of Sheltering Arms Institute’s vision to reinvent rehabilitation.
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EyeCare Partners is the nations leading provider of clinically integrated eye care. As determined by the Supervisor of Referrals or the Patient Relations Manager, the Referral Specialist will promptly answer, screen, and process calls to appropriate person(s) and/or department per protocol while determining management of emergent calls in accordance with company policy.
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1-2 years of retail sales, training, marketing, advertising, merchandising or public relations. The Wireless Sales Expert position will be working with America’s #1 pre-paid wireless service provider.
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We are the official Vacation Ownership provider for Bass Pro Shops, Cabelas, Simon Malls, Choice Hotels and Nascar. Partner with Regional Director, Vice President, and/or Human Resources on escalated coaching, counseling, performance management, and associate relations matters.
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Financial and operational performance of the provider network and compliance with contractual terms. Responsible for managing the financial and operational performance of the provider network and compliance with contractual terms.
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The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs to oversee and maintain provider risk management and positive relationships supporting high value initiatives with our Network Providers.
$43,700 - $102,000 a yearFull-timeExpandUpdated 4 days ago - UpvoteDownvoteShare Job
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Responsibilities will include maintaining provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations.
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Experience in healthcare and/or business experience with direct National and Multi-regional provider contracting experience in a production environment. Provides consultation in organizational contracting methodologies and reimbursement methodologies, reimbursement coding, and network configurations and analysis for provider databases to internal, vendor and customer claims systems.
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7 years of business leadership experience, with a minimum of 5 years in a multi-state managed care environment as the leader of a Medicare network development/provider relations function.
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The Client Services Manager serves as a liaison between the organization and our customers and works to ensure that customer service is of the highest of standards - capable of representing GardaWorld as the premier provider of contract security services in the industry.
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provider relations jobs in Richmond, VA
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