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Provider Jobs in New Orleans, LA

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Last updated: 1 day ago
  • Promoted
Provider Engagement Account Manager

Provider Engagement Account Manager

CenteneNew Orleans, LA, US
Full-time +1
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...Show moreLast updated: 30+ days ago
Provider Engagement Account Manager

Provider Engagement Account Manager

Louisiana Healthcare ConnectionsNew Orleans, LA, US
Full-time +1
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo...Show moreLast updated: 30+ days ago
  • Promoted
Advanced Practice Provider - Instructor - GI

Advanced Practice Provider - Instructor - GI

Tulane UniversityNew Orleans, LA, United States
Full-time
Position will assist Tulane Gastroenterology and Hepatology faculty physicians in the outpatient setting.They will develop protocols and plans of treatment under physician supervision and assist in...Show moreLast updated: 30+ days ago
  • Promoted
Advance Practice Provider (NP or PA)- Hematology Oncology

Advance Practice Provider (NP or PA)- Hematology Oncology

LCMC HealthNew Orleans, LA, United States
Full-time
At LCMC Health we help you to lean into your calling by leaning in with you, ensuring you have the resources to do your job as only you can. And that begins with receiving the support you need to th...Show moreLast updated: 30+ days ago
Advance Practice Provider (NP or PA)- Hematology Oncology

Advance Practice Provider (NP or PA)- Hematology Oncology

Children's Hospital New OrleansNew Orleans, Louisiana
Full-time
At LCMC Health we help you to lean into your calling by leaning in with you, ensuring you have the resources to do your job as only you can. And that begins with receiving the support you need to th...Show moreLast updated: 30+ days ago
Finance Provider Specialist

Finance Provider Specialist

Sentara HealthcareNew Orleans, LA, US
Full-time
The Finance Provider Specialist analyzes, audits, reconciles, researches and reports to prepare payment adjustments to reduce medical claims expense in accordance with legal statutes, policy provis...Show moreLast updated: 13 days ago
Patient and Provider Advocate

Patient and Provider Advocate

Ochsner HealthNew Orleans, LA, United States
Full-time
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,. At Ochsner, whether you work with patients.Come make a ...Show moreLast updated: 3 days ago
Patient and Provider Advocate

Patient and Provider Advocate

Ochsner Clinic FoundationNew Orleans, Louisiana, USA
Full-time
Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate. At Ochsner whether you work with patients.Come make a differe...Show moreLast updated: 3 days ago
  • Promoted
Provider Enrollment Specialist

Provider Enrollment Specialist

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Provider Enrollment Specialist to manage payer enrollment applications and documentation remotely. Key Responsibilities Complete complex government and commercial payer ...Show moreLast updated: 4 days ago
Provider Enrollment Specialist

Provider Enrollment Specialist

InfinxMetairie, LA, US
Full-time
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and inte...Show moreLast updated: 30+ days ago
Elder Care Provider

Elder Care Provider

ElderCare.comNew Orleans, Louisiana, USA
Part-time
We are seeking a part-time elder care provider to assist with home care and personal care for our family member in Baton Rouge, Louisiana. This is a live-out position with an hourly wage of $10.The ...Show moreLast updated: 30+ days ago
  • Promoted
Urgent Care Provider - Full-Time

Urgent Care Provider - Full-Time

The Urgent Care LLCNew Orleans, LA, United States
Full-time +1
The Urgent Care is currently seeking a qualified and compassionate Physician Assistant (PA) or Nurse Practitioner (NP) to join our clinical team. This position requires flexibility and a willingness...Show moreLast updated: 30+ days ago
  • Promoted
Provider Business Operations Senior Associate

Provider Business Operations Senior Associate

Louisiana StaffingNew Orleans, LA, US
Full-time
Corporate Technology Strategy Consulting.At PwC, our people in Corporate Technology Strategy consulting specialize in providing consulting services on optimizing operational efficiency and effectiv...Show moreLast updated: 5 days ago
Provider Engagement Account Manager

Provider Engagement Account Manager

Centene CorporationMetairie, Metairie Ctr, 2424 Edenborn Ave, Ste 450, US
Remote
Full-time +1
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ha...Show moreLast updated: 30+ days ago
Qualified Mental Health Provider

Qualified Mental Health Provider

My Sisters Voice HealthcareNew Orleans, LA, US
Full-time
Open Interviews will take place MONDAY-FRIDAY between 10am and 12pm.No phone interviews are being conducted for this position. Location 909 Avenue C Marrero, LA 70072.Please bring a copy of you...Show moreLast updated: 30+ days ago
New Provider Liaison - Veterans Evaluation Services

New Provider Liaison - Veterans Evaluation Services

MaximusNew Orleans, LA, US
Full-time
Description & Requirements Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. The New Provider Liaison (NPL) is responsible for support...Show moreLast updated: 5 days ago
Urgent Care Provider - Part-Time

Urgent Care Provider - Part-Time

The Urgent CareGretna, LA, US
Full-time +1
The Urgent Care is currently seeking a qualified and compassionate Physician Assistant (PA) or Nurse Practitioner (NP) to join our clinical team. This position requires flexibility and a willingness...Show moreLast updated: 30+ days ago
  • Promoted
New Provider Liaison - Veterans Evaluation Services

New Provider Liaison - Veterans Evaluation Services

MAXIMUSNew Orleans, LA, United States
Full-time
Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team.The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted m...Show moreLast updated: 4 days ago
Outside F&I Product Provider - Outside Sales - Traveling Salesman

Outside F&I Product Provider - Outside Sales - Traveling Salesman

C Berman & AssociatesNew Orleans, LA, US
Full-time
C Berman Associates is expanding and looking for individuals that will be responsible for acquisition, development, performance and management of automotive accounts. A high performance individual w...Show moreLast updated: 1 day ago
People also ask
Provider Engagement Account Manager

Provider Engagement Account Manager

CenteneNew Orleans, LA, US
30+ days ago
Job type
  • Full-time
  • Part-time
Job description

Job Opportunity

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

  • NOTE : For this role we are seeking candidates who live in Louisiana, preferably, one of the following parishes, Orleans, Jefferson, or Plaquemines

Position Purpose : Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.

  • Serve as primary contact for providers and act as a liaison between the providers and the health plan
  • Triages provider issues as needed for resolution to internal partners
  • Receive and effectively respond to external provider related issues
  • Investigate, resolve and communicate provider claim issues and changes
  • Initiate data entry of provider-related demographic information changes
  • Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
  • Perform provider orientations and ongoing provider education, including writing and updating orientation materials
  • Manages network performance for assigned territory through a consultative / account management approach
  • Evaluates provider performance and develops strategic plan to improve performance
  • Drives provider performance improvement in the following areas : Risk / P4Q, Health Benefit Ratio (HBR), HEDIS / quality, cost and utilization, etc.
  • Completes special projects as assigned
  • Ability to travel locally 4 days a week
  • Performs other duties as assigned
  • Complies with all policies and standards
  • Direct Provider Engagement : Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices.
  • Value-Based Care Model : Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care.
  • Performance Management : Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets.
  • Education / Experience : Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS / Quality measures, cost and utilization. Pay Range : $55,100.00 - $99,000.00 per year

    Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act