- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY:** The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the ... planning, internal coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key… more
- Centene Corporation (Miami, FL)
- …workplace flexibility. Qualified candidates must reside in Florida **Position Purpose:** The Network Performance Advisor (NPA) serves as a key point of contact ... high provider satisfaction and helping providers improve their performance. The Network Performance Advisor will be responsible for executing Network … more
- The Cigna Group (St. Louis, MO)
- …of working 3 days per week onsite and 2 days per week remote._** The Provider Contracting Advisor (PCA) is responsible for the overall management of the ... Behavioral Outpatient network which consists of identified large, high-volume, multi-state or...of identified large, high-volume, multi-state or national practices that provide virtual and digital resources. These regional and/or national… more
- Humana (Columbus, OH)
- …**Required Qualifications** + Bachelor's degree + 2 - 5 years experience with Duals Provider Network Contracting or Operations + Experience with Dual Eligible ... response, go-live efforts, and steady-state for OH Dual Eligibles network build. In addition, the Market Development Advisor...Provider Network builds and strategy + Experience… more
- LA Care Health Plan (Los Angeles, CA)
- …provided to LA Care Medi-Cal members. This serves to help maintain a quality and solvent provider network and avert provider network disruptions due to ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304,...we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on… more
- Humana (Albany, NY)
- …health system operations and optimization including contractual performance and provider network management in order to provide the best experience for our ... next generation of military health contracts. The Market Development Advisor is part of a team that is responsible... operations to include customer support and outreach activities, network adequacy, access to care standards, provider … more
- Centers Plan for Healthy Living (Bronx, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers that ... Licensed Benefits Advisor (Field Based) Bronx, NY, USA * Brooklyn,...we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on… more
- Trinity Health (South Bend, IN)
- …located in Plymouth + More than 85 providers in the Saint Joseph Physician Network located across the Saint Joseph and Marshall counties + Community Health Centers ... for quality care. **About the Job:** + The Insurance Agent & Advisor impartially provides education about the availability of health insurance plans available… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and ... support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to… more
- Humana (Columbus, OH)
- …driving provider performance programs, goals and improvement metrics for network providers and partnerships. The Engagement Professional is an integral part of ... a cross-functional, collaborative organization which includes Provider Service Experience, Network Optimization, Clinical Services, Value-Based contracting,… more
- LA Care Health Plan (Los Angeles, CA)
- …all lines of business. Identification of potential areas of improvement within the provider network . Identify and initiates referrals for appropriate members to ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- AmeriHealth Caritas (Newark, DE)
- …their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network . + Overseeing the quality of clinical care for ... network and non- network providers. + Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and… more
- Bassett Healthcare (Cooperstown, NY)
- … Network Finance Division. The VP, Financial Operations serves as a leader, advisor , and educator, on financial matters for Network Department leaders and ... office reporting system for Medicare Cost reporting. Identify unique funding levels in Medicaid and Medicare based on rural provider status. Review information… more
- LA Care Health Plan (Los Angeles, CA)
- …all lines of business. Identification of potential areas of improvement within the provider network . Identify and initiate referrals for appropriate members to ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- University of Colorado (Aurora, CO)
- …NPI number by date of hire + Must be willing and able to obtain valid Colorado Medicaid Provider number within 30 days of hire date + Must be willing and able ... Denver, CO 80236** **Position #00647543 - Requisition #32571** **Job Summary:** **Health care provider positions at SHS, such as this one, qualify for federal and… more
- Ascension Health (Washington, DC)
- …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Health Services is ... Hall Health Center location. **Responsibilities:** In collaboration with a physician, provide for the expansion of individualized primary healthcare service by… more
- General Dynamics Information Technology (Fairfax, VA)
- …system management tools, logging, and reporting capabilities. HOW A FIREWALL ENGINEER SR ADVISOR WILL MAKE AN IMPACT: + Provide analysis, research, and support ... Obtain:** None **Public Trust/Other Required:** NACI (T1) **Job Family:** Network Engineering **Skills:** Communication Network ,Data Communication Networks,Firewalls… more
- SSM Health (Madison, WI)
- …Medical and DEA licensures **Job Details** + The new physician will provide both inpatient and outpatient consultation for patients ranging from neonates to ... young adults. In addition to the office practice, the new provider will read EKG's, echos, Holters and exercise testing. + Ideal candidates will have strong echo… more
- SSM Health (Madison, WI)
- …is one of the largest integrated healthcare delivery systems in the country. Our network consists of more than 60 clinics in South Central Wisconsin, SSM Health ... Davis Duehr Dean Eye Care, insurance provider Dean Health Plan, and pharmacy benefits company Navitus...pharmacy benefits company Navitus Health Solutions. Approximately 500 physicians provide primary, specialty, and tertiary care in the clinics.… more