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38 provider engagement administrator i jobs found

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Full time  (14) Part time  (1)
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Cambridge, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Lowell, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Lawrence, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Boston, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Fall River, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Careers Somerset, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
CM
Dec 03, 2023
Provider Engagement Administrator I
Centene Medicare Careers Cambridge, MA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Ida, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This is a field-based position and will travel to Houma, LA or Thibodaux, LA. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Crowley, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary contact for providers...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Collinston, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary contact for providers...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Ball, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary contact for providers...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Collinston, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This is a field-based position and will travel to Houma, LA or Thibodaux, LA. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Crowley, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This is a field-based position and will travel to Houma, LA or Thibodaux, LA. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Ida, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR analysis. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim resolution. Serve as primary contact for providers...
LH
Dec 03, 2023
Provider Engagement Administrator II
Louisiana Healthcare Connections Ball, LA, USA
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This is a field-based position and will travel to Houma, LA or Thibodaux, LA. Position Purpose: Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Facilitates provider trainings, orientations, and coaches for performance improvement within the network and assists with claim...
Sound Physicians
Dec 03, 2023
Emergency Medicine Physician – Sierra Vista, AZ
Sound Physicians Phoenix, AZ, USA
To our prospective teammates, I am the medical director for the Sound Physicians emergency medicine (EM) practice at Via Christi Manhattan, in Manhattan, Kansas. I’ve been a part of Sound for the past three years and the emergency medicine team for the past seven years. I extend a warm welcome to physicians who are seeking new opportunities or are embarking on a career change. Allow me to provide you with insights into our organization, focusing on our dedicated people , our clinical practice , and our unwavering purpose as you contemplate your next steps: People? Join our established, close-knit team of six physicians and two practice providers. We value humor, persistence, and a family-like bond, taking a genuine interest in each other’s lives. All clinicians in the group, physicians and APPs, work and communicate well with each other. We thrive on the diversity of our clinicians, hailing from diverse geographic, educational, and training backgrounds. We continuously learn from...
Healthcare
Bridgestone
Dec 02, 2023
Full time
Director of Internal Audit
Bridgestone Brook Park, OH, USA
Company Overview Credit First National Association is a private label credit card bank and the consumer credit division of Bridgestone Americas. The Bridgestone Americas family of enterprises, including CFNA, is comprised of more than 50 production facilities and 55K employees throughout the Americas. We provide the consumer credit solution for the Firestone Complete Auto Care, Tires Plus, and Wheel Works brands, in addition to customized retail credit services for more than 8,000 other tire and automotive retailers nationwide. At our office in Cleveland, OH, more than 300 professionals gather each day to run a successful private label credit card program. We invest in our community and strongly believe that meaningful commitment to a wide variety of philanthropic organizations builds a better world and a brand that makes us proud. Job Category Legal, Compliance & Audit Position Summary...
Duke Energy
Dec 02, 2023
Full time
Supply Chain Accounts Payable P2P Analyst I (Charlotte, NC Virtual)
Duke Energy Burnsville, NC, USA
More than a career - a chance to make a difference in people's lives. Build an exciting, rewarding career with us – help us make a difference for millions of people every day. Consider joining the Duke Energy team, where you'll find a friendly work environment, opportunities for growth and development, recognition for your work, and competitive pay and benefits. Position Summary Depending upon the desired qualifications of the successful applicant, the hiring manager may elect to fill this position at a higher level within the job hierarchy. Accounts Payable is responsible for ensuring over $20 billion in invoicing/payment transactions move appropriately through multiple ERP systems; the administration of over $200 million in corporate credit card transactions; setup and maintenance of the Vendor Master, and ensure appropriate tax reporting guidelines for approximately 25,000 active vendors. Employees are responsible for day-to-day operations including but not...
Accounting / Finance
Dec 02, 2023
Registered Nurse (RN) - Acute Care- Medical/Telemetry
Denver, CO, USA
We are recruiting for a Registered Nurse (RN) - Acute Care- Medical/Telemetry to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 5 West - Oasis Unit 5W Oasis Transitional Care Unit (OTCU) is a 14-bed inpatient unit which provides care for patients with complex discharge barriers. Oasis has a diverse, interdisciplinary team to creatively address these barriers in an innovative, holistic care environment. Quality treatment for patients with multiple medical and psychosocial needs is provided by integrating nursing care and psycho-social assessment. This team facilitates meaningful, patient activities such as music, art and wellness programs. Each patient is treated with dignity and their strengths are identified in the highly personalized care provided....
Healthcare
TC
Dec 02, 2023
History Professor - Part-Time
Tacoma Community College Fircrest, WA, USA
Who We Are Tacoma Community College is a public two-year institution that serves a diverse population of approximately 14,000 students. We embrace our identity as a community college and strongly encourage applications from candidates who recognize and honor the important role that equity, diversity, and inclusion brings to an educational community. Our stated mission is to create meaningful and relevant learning, inspire greater equity, and celebrate success in our lives and in our communities. We are recognized nationally as an, Achieving the Dream "leader college" and our faculty are engaged in innovative work to improve student retention and program completion. According to the Community College Survey of Student Engagement, TCC ranks high on measures of active learning and academic challenge, thanks to our creative and scholarly faculty. We seek to recruit and retain a workforce that: Reflects the diversity of our community. Values intellectual curiosity and innovative...
Education / Training
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