PROVIDER NETWORK OPERATIONS CLAIMS jobs in UNITED STATES, United Kingdom #4

together. Provider Reimbursement Operations Solutions, Reimbursement Operation Specialist, UnitedHealthcare Community & State... organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services...

Reach me on Tel: (240) 800-0039 |Email: Position: Credentialing Provider Location: Baltimore, MD # Hybrid position... Contract to Hire Job Description: * This role will credential practitioners for network participation with CareFirst...

is required, with experience in Provider Networks, Contracting, Claims Processing, or Managed Care Operations are strongly preferred... to lead nationally in innovating equitable whole-person health. The Provider Network Services Provider Partnership Associate...

will also include directing and implementing strategies relating to the development and management of a provider network, identifying... claims. In this role you will serve as the primary contact point and face of UHC to the provider and play a significant role...

application operations and enrollment processes, ensuring compliance with required timeframes for timely and accurate provider... policies, network reimbursement and delegated contracts to ensure timely and continued provider participation. Maintains...

and/or provider network experience Experience working with claims data and inaccurate payments facing out to the provider Experience... together. UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services...

policies and procedures and CHC provider contractual materials. Monitors the outcomes metrics for the network's performance...-functional Duties: Works with the Finance, Analytics, Quality, Provider Operations, Medical Affairs, and Executive Team...

analyses and resolution related to provider concerns, grievances, claims and care delivery Prepare materials and participate...***Must live in the Houston Area. SUMMARY: Serves as primary contact for providers and provider staff to assist in...

analyses and resolution related to provider concerns, grievances, claims and care delivery Prepare materials and participate...***Must live in the Houston Area. SUMMARY: Serves as primary contact for providers and provider staff to assist in...

and/or Professional providers and EmblemHealth. Responsible for day-to-day operations for all activities related to contracts with minimal... supervision and direction, contract optimization, implementation of new programs and to assist with provider issues, education...

but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing...LOCATION: Can be based in Houston, Austin or San Antonio, TX PROVIDER CONTRACTING ADVISOR This position serves...

several of the following areas: Provider relations, managed care operations (e.g., claims, appeals, grievances, customer service... Behavioral Health Provider Network. Job Summary This position serves as a primary liaison between CareOregon and the provider...

but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing...LOCATION: Can be based in Houston, Austin or San Antonio, TX PROVIDER CONTRACTING ADVISOR This position serves...

%) Communicates updated payer enrollment information including payer provider numbers to practice operations in a timely manner...Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Coordinates and facilitates the enrollment...

departments, operations, claims, and provider relations to ensure interdepartmental collaboration and coordination of goals... Web-Ex. Acts as a liaison between strategic providers and Beacon clinical, quality, provider strategy, network...

language, service, claims or compensation issues, and provider education needs. Additionally, you will: Research and handle... contract related issues (ability to research and deep dive). Claims research related to provider set up issues, payment...

relates to provider network maintenance. Manages territory inclusive of one or more of highest priority network partnerships... to territory and provider operations such that interrelationships among other area providers are considered Facilitates timely...