Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its cente...
As the product manager for the Provider Coding pod, your goal is to discover and develop a solution for one of the most pressing problems that providers are facing today: how to ensure that they get paid appropriately, and how to accomplish this in an environment of increasing costs and fewer people...
Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provider education, including writing and updating orientation materials. Acts as a liaison between Tier III and Tier IV providers (small to medium PCP gro...
The Provider Enrollment Specialist is responsible for managing the payer enrollment and revalidation processes for clinicians within Netsmart's client network. This role ensures that all healthcare providers are properly enrolled with payers and that their credentials are kept current to maintain co...
This role is responsible for setting the Specialty Pharmacy Provider (SPP) strategy for Pfizer’s products to drive optimal medication access and patient adherence. Responsibilities include working with the brand teams to develop patient support programs, in conjunction with Specialty Pharmacy Provid...
In order to maintain exceptional quality and member experience on our platform, the opportunity to work on the CirrusMD Provider Network team is limited to high performing providers who have proven the ability to manage patients effectively and efficiently, while earning high patient satisfaction sc...
Product Manager, Provider Workflows, you will partner directly with our clinical teams to improve the clinical quality and efficiency of our clinical workflows. ...
Create the future of e-health together with us by becoming a Provider Enrollment Specialist. Compiles and maintains current and accurate data for all providers. Completes provider enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed. Maintains co...
Sandata is uniquely positioned as a software technology vendor serving both Payers and Providers in this growing segment of the healthcare market. The company is experiencing significant growth and is now looking for a Regional VP, Provider Sales to support that growth. In this role you will be resp...
You will partner with the Arista Account Managers to understand Service Provider pain points and conduct white board network architectural reviews in addition to conducting product presentations of Arista’s Open Networking Data Center, Service Provider Edge, 5G Edge, Cloud Grade Routing an...
Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved provider performance. Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes. Develop strategic partnerships between the health plan ...
Curana’s Provider Network Management team is looking for an enthusiastic and motivated individual to fill the critical role of Provider Network Analyst. As an Analyst, you will play a vital role in building and maintaining a robust provider network and ensuring the accuracy of provider information. ...
Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory. Works with other departments to ensure quality provider data to our members. Conducts and m...
Providers (Physicians, Physician Assistants and Nurse Practitioners) and Radiologic Technologists. ...
Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.Datavant has a network of network...
The ideal Guidehouse Commercial Healthcare Payer/Provider candidate will have experience in the healthcare industry, preferably in performance improvement within Health Systems, Hospitals, Health Plans or Physician Groups. He/she will work on the Guidehouse Commercial Healthcare Operational Effectiv...
As the Director of engineering for the Provider connections group, you will lead a dynamic team dedicated to building the world’s largest healthcare data connectivity platform. Your role is pivotal in driving the adoption and scalability of our connectivity solutions, contributing to the growth and ...
Create the future of e-health together with us by becoming a Provider Enrollment Account Manager. Compiles and maintains current and accurate data for all providers. Complete Statewide credentialing/recredentialing applications to add providers to commercial payers, Medicare, and Medicaid. Track lic...
The Senior Provider Relations Consultant (Snr PRC) is responsible for managing an assigned territory of professional and facility behavioral health providers to enhance their relationships with WellSense Health Plan across Medicare, Medicaid and Commercial products. The Snr PRC serves as primary lia...
Lead an organization responsible for implementing and managing a Provider Partnership Model that represents the Operations organization across Centene, defining an integrated provider operations strategy, corresponding roadmaps and initiatives delivery in support of that integrated strategy, and par...
Provider-side experience in a health system, hospital strategy. Solid background in broad-based provider financial modeling 3+ yrs. Provider-side experience in a health system, hospital strategy. ...
The PNR partners with Provider Relations in the provider contracting process; in researching provider inquiries; in identifying and creating Best Practices; and providing an overall seamless level of customer service to the provider network. This position maintains provider networks to overall persi...
The Provider Enrollment Specialist, using his/her knowledge of SCP Health policies in conjunction with insurance carrier credentialing and enrollment requirements, facilitates provider enrollment and billing privileges on behalf of all SCP Health applicants through coordination of insurance plan enr...
We are seeking a Channel Development Manager, Service Providers who can evangelize Intermedia’s unique value propositions for our solutions, including UCaaS, CCaaS and other business collaboration tools, and differentiate our service provider program in a compelling manner to prospective partner exe...
Care@Work, by , is the fastest-growing provider of backup child care. As a Childcare Provider, with our Care@Work business unit, you will have the opportunity to care for children of multiple families in your area! You will be responsible for creating a safe, nurturing, and stimulating environment f...