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The Network Performance Manager is a Contract Specialist Manager position that will focus heavily on duties and initiatives related to measuring and improving the clinical and financial performance of our downstream provider network. Position Details Under the direction of the Senior Director of Payer & Provider Contracting, this position will work closely with all the Co
Posted 1 day ago
Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev
Posted 1 day ago
Designs and implements programs to build and nurture positive relationships between the health plan, providers (behavioral health clinicians, hospital, ancillary, etc.), and practice managers Onboards new providers who join the network Directs and implements strategies relating to the development and management of a provider network Identifies gaps in network composition
Posted 1 day ago
Beazley Group
- Philadelphia, PA / Atlanta, GA / West Hartford, CT
An independent Claims Handler role focused on low to mid value claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the individual level while gaining e
Posted 1 day ago
We invite you to help us shape the future of agriculture. At Syngenta, we believe every employee has a role to play in safely feeding the world and taking care of our planet. To support that challenge, Syngenta Professional Solutions is currently seeking an Account Operation Specialist in Greensboro, NC. Accountabilities Responsible for managing the business of assigned a
Posted 1 day ago
Lead and manage implementation process for new and in force customers with a focus on supporting our National Account, larger Key Account and Leave Management business segments Drive and develop a customized implementation plan for each account; initiate and lead projects to identify and resolve implementation transition issues specific to each client Serve as point perso
Posted 1 day ago
AML Technology and Reporting Analyst Location Location US ID Boise Location Address 5777 North Meeker Ave Location City Boise Location State/Province ID ID 2024 2682 Category Risk and Compliance Position Type Full Time Min USD $70,000.00/Yr. Max USD $90,000.00/Yr. Min USD $70,000.00/Yr. Max USD $90,000.00/Yr. Job Summary The AML Technology and Reporting Analyst supports a
Posted 2 days ago
Entrepreneur. Community advocate. Guardian of aspirations. These are the roles that embody an American Family Insurance Agency Owner. This fulfilling opportunity enables you to establish financial security and make a meaningful difference in the lives of our customers. If you're passionate about forging your path and taking charge of your future, we welcome your interest.
Posted 3 days ago
Why Join our Team? At Vallen, we embrace what makes us unique. We thrive on the diversity of our associates and the different ways each of us contributes to Vallen's success. We pride ourselves on being an inclusive company that values the growth of our associates. When you join Vallen, you become part of our winning team. Our vast network of connections is here to help y
Posted 3 days ago
Vice President Claims Germantown Mutual Insurance Company is looking to add a Vice President of Claims to its team! WHO WE ARE Germantown Mutual Insurance Company is Wisconsin’s oldest insurance company! Founded in 1854, we are celebrating our 171 st year of providing quality insurance products and great customer service to our policyholders. A rated by AM Best for
Posted 3 days ago
Claims Manager 1916 Ayrsley Town Blvd suite 400, Charlotte, NC 28273, USA Req #2461 Tuesday, April 16, 2024 See yourself at Odyssey. Join the team as our new Claims Manager. Who We Are & Why We're Hiring Odyssey Logistics & Technology Corporation (Odyssey) is a global logistics provider Our adaptive approach to solving modern logistics challenges differentiates us in the
Posted 4 days ago
Business owner. Community leader. Protector of dreams. That's what makes an American Family Insurance Agency Owner. It's a highly rewarding opportunity that allows you to create financial stability while making a positive impact on our customers' lives. If you're looking for a chance to build a business and own your future we're interested in you! Apply today. At American
Posted 4 days ago
Westinghouse is seeking a TSA Compliance Analyst for a 2 3 month project with our energy client in Houston, Texas. Job Description The position oversees the design and development of programs, processes, and procedures necessary to assure compliance with TSA. Monitors various regulatory statutes and protocols, coordinates and implements new initiatives related to automati
Posted 4 days ago
1st Century Bank, a division of MidFirst Bank, is a full service bank with a vision of unparalleled client service in Los Angeles. The Bank's core principles are flexibility, responsiveness, and the ability to create tailored solutions, coupled with its commitment to provide exceptional client service. Our bankers work in a team effort to develop a deep understanding of t
Posted 4 days ago
Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future services enhancements Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Help implement traini
Posted 4 days ago
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