Location: Westport, CA
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 contact for providers and act as a liaison
between the providers and the health plan Triages provider issues as needed for resolution to internal partners Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider claim issues and changes Initiate data entry of provider-related demographic information changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider education, including writing and updating orientation materials Manages Network performance for assigned territory through a consultative/account management approach Evaluates provider
performance and develops strategic plan to improve performance Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
Completes special projects as assigned Ability to travel locally 4 days a week Education/Experience: Bachelor’s degree in related field or equivalent experience. 0-2 years of provider relations, provider claims/reimbursement, or contracting experience. Knowledge of health care, managed care, Medicare or Medicaid. Bachelor’s degree in healthcare or a related field preferred. Claims billing/coding knowledge preferred. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
For more details: jobs-search. org/tourism_westport-c425643/remote-admin-project-westport_i1959168146
~$1240.00-$1440.00 in weekly taxable income ~$31.00/hr-$36.00/hr Estimate assumes an 8 hour shift. Hourly rate may change based on shift length. ~$1484.00 in non-taxable stipend Actual amount subject to eligibility and seasonal/annual adjustments CT Tech 13 weeks 8s, days, Monday - Friday ARRT: CT; CA license; AHA BLS Position: Technologist Specialty/Modality: Computed Tomography Licenses/Certifications: CPR/BLS (Basic Life Support) Physical Abilities: From 50-100lbs For the most prompt response, please APPLY ONLINE.
As always, there is never a fee for candidates to utilize our services. Aureus Medical Group - Imaging Job ID #. Pay package is based on 8 hour shifts and 40 hours per week
(subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CT TECH / COMPUTED TOMOGRAPHY TECHNOLOGIST About Aureus Medical Group - Imaging Rewarding Careers.
Experiences of a Lifetime. At Aureus Medical Group, we do more than connect you with a career opportunity. We help you create your ideal lifestyle. For more than 35 years we’ve helped healthcare professionals embark on journeys, scale mountains, and discover new spaces, places, and faces. We’re dedicated to your success, your dreams, and your adventures. As a travel healthcare professional with Aureus, you'll have the whole package - outstanding benefits, one-to-one personal service, 24/7 contact,
and an recruiter who specializes in imaging. With thousands of available travel jobs across the country, we’re sure to have the right fit for you.
When it comes to your career, Aureus will take you places. Let’s get started! For more details: jobs-search. org/technology_fort-bragg-c426017/job_i1971447329
Job ID #423572. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CT Tech About Marvel Medical Staffing Radiology Marvel Medical Staffing aims to rehumanize healthcare staffing!
We are woman-owned and proud of it! We connect medical professionals to medical facilities in need, with a heavy emphasis on listening and transparency. Our goal is to rehumanize the way healthcare staffing is done by putting all the focus on YOU and finding you your dream assignment. Benefits Weekly pay Company provided housing options License and certification reimbursement Mileage reimbursement Life insurance
Holiday Pay Referral bonus Discount program Guaranteed Hours Employee assistance programs Continuing Education Medical benefits 401k retirement plan Dental benefits Pet insurance Vision benefits For more details: jobs-search.
org/technology_fort-bragg-c426017/job_i1971739853
of internal tools and processes. Assist with third party security backssments in support of Wescom's Vendor Management Program. Apply secure configurations to hardware and software following industry standards. Assist with the maintenance of security systems and their corresponding or associated software, including intrusion detection systems, Network Access Control, Antivirus, Web Application Firewall and SIEM, Identity and Access Management.
Keep current with emerging security issues trends and tools. Assist with Security Awareness activities including internal phishing campaigns. Assist with vulnerability management program including internal and external penetration tests and vulnerability scans. Assist with gathering information security metrics to measure the effectivity of the security program. PDN-9ad5bced-a7c8-4ce3-805e-e8a14dd5176b
