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Referral Specialist
Intermountain Medical Group Denver LLC
Liaison between patient, clinic, and insurance carrier to set details related to upcoming visit with Intermountain providers or scheduled procedures prior authorization requirements.…
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Clinical Investigator II
BMC Company 100
Partners with internal departments (e.g., Claims, Medical Management, Legal, Provider Relations) to implement corrective actions such as provider education, prepayment review, payment…
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Clinical Investigator II
BMC Company 100
Partners with internal departments (e.g., Claims, Medical Management, Legal, Provider Relations) to implement corrective actions such as provider education, prepayment review, payment…
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Referral Specialist
Banner Health Corporate
…Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient…
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Provider Engagement Account Manager
Centene Management Company LLC
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…
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Provider Engagement Account Manager
Centene Management Company LLC
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…
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Provider Engagement Account Manager
Centene Management Company LLC
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…
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Applications Analyst-Clinical-Sr
Eisenhower Medical Center
6.Analyzes current systems and processes in order to identify opportunities for improvement in patient care, provider productivity, financial outcomes and ancillary relations or cost…
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Microsoft Power Pages Configuration Specialist / Business Analyst
Conduent
Experience gathering and documenting business requirements from provider operations, provider relations, network management, and credentialing teams.
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Call Center Clerk
WESTERN GROWERS ASSURANCE TRUST
…will also serve as backup for telephone and web-based member/provider…
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Customer Care Rep II - Fully Remote!
SKYGEN
Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers…
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Senior Provider Engagement Network Specialist
Centene Management Company LLC
Act as the internal and external liaison for provider networking, maintaining positive working relationships with participating physicians, participating physician groups (PPG’s),…
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Network Recruitment and Development Specialist
Workplace Options
Reporting to the Vice President, Provider Relations, this position is responsible for continued development of PPO network, PPO rate negotiations, and orientation of providers.
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Bilingual Customer Care Rep - Remote - 1st shift!
SKYGEN
Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers…
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Provider Network & Wraparound Funding Specialist
Advanced Behavioral Health, Inc
· orientation and education of providers to credentialing policies and procedures, collection of quality of service information, and provider relations.
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Physician Relations Coordinator - Physician Relations
ECU Health Medical Center
Position Summary The Physician Relations Coordinator serves as a key connection between ECU Health Medical Center, medical staff, attending physicians, advanced practice providers (APPs),…
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Customer Care Rep II - Part Time - Fully Remote!
SKYGEN
Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers…
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Managed Care Contracting and Performance Advisor
Guidehouse Managed Services LLC
Relevant experience coming from a healthcare provider, central business office environment, managed care, contracting, healthcare finance, payer relations, related healthcare administrative…
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Credentialing Liaison
Commonwealth Pain & Spine
Seve as primary day-to-day liaison to the outsourced credentialing partner and monitor enrollment, recredentialing, payer loading, and outstanding deliverables.
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Behavioral Health Network, Senior Analyst
Aetna Resources, LLC
…development, maintenance, and optimization of the Behavioral Health provider network, with a primary focus on Applied Behavior Analysis (ABA) providers and related autism services. This…
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Independent Contractor - Engagement and Customer Service Partner in Anguilla
Identity Digital
…requires supporting Identity Digital communication and Public Relations (PR) specialists with preparing materials, training and other duties in Anguilla as mutually agreed to by the…
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Vice President of Legal
E.N.T. Specialty Partners
…principles, and innovation, ESP aims to become the foremost provider of ENT services in the country. Our dynamic team prioritizes people and fosters a collaborative community of healthcare…
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Sr Strategic Provider Relationship Analyst
BlueCross BlueShield of North Carolina
Serve as the primary strategic liaison for high-value and complex provider organizations.