• Program Analyst, Senior

    Precise Systems, Inc. (Patuxent River, MD)
    …and schedules. Applies government-instituted processes for documentation, change control management and data management. Required Education : Senior - MA/MS ... of service. Powered by our highly skilled workforces, we provide expert consultation on network and weapons systems acquisition...and the Precise solution. We are currently seeking a Senior Program Analyst to support our Pax River, MD… more
    Precise Systems, Inc. (02/29/24)
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  • Provider Data Services Senior

    CVS Health (Harrisburg, PA)
    …Position Summary At CVS Health, we are looking for an experienced and motivated Provider Data Services Senior Coordinator to join our dynamic team. ... As the Provider Data Services Senior Coordinator,...Demonstrated success in collaborating with others to meet/exceed expectations. Education + High School Diploma or equilivant work experince… more
    CVS Health (04/19/24)
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  • Provider Data Services Senior

    CVS Health (Hartford, CT)
    …to make health care more personal, convenient and affordable. Position Summary The Provider Data Services, Senior Coordinator automates and manually loads, ... maintains, and resolves all new and revised participating provider data transactions (basic to complex) that...Analytical thinker. - Proficient with MS Suite (Excel, Word) Education - High school diploma, GED, or equivalent experience.… more
    CVS Health (04/25/24)
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  • Senior Analyst, Provider Data

    CVS Health (Austin, TX)
    …Work From Home anywhere in the United States. Preferred TX- Maintains the Provider Data (demographic and contractual) for all network and non-network providers.- ... with other departments regarding database improvements.- Provides support for baseline provider data transactions that cannot be administered automatically… more
    CVS Health (05/16/24)
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  • Provider Data Services Senior

    CVS Health (Phoenix, AZ)
    …care more personal, convenient and affordable. Position Summary - Maintains the Provider Data (demographic and contractual) for all network and non-network ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
    CVS Health (05/01/24)
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  • Provider Data Services Senior

    CVS Health (Harrisburg, PA)
    …expansions, and new product implementations. - Works with other departments to ensure quality provider data to our members. - Maintains and updates provider ... information and escalates issues for resolution as appropriate Required Qualifications - Provider Data Services background (1-3 years) or Network background (1-3… more
    CVS Health (04/24/24)
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  • Medicaid Provider Data Service…

    CVS Health (Austin, TX)
    …coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work ... Required + 5+ Years of experience and knowledge of Provider Data Services systems and other end...to meet business reporting needs. + Strong communication skills. Education - Bachelor's degree or equivalent 3+ years of relevant… more
    CVS Health (05/16/24)
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  • Provider Education Senior

    The Cigna Group (Houston, TX)
    …identified in provider office diagnosis coding. Implement provider office education , where necessary, and provide formal training to providers and staff ... provider sites, whether conducting chart review or providing training/ education , both for historical and/or real time data... meetings for assigned provider groups to provide updates, recommendations, or education (may occur… more
    The Cigna Group (05/09/24)
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  • Advanced Practice Provider - Nurse…

    University of Colorado (Aurora, CO)
    Advanced Practice Provider - Nurse Practitioner or Physician's Assistant Senior Instructor - 30744 Faculty **Description** **University of Colorado | CU Anschutz ... of Medicine | Department of Family Medicine** **Job Title:** **Advanced Practice Provider - Nurse Practitioner or Physician's Assistant - Department of Family… more
    University of Colorado (04/17/24)
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  • Provider Performance Enablement (PPE)…

    The Cigna Group (Charlotte, NC)
    The Provider Performance Enablement (PPE) Senior Manager is an integral part of a cross-functional, collaborative organization (which includes Market Provider ... provider network for the assigned to the Carolina's market. The Provider Performance Senior Manager's responsibilities include: + Leading and managing the… more
    The Cigna Group (05/09/24)
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  • Senior Provider Contracting…

    CareFirst (Baltimore, MD)
    …matter expertise on projects and lead projects as needed. + Performs the provider credentialing as assigned and data maintenance processes based on department ... claims submission, 2) ensuring submission of information that assures accurate and timely data for systematic provider demographics, 3) performing as the point… more
    CareFirst (05/16/24)
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  • Senior Provider Engagement…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Senior Provider Engagement Professional- Practice Transformation is responsible for driving ... provider performance programs for Humana Healthy Horizons in Ohio. The Senior Provider Engagement Professional- Practice Transformation represents the scope… more
    Humana (05/10/24)
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  • Senior Provider Contracts…

    Henry Ford Health System (Troy, MI)
    …general performance improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for ... + Win-Win style of negotiating, effectively communicating, actively listening, and winning provider trust through transparent presentation of data and diligent… more
    Henry Ford Health System (05/14/24)
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  • Senior Provider Contracting…

    Humana (Columbia, SC)
    …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... contracts and agreements for Humana's Behavioral Health business. The Senior Provider Contracting Professional work assignments involve moderately complex… more
    Humana (05/02/24)
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  • Senior Provider Compensation…

    St. Luke's Health System (Boise, ID)
    …Bus Partner to join our Support Services team. Unit/Position Summary Responsibilities The Senior Provider Compensation Business Partner serves as the provider ... and Analytics department and Physician Compensation leaders, coordinates services for provider compensation functions to provide consistent, high quality… more
    St. Luke's Health System (05/03/24)
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  • Senior Consultant - Provider

    Guidehouse (Chicago, IL)
    …degree is preferred + Previous strategy consulting experience is preferred + Healthcare provider or fellowship experience and/or education in health economics is ... to 75% **Clearance Required** **:** None **What You Will Do** **:** Guidehouse's Provider Strategy & Innovation Solutions Area is responsible for solving the most… more
    Guidehouse (05/18/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (Bloomfield, CT)
    …identified in provider office diagnosis coding. Implement provider office education , where necessary, and provide formal training to providers and staff ... provider sites, whether conducting chart review or providing training/ education , both for historical and/or real time data... meetings for assigned provider groups to provide updates, recommendations, or education (may occur… more
    The Cigna Group (05/13/24)
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  • Provider Contract/Cost of Care Consultant…

    Elevance Health (Columbus, OH)
    …drivers and support initiative design for remediation. The ** Provider /Cost of Care Consultant Senior ** will mine data at a detailed level to identify Cost of ... ** Provider Contract/Cost of Care Consultant Senior -Analytics**...in statistical analysis and modeling; or any combination of education and experience which would provide an… more
    Elevance Health (05/14/24)
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  • Provider Contract / Cost of Care Analyst…

    Elevance Health (Chicago, IL)
    ** Provider Contract / Cost of Care Analyst Senior ** **Location:** Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal ... of one of our Elevance Health PulsePoint locations. The ** Provider Contract / Cost of Care Analyst Senior...statistical analysis and healthcare modeling; or any combination of education and experience which would provide an… more
    Elevance Health (05/11/24)
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  • Senior Consultant - Operations Solutions,…

    Guidehouse (Chicago, IL)
    …purchased services, supply cost, and clinical supply utilization at client provider organizations. Senior Consultants have responsibility for client management, ... Industrial and Operations Engineering, Supply Chain Management or similar + Healthcare provider or fellowship experience and/or education in health economics is… more
    Guidehouse (05/18/24)
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