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Job Description Job Title: Provider Relations Representative Department: Provider relations Reports To: Provider Relations Manager FLSA Status: Full time Preferred IPA is one of the leading independent physician associations in Los AngelesCounty with a network of nearly 1000 primary and specialty care providers. We are seeking a Provider relations representative who will be responsible for success...
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Posted Fri 22nd March
Provider Relations Representative Position Summary Responsible for recruitment and contracting of qualified providers to address network access needs as well as recruitment requests. Establishes relationships with in network providers that facilitates communication between them and US Imaging Network. Identifies, responds to and assists in the resolution of provider related issues. Actively partic...
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Posted Fri 22nd March
Company Overview Fidelis Care, the New York State Catholic Health Plan, began in 1993 with the belief that all New Yorkers should have access to affordable, quality health insurance. Today, more than 824,000 New Yorkers in 59 of 62 counties are members, making us the largest government programs-based health plan in New York State. With a statewide presence and long-standing commitment to serve tho...
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Posted Tue 2nd April
If you are looking to make extra money we have the job for you. Pay is better than what you receive during a normal 8 am - 5 pm job. We need a provider (MD, DO, PA or NP) that can work: Monday - Thursday 5 pm - 9:30 pm, Friday 1 pm - 9:30 pm, and Saturday 8 am - 3 pm. The number of days you work is negotiable, except for Saturday. Job is available immediately. We have been practicing for 30 years ...
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Posted Fri 5th April
Provider Relations – Marketing We're Growing Again! Crossroads Hospice’s Saint Louis office in Maryland Heights 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 greater Saint Louis area. Crossroads desires the talent of a polished marketing professional with a numerically proven sales re...
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Posted Sun 14th April
We are a premier provider of support services to Houston-area veterinarians. Over the past 25 years, we have worked with hundreds of clinics in Houston and the surrounding counties. We are expanding, and looking for additional personnel. Duties will primarily involve transportation of pets from veterinary clinics to our locations. Some equipment operation may also be required (on-site training wil...
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Posted Wed 17th April
Provider Network Analyst/Coordinator Position Summary Responsible for supporting management by providing necessary reports which demonstrate network profile activity, rate reimbursement and cost impact as well as department productivity. Supports credentialing and re-credentialing initiatives by identifying providers whom must submit required documentation, tracking their status and reporting to m...
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Posted Fri 19th April
HEALTH CARE PROVIDER POSITIONS Available Now! Are you looking for a compassionate caring environment to grow and share your skills? Come and work with our reliable staff. We have the place to start your new career! Part-time and full-time positions available on all shifts. Apply now for the shift of your choice. Must pass background check and pre-employment drug screen. Applications available onli...
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Posted Sun 21st April
Description Job duties include but are not limited to the following: - Develops and implements effective and efficient audit processes that meet CMS standards and requirements - Establishes criteria, processes and procedures for conducting risk adjustment compliance audits of Medicare providers - Provides advance specialized training and development for audit personnel within the Medicare Reconcil...
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Posted Sun 21st April
Description Job duties include but are not limited to the following: *Manage the PCS department including the issue management area, transaction management, clinical product development, PCS business compliance, and EDI product management area *Lead execution of complex compliance projects (e.g., 5010 ICD-10, administrative simplification) and prepare for future state. Utilize strong program manag...
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Posted Tue 23rd April
University Health & Counseling Services The University of Wisconsin – Whitewater invites applications for a Mid-Level Provider (Physician Assistant or Nurse Practitioner. The University Health & Counseling Services (UHCS) values clinical excellence, collaboration, time-sensitive care, and has a deep commitment to the personal and academic development of university students. A Mid-Level Provider pr...
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Posted Tue 23rd April
Smart Start of Forsyth Count (SSFC) is seeking to fill a Provider Services Specialist position. This position will be the first point of contact for clients and visitors accessing services in person or by telephone and responsible for entering and pulling data; providing training and technical assistance in relevant service areas. Must have Associate degree, BA/BS preferred, in relevant field. Exp...
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Posted Tue 23rd April
Capital Area Behavioral Health Collaborative, Inc. Provider Network Specialist CABHC Inc. is a Harrisburg, PA based non-profit company that provides contract management and quality oversight of the Medicaid HealthChoices Behavioral Health Program for the Counties of Cumberland, Dauphin, Lancaster, Lebanon, and Perry. CABHC is currently looking for a Provider Network Specialist. This position is in...
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Posted Wed 24th April
Provider Information Management (PIM) Analyst I Position Summary Perform timely and accurate entry of provider demographic, contract affiliation, and fee schedule information into the health plan system. Accurately interpret requests and configure provider data to ensure that accuracy and claims adjudication is optimized. Duties and Responsibilities Receive information from outside party (ies) for...
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Posted Wed 24th April
Support provider/physician Contract Administration Process through New Direction preparation arrangements loading of contracts and collection of necessary application documents for delegated credentialing, assessment and determination of appropriate contract in relation to the proper set up of the new contract within PIP and Diamond systems for all contracts. Accurately determine if provider requi...
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Posted Wed 24th April
Our Employees Are valued and empowered, collaborative and team oriented, innovative in their approach and passionate about their work. They are reliable, trustworthy and open with a high level of integrity. They value diversity, are inclusive and are committed to a global mindset. Position Summary: The Service Provider Security Solutions Architect (SP SSA) is a technical customer service role supp...
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Posted Wed 24th April
Manager Provider Network Administration POSITION SUMMARY Responsible for the daily operations of assigned Provider Information Management (PIM) Units (assuring that department, federal and state specific standards are maintained and that overall PIM processing accuracy is attained and maintained) and business analyses of State and provider contracts, benefits and fee schedules to ensure Plan's Con...
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Posted Wed 24th April
Home healthcare provider needed in Hamilton, Mt. to assist disabled man with daily activities (dressing and transfers). 1.5 h in am and 1.5 h in pm so you can work another job. Will train. Hourly wage of 15/h or live-in (room, board, stipend). Call 406-369-4077 after 5....
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Posted Thu 25th April
Cisco's has changed the way the world works, lives, plays, and learns. Our vision today is more relevant today than ever. Now we are focusing on Internet of Everything — an era where we'll drive unprecedented value by connecting the unconnected. The Internet of Everything is global driving the biggest market transition ever - the intelligent connection: of people, of process, of data and things. H...
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Posted Wed 24th April
MOLINA HEALTHCARE - VP PROVIDER SERVICES Job Summary Plans, organizes, staffs, and coordinates all activities of the State Plan's Provider Network Management and Operations Department. Works with staff and Senior Management to develop and implement provider contracting strategies and provider service strategies to contain unit cost, improve member access and enhance Provider satisfaction with the ...
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Posted Thu 25th April
Employment will always be available in the Armed Forces. Every year as military personnel retire, new members are needed to take their places. Enlistment requires a service contract to mandate how long you will serve. Passing of a physical exam and other standards must also be met prior to entry. Options are available to get money toward college tuition with service and to retire with a pension. Some retirees are young enough to start new careers. This employment can be very rewarding, but can also be very dangerous, even during peacetime. Hours and duties may vary considerably.
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