partners. The Provider Contracting Specialist, Consultant will be responsible for negotiating provider agreements... provider contracting/negotiation experience including experience managing complex negotiations Broad heath care industry...
, and is passionate about improving access and outcomes in managed care. You will serve as the primary liaison between the organization... and our network of primary care and specialty providers—conducting outreach, supporting provider education, assisting in contracting...
and obtain authorization requests for complex managed care patients in a timely and efficient manner. This individual is expected.... Coordinates authorizations for procedures and testing requested by providers for their managed care patient. Reviews charts...
contract network standards Possess knowledge of Managed Care Organization (MCO) contracting/credentialing process Own network... with Network Adequacy Reporting Knowledge of Managed Care Organization (MCO) contracting/credentialing process Intermediate...
contract network standards Possess knowledge of Managed Care Organization (MCO) contracting/credentialing process Own network... with Network Adequacy Reporting Knowledge of Managed Care Organization (MCO) contracting/credentialing process Intermediate...
in managed care working with network and provider relations/contracting Consulting experience Medical/clinical background...Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives...
terminology Experience in managed care contracts, reconciling patient accounts, and balancing payment transactions... Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote work Pay Range...
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit..., Waste and Abuse position within a medical facility, medical insurance carrier or Managed Care Organization or provider...
by engaging with network primary care and specialist providers. Supports network growth through outreach and contracting... distribution lists for various email notifications and campaigns. 7. Understands Managed Care operations, Risk Adjustment...
AltaStaff is a staffing agency currently looking for a Provider Contract Specialist II for one of our Managed Care...'s offices, managed care, or healthcare Must have knowledge in Excel, Word, Outlook, and PowerPoint programs Strong attention...
and new contract requirements. Supports the overall mission of AdventHealth and the role of the Managed Care department... Job Location: Remote The role you will contribute: Responsible for credentialing systems including applications...
's Required Work Experience: 3 Years Healthcare and/or managed care contracting, with 2 of the 3 in managed care contracting... procedures, current/proposed government regulations, and state/federal laws related to provider contracting and health care...
Must be 18 years of age OR older 2+ years of work experience in State of California Managed Care environment - IPA, Physician...This position is Remote in Pacific Time Zone. You will have the flexibility to work remotely* as you take on some tough...
Must be 18 years of age OR older 2+ years of work experience in State of California Managed Care environment - IPA, Physician...This position is Remote in Pacific Time Zone. You will have the flexibility to work remotely* as you take on some tough...
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit...Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re...
is required, as only U.S. citizens are eligible for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed... of company business systems and policies, contracting processes and earned value management techniques. Collaborate with PLT...
Facilities and Property Management clients and internal stakeholders related to optimization of JLL-managed services operations..., contracting, and operational processes. Be proactive and manage internal and external customer expectations. Ensure compliance...
), Contracting Officer (CO), Contracting Specialist (CS), CICP Program leadership, and other associated government stakeholders... compensation programs, or managed care. Professional Background: Relevant experience in claims review, healthcare administration...
: Experience in managed care working with network and provider relations/contracting Medical/clinical background highly Solid...Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives...
, including pediatrics, primary care, internal medicine, public health, and hospitals. Along with the Director of U.S. Field... marketing and sales strategy in multiple States and all the territory sales within. Be the primary coach for all managed...