Provider Jobs

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  • Account Representative (Provider Contracting Network Specialist)1199SEIU Funds(New York City, New York)

    The 1199SEIU Benefit & Pension Funds provide comprehensive health, pension, and quality of life benefits to unionized workers represented by 1199SEIU United Healthcare Workers East. We are among the largest labor-management funds in the nation, covering 400,000 members and their families. If you’re ready for the brightest career future, join us in this excellent opportunity to showcase your talent...
    Full job description at Monster

    Posted Thu 5th June

  • LCS Outside Sales Provider- West Central RegionKrones(Milwaukee, Wisconsin)

    KRONES, Inc. is a world leader in the design and manufacture of high-speed packaging equipment for the: Beer, Non-alcoholic Beverage, Milk, Wine and Healthcare industries. We continually rejuvenate our technology to create a never-failing abundance of new and innovative solutions for our customers. Continued growth has created an exceptional growth opportunity for a talented individual in our Life...
    Full job description at Monster

    Posted Tue 10th June

  • Provider Relations, Marketing, Crossroads Hospice, Oklahoma CityCrossroads Hospice(Central-Oklahoma City, Oklahoma)

    Provider Relations – Marketing Crossroads Hospice’s Oklahoma City office is seeking a highly-skilled sales professional with a unique, loyal network of relationships in hospitals, doctor’s offices and long-term care facilities in the Oklahoma City Metropolitan area. Crossroads desires the talent of a polished marketing professional with a numerically proven sales record (health care preferred), sa...
    Full job description at Monster

    Posted Thu 12th June

  • Field/Help Desk Engineer - Managed Service ProviderNetcom Solutions(Miami, Florida)

    Company Profile: A fast growing IT Managed Services Provider providing the best customer service possible thru IT. We use technology to solve business problems in ways that make a real difference to us and our clients. In addition, we work in a family-business atmosphere where our founding philosophy is based on Integrity, Trust, Loyalty, Commitment, and Accountability. Duties: Whether answering a...
    Full job description at Monster

    Posted Mon 23rd June

  • Business Development Manager Service ProviderEMC Corporation(Silicon Valley/San Jose, California)

    PRINCIPAL DUTIES AND RESPONSIBILITIES • Develop comprehensive strategic plan for Microsoft workloads and SQL that drive new paths to off-premises revenue. • Analyze and document global market for Microsoft Applications with off-premises cloud providers. • Develop paths to market. • Identify primary market drivers and gaps to exploit. • Work with Partners and partner offerings. • Market TAM specifi...
    Full job description at Monster

    Posted Wed 25th June

  • Consultant Technologist Cloud Service Provider ArchitectEMC Corporation(Silicon Valley/San Jose, California)

    You will become part of a cross functional team working to insure EMC maximizes business opportunities in the service provider communities including XaaS such as IaaS/Hosting, SaaS/ISV providers and content depots. You will help in the innovation of solutions that help EMC stay in the value chain with Enterprise customers who move their workloads off-premise. Represent EMC's broader technical and ...
    Full job description at Monster

    Posted Mon 9th June

  • Provider Relations ManagerSanta Clara Family Health Plan(Silicon Valley/San Jose, California)

    Consider a career at Santa Clara Family Health Plan a public, not-for-profit plan of over 190,000 members. We are seeking aSenior Manager, Provider Services who will be responsible for managing the Provider Services and Delegated Oversight areas within Provider Operations Department. Under general direction from Director of Provider Operations, this position is responsible for ensuring quality cus...
    Full job description at Monster

    Posted Mon 30th June

  • Provider Enrollment RepresentativeBoston Medical Center Healthnet Plan(Boston, Massachusetts)

    Job Location: Boston, MA Job Description Responsible for accurate set up of provider records in order to assure proper payment for providers. Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers. Key Functions & Responsibilities: Manages the interaction with providers and office managers to ensure that all necessary...
    Full job description at Monster

    Posted Thu 3rd July

  • Medical Provider Overpayment Collection RepCaine & Weiner(Louisville, Kentucky)

    Collections: Medical Provider Overpayment Collection Rep Caine & Weiner, a growing 80 year old company in Louisville, KY has position available for experienced full time agent to handle medical provider overpayments. Wage varies with experience. Bi-lingual, Spanish speaking a plus. Caine & Weiner is a equal opportunity employer....
    Full job description at Monster

    Posted Thu 3rd July

  • Senior Provider Relations ConsultantBoston Medical Center Healthnet Plan(Southern, New Hampshire)

    Job Location: Manchester, NH Job Description Acts as the primary operational contact between BMCHP (“Plan”) and key provider organizations, taking the lead and promoting collaboration within Plan, as it relates to provider network maintenance. Manages territory inclusive of one or more of highest priority network partnerships, as well as multiple other providers, facilities and community health ce...
    Full job description at Monster

    Posted Fri 4th July

  • Provider Relations SpecialistBoston Medical Center Healthnet Plan(Southern, New Hampshire)

