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Responsible for managing the network provider relations and contracting staff Set team direction, resolve problems and provide guidance to members of the team Adapt departmental plans and priorities to address business and operational challenges Interface with claims analyst, claims department, and providers in resolving claims issues Responsible for managing all TennCare Medicaid contract deliver
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Assists providers in understanding the CMS HC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding. Monitors Stars quality performance data for providers and promotes improved healthcare outcomes Utilizes analytics and identifies and target providers for Medicare Risk Adjustment training and documentation/c
Posted Today
Job Description Account Manager Omnicare, Inc. is a wholly owned subsidiary of CVS Health Corporation. What We Do Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations. The
Posted 19 days ago
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Manager of Network Contracting develops the provider network (physicians, hospitals, ancillary groups &
Posted Today
UnitedHealth Group
- Brentwood, TN / Memphis, TN / Chattanooga, TN / 1 more...
You've been working your way to this opportunity for some time now. You've learned to lead. You've build a deep expertise in health care network operations. You've set your sights on having more impact in more ways. It's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. We're driving ever higher levels of sophistication in how pro
Posted 6 days ago
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work . The Network Contract Support Specialist manages network participation agreements with physician medical practi
Posted 10 days ago
At Optum, we're using leading edge technology to create the health care system of tomorrow. When you join us as a Business Process Consultant, you'll become part of a team focused on innovation and change. You'll work a little harder. You'll aim a little higher. You'll expect more from yourself and others. And at the end of the day, you'll be doing a lot of good. Through a lot of inspired individu
Posted 24 days ago
Acquire and maintain knowledge of Rogers Group business activities and policies Establish working relationships with management, peers, internal audit staff and other internal and external stakeholders Executing the audit process planning, interviewing, identifying risks/controls, establishing objectives, and executing audit tests Draft management and audit committee reports to clearly communicate
Posted 1 month ago
Job Reference # 167136BR Business Divisions Corporate Center Your role Are you detail oriented, even when multitasking? Do you know how to shine in a supporting role? We're looking for someone like that to help us undertake preparatory work, transaction processing, and control and reconciliations tasks provide support and advice for front and middle office staff interface with internal and externa
Posted 1 month ago
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