of medication 5339’s, referrals, transportation records, obtaining provider records and all performance contract measures. Reviews... are strong, and communities are vibrant. LSF is looking for a talented Case Management Support Specialist Supervisor who wants to make an impact...
Job Summary: The Provider Contract Specialist (PCS) is responsible for recruiting, contracting, and onboarding... of delivering accurate, compliant Disability Benefit Questionnaires (DBQs) for Veterans. This role manages the full provider...
to contracts, contract optimization, implementation of new programs and to assist with provider issues, education materials... and communicate contract terms, payment structures, and reimbursement rates to providers. Remain current on provider reimbursement...
Job Posting Title EGID Provider Contracting Specialist Agency 807 HEALTH CARE AUTHORITY Supervisory Organization... at our Oklahoma City office. Position Purpose The Provider Contracting Specialist I is responsible for managing provider contracts...
Description : The Provider Relations Specialist assists providers via phone and email with bill review questions.... The Provider Relations Specialist acts as a positive and professional representative of our CorVel family. The role...
Job Description: The Provider Relations Specialist II serves as a liaison between the company and internal... providers regarding participation status, credentialing, and contract-related questions. Process new provider applications...
Requisition No: 869838 Agency: Children and Families Working Title: Operations Review Specialist (Provider... Engagement Specialist) - 60004408 Pay Plan: Career Service Position Number: 60004408 Salary: $65,000 Posting Closing...
Requisition No: 869838 Agency: Children and Families Working Title: Operations Review Specialist (Provider... Engagement Specialist) - 60004408 Pay Plan: Career Service Position Number: 60004408 Salary: $65,000 Posting Closing...
and offers Medicare Prescription Drug Plans in 42 states plus DC. Why This Role Matters: The Provider Contracting Specialist supports... and recruiting targeted specialties and geographic areas. Maintain and update provider demographic data and contract...
with the flexibility of virtual work in the contiguous states plus AK. The opportunity: Provider Enrollment... and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing...
with the flexibility of virtual work in the contiguous states plus AK. The opportunity: Provider Enrollment... and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing...
Position Summary: The Provider Network Development Specialist is responsible for identifying, contracting... network growth and adequacy requirements. Negotiate contract terms, rates, and service agreements with providers. Prepare...
states as needed As a Provider Outreach Specialist (Oncology), you will play a vital role in driving physician awareness... pharmaceutical companies, contract research organizations (CROs), and healthcare systems to accelerate drug development and expand...
to neighboring states as needed As a Provider Outreach Specialist (Oncology), you will play a vital role in driving physician... pharmaceutical companies, contract research organizations (CROs), and healthcare systems to accelerate drug development and expand...
& Referral - QRIS Program (Child Development) Coaching Specialist Position is 100% On-Site - Los Angeles CA 90056 What We're... Looking For: We are seeking a QRIS Program Coaching (PC) Specialist who will deliver Quality Rating Improvement System (QRIS) coaching...
COOP / Continuity Specialist Role Summary The COOP Specialist ensures mission continuity by developing, maintaining... on contract win. Summit is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration...
Help Desk Specialist - Tier 2 Role Summary The Tier 2 Help Desk Specialist provides advanced application support... Secret clearance *Position contingent on contract win. Summit is an equal opportunity/affirmative action employer...
group enrollment for each provider when a new contract is negotiated with a health care plan. Performs other duties... care plan provider relations and representatives regarding participation and claim issues. Maintains a physician grid...
by our recruitment and hiring teams. What You Will Do Professionally manages all aspects of an assigned SCMG provider region. Works... within SCMG. Specifically, recruit, orient and provide ongoing service to providers and ensure provider adherence to policies...
by: using comprehensive foundational knowledge of provider/contract operations to consult on issues that arise from contract... National Provider Relations structure and framework. The role partners closely with the National Provider Relations leader...