    Job Location: Manchester, NH Job Description Supports Provider Relations Team by addressing issues that arise related to the daily network management of the interaction between a Provider and the Plan. Provides some specialized administrative support to department(s) staff and management at all levels requiring intermediate level mastery of office applications and familiarity with office equipment...
    Full job description at Monster

    Posted Fri 4th July

  • Provider Relations RepChicago Health System(Chicago South, Illinois)

    1-2 years experience is required Reporting to the Director of Provider Relations and Contracting this position acts as the primary liason and provides problem resolution between the Chicago Health Systems (CHS) network of physicians, CHS and the Managed Care Plans. Performs contracting and education/training to physicians and their office personnel regarding CHS and Plan processes/systems. Level o...
    Full job description at Monster

    Posted Mon 7th July

  • Credentialing/Provider Enrollment SpecialistBroad Waverly Staffing LLC.(Central, New Jersey)

    START ASAP, INDEF. ASSIGN, 9-5PM, BUSINESS CASUAL DRESS *MED BILLING OR PROVIDER ENROLLMENT EXP PREF'D *WILL BE ASSISTING IN SETTING UP THE DIFFERENT PROVIDERS. COMPLETION AND DATA ENTRY OF PROVIDER APPLICATIONS- MAKING SURE HARD COPIES GET ENTERED INTO IN-HOUSE SYSTEM *MUST HAVE ATTENTION TO DETAIL AND MAKE SURE ALL PARTS OF ENROLLMENT FORMS ARE COMPLETED- IF SOMETHING IS MISSING, NEED TO CONTACT...
    Full job description at Monster

    Posted Tue 8th July

  • Provider Relations RepresentativePreferred One(Minneapolis, Minnesota)

    Provider Relations Representative PreferredOne Golden Valley, MN PreferredOne Administrative Services, Inc. (PreferredOne), a health and welfare benefits administrator which offers a full-range of products, services and networks to its health plan and insurer affiliates and to brokers, employers, members, insurance companies and third-party administrators, has twoopenings for a Provider Relations ...
    Full job description at Monster

    Posted Tue 8th July

  • Assistant Manager (Child Care Programs/Provider Payments)1199SEIU Funds(New York City, New York)

    The 1199SEIU Child Care Funds helphealthcare workers balance family and work responsibilities through affordable child care, youth and educational programs. We provide services to unionized workers represented by 1199SEIU United Healthcare Workers East. The Funds offer benefits to over 12,000 children with after-school programs, summer and holiday camps and college preparation courses. If you’re r...
    Full job description at Monster

    Posted Tue 8th July

  • Provider Services Manager - Permanent JobYoh(Silicon Valley/San Jose, California)

    Company: Yoh Senior Provider Services Manager needed for a direct hire opportunity with Yoh's client located in Santa Clara, CA. Top Skills Should You Possess: - Health Care and Provider Services Experience - Management Experience What You'll Be Doing: - Supervise Provider Services Staff and Delegation Oversight Staff - Leads the expansion and maintenance of a network of qualified providers, inclu...
    Full job description at Monster

    Posted Tue 8th July

  • Regional Provider And Contract ManagerNorth Country CMH(Northern, Michigan)

    Regional Provider & Contract Manager for a 21 county behavioral health system for Northern Michigan Regional Entity. Responsible for the day-to-day management, including policies, procedures, contract management, network development, & appeals. Focus is on provider panel maintenance, development and contracting. Substance use disorder knowledge preferred. Requires ability to understand & develop c...
    Full job description at Monster

    Posted Wed 9th July

  • Supv Provider ContractingMolina Healthcare(Columbus/Zanesville, Ohio)

    Job Summary Supervises a team of Provider Contract Specialists and Provider Contracts Coordinators to effectively create required contract documents according to standardized policies and procedures, documents all negotiations and implements/oversees tracking systems. Maintains standardized contract tracking system and publishes reports according to departmental procedures. Essential Functions • O...
    Full job description at Monster

    Posted Wed 9th July

  • Provider Audit SupervisorBoston Medical Center Healthnet Plan(Boston, Massachusetts)

    Job Location: Boston, MA Job Description Job Summary: Responsible for the daily supervision and operation of the Provider Audit teams which include Coding and Compliance Auditors and Clinical Auditors. Trains staff, assigns work, implements policies and procedures, and resolves complex issues to ensure accurate, cost effective and compliant operations. Maintains compliance with state and federal r...
    Full job description at Monster

    Posted Thu 26th June

  • Manager, Appeals And Grievances (Provider Inquiry R & R)Molina Healthcare(Milwaukee, Wisconsin)

    Job Summary Responsible for all Provider Inquiry and Resolution for the Plan. Also responsible for the submission/resolution of Provider Inquiries and/or Dispute Resolutions. Includes proactive assessment and audit of business processes to determine those most effective to efficiently and effectively resolve Provider problems. Ensures documentation and reports are completed according to regulation...
    Full job description at Monster

    Posted Thu 10th July

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