- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... we're committed to Making intelligence matter through our pillars of Physician -Inspired Knowledge, Unrivaled Technology and Impeccable Service. To learn more about… more
- BayCare Health System (Tampa, FL)
- …support. **Minimum Qualifications:** + Requirements include Associates with 2 years physician contracting / compensation or + Bachelors Health Administration with ... a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Physician Contracts Specialist is responsible for:** + Assisting contracts… more
- Molina Healthcare (TX)
- …and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects as ... Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Dignity Health (Rancho Cordova, CA)
- …departments to create a collaborative environment preferred. - Familiarity with CA physician contracting law desired (ie, Stark Law) preferred. \#LI-DH **Pay ... CA region.** **Position Summary:** The Community Recruitment Contract (CRC) Specialist is responsible for the preparation, review, tracking and administration… more
- Molina Healthcare (NY)
- …to business and system requirements of customers as it pertains to contracting , network management and credentialing. **JOB DUTIES** : Negotiates assigned contracts ... for physician groups and ancillary providers that result in high...configuration issues with impacted departments. * Participates in other contracting related special projects as directed. * Supportsnetwork development… more
- Nuvance Health (Danbury, CT)
- Pharmacy Purchasing Specialist Location: Danbury, CT, United States Requisition ID: 34855 Salary Range: 22.25 - 41.32 HOURLY Work Shift: 8AM-4:30PM FT/PT/PD: ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… more
- HCA Healthcare (St. Petersburg, FL)
- …want to join an organization that invests in you as a(an) Medical Office Specialist ? At HCA Florida Heart Institute, you come first. HCA Healthcare has committed up ... difference. We are looking for a dedicated Medical Office Specialist like you to be a part of our...Interfaces with the cardiology sites and patients regarding any contracting issues, verify eligibility and confirms authorization on file… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Quality Performance Specialist to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health ... Michigan, McLaren is committed to the highest levels of patient care. McLaren Physician Partners is a joint venture partnership between the McLaren healthcare System… more
- Corewell Health (Grand Rapids, MI)
- …the creation and cultivation of cross-organizational relationships. + May represent contracting at external and Joint Operating Committee meetings. May oversee ... development and implementation of network expansion and individual physician recruitment within an assigned geographic area. May be requested to present and… more
- City of Long Beach (Long Beach, CA)
- …has an immediate opening for a full-time, unclassified, at-will Community Program Specialist III in the Physician Services Bureau's Clinical Services Division. ... COMMUNITY PROGRAM SPECIALIST III Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4502337) Apply COMMUNITY PROGRAM SPECIALIST III Salary… more
- Abbott (Pleasanton, CA)
- …restore their health and get on with their lives. The **Managed Care Sales Specialist ** is responsible for key account Managed Care Sales. Managed Care sales targets ... management. + Work in partnership with available resources to develop creative contracting strategies and to close sales opportunities. + Monitors the healthcare… more
- Hawaii Pacific Health (Honolulu, HI)
- …safety. The Supply Chain Management team is dedicated to overseeing the contracting for and procurement and analysis of equipment, merchandise and supplies within ... with Supply Chain Management and Clinical Operations staff, optimizes Physician Preference Item (PPI) and consignment inventory agreements. **Location:** Hawaii… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure ... criteria, observation status criteria and documentation requirements 3. Education/Advisory a. Physician Educator I. Provide formal educational lectures and engage in… more
- Regeneron Pharmaceuticals (Rensselaer, NY)
- …with serious diseases. Founded and led for over 30 years by physician -scientists, our outstanding ability to repeatedly and consistently translate science into ... teams having end to end accountability for category management, sourcing, contracting , and supplier relationship management for assigned categories. These category… more
- Sharp HealthCare (Santee, CA)
- …possible solution to the PT Supervisor or supporting clinical lead or specialist for resolution in a timely manner.Consults and listens, effectively communicates, ... and customer service will be measured by clinical lead or Supervisor observation, physician and peer feedback, SharpStar nominations and written or verbal forms of… more
- Sharp HealthCare (San Diego, CA)
- …the situation, and then presenting it to the PT Supervisor or supporting clinical specialist (PT II or PT III) for resolution in a timely manner.Consults and ... customer service will be measured by PT Spec III or Supervisor observation, physician and peer feedback, SharpStar nominations and written or verbal forms of… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... diversity in the workplace. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York and Pennsylvania. Our… more
- Providence (OR)
- …must empower them._** **Providence Health Plan is calling a Senior Clinical Pharmacist Specialist who will:** + Serve as an expert in medication utilization and ... for members + Support pharmacy rebate and network programs through pricing and contracting strategies + Research and explain clinical and business aspects of drugs… more
- Magellan Health Services (Albuquerque, NM)
- …support of all activities related to developing and maintaining the physician , practitioner, group, and/or facility, MPPS and organization services delivery system ... adequacy standards and assure quality network. + Conducts and coordinates contracting and amendment initiatives. + Provides issue resolution and complex trouble… more
- Albany Medical Center (Albany, NY)
- …+ Interact and work closely with all units of the Hospital, Physician Practice, Marketing, Corporate Compliance, Contracting , Credentialing, and IS. + ... Planning Work Shift: Day (United States of America) The Financial Planning Specialist will be responsible for maintaining detailed databases used for routine… more