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Provider engagement Remote Jobs

31 fresh jobs found

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

Manager, Provider Engagement Strategy
Remote-OK, United States

Centene Corporation

Provider performance management Utilization Performance Insights Provider communication Health administration Provider engagement Content development Training Development Engagement +18

USD 86K+

Provider Engagement Account Executive
Remote-OK, United States

Centene Corporation

Value-based performance Utilization Cost and utilization Interpersonal relationships Quality measures HEDIS Health administration Provider engagement Network management +37

Exec Mid Full Time

USD 86K+

Senior Director, Voice of the Provider
Remote-MO, United States

Centene Corporation

Survey methodologies Feedback Collection RFP processes Financial Oversight Provider engagement Healthcare administration Methodologies Quality Standards Financial +29

Senior Full Time

USD 145K+

Director, Market Quality Improvement
Mississippi WFH, United States

NCQA Provider engagement Healthcare Management Financial Forecasting Accreditation Performance Improvement Stakeholder Collaboration Quality improvement Business Processes +29

Exec Senior Full Time

USD 99K+

Provider Engagement Account Manager (BH Exp)
Remote-MS, United States

Centene Corporation

Cost and utilization Network performance Quality measures Provider education Provider engagement HEDIS Health Plan Provider Relations Issue Resolution +26

USD 55K+

Provider Engagement Specialist III
Mississippi WFH, United States

Market performance Provider Recruitment Provider network management Critical Listening NCQA Healthcare Compliance Provider engagement Network management Accreditation +33

Senior Mid Full Time

USD 63K+

RX Lock-In Registered Nurse
Mississippi WFH, United States

Pain management Registered Nursing Critical Listening Substance abuse Provider engagement Healthcare Regulations Clinical Experience RN Care management +25

Senior Mid Full Time

USD 55K+

Director, National Value-Based Provider Performance and Strategy
Remote US, United States

KPI interpretation Provider performance KPI Provider education Provider engagement Strategic direction Value-based care Performance Improvement BI +38

Exec Senior Full Time

USD 150K+

Team Lead, Customer Care
Mississippi WFH, United States

Operational performance Critical Listening Provider engagement Resolution MS PowerPoint Healthcare Knowledge Performance Improvement MS Word Conflict Resolution +21

Senior Mid Full Time

USD 48K+

Team Lead - Customer Care
Mississippi WFH, United States

Operational performance Critical Listening Provider engagement Resolution MS PowerPoint Healthcare Knowledge Performance Improvement MS Word Conflict Resolution +22

Senior Mid Full Time

USD 48K+

Member Health Assessor (Weekend Included)
Mississippi WFH, United States

Provider engagement Problem identification Cultural Sensitivity Resolution Conflict Resolution Care management Case Management Assessment Outlook +13

Entry Mid Full Time

USD 31K+

Manager, Primary Care Engagement
Remote

Provider engagement Patient Engagement Community outreach Primary Care Market strategy Behavioral health Implementation Relationship building Healthcare +8

USD 75K+

Provider Engagement Professional
Work at Home - Florida, United States

Medicaid policies V-look ups Medicare policies Stars performance Data Sharing STARS Tables Reimbursement methodologies Provider Contracting +52

USD 25K+

Market Exec Assistant (Must live near Metro Jackson area in Mississippi)
Mississippi WFH, United States

Adobe Professional Clerical Provider engagement Visio Administrative Support Microsoft Office Suite Outlook Critical thinking PowerPoint +10

USD 41K+

Staff Vice President, Network Development & Hospital Contracting
Remote-FL, United States

Centene Corporation

Value-based contracting Provider communication Provider experience Provider education Provider engagement Network development Network management Health Systems Provider Relations +19

Senior Full Time

USD 182K+

Team Lead Care Management - Must Reside in Mississippi
Mississippi WFH, United States

Provider engagement Microsoft Visio Motivational interviewing Resolution Visio Team Development Care management Conflict Resolution RN +22

Senior Mid Full Time

USD 63K+

Care Manager-Mom & Baby Beginnings-Must reside in Mississippi
Mississippi WFH, United States

Person-centered planning Healthcare Resource Utilization Clinical Standards Interdisciplinary Team Collaboration Critical Listening NCQA Health Equity Cultural Competence Health Assessments +29

USD 55K+

Care Manager NICU - RN and LSW (Must live in Mississippi) WFH
Mississippi WFH, United States

LSW Psychosocial Assessments Person-centered planning Healthcare Resource Utilization Clinical Standards Interdisciplinary Team Collaboration Critical Listening Health Equity NCQA +30

USD 55K+

Transition of Care Managers - RN and LSW - Must live in Mississippi
Mississippi WFH, United States

LSW Inter-disciplinary teamwork Person-centered planning Clinical Standards Critical Listening NCQA Health Equity Health Assessments Trauma-Informed Care +29

USD 55K+

Utilization Management Market Operations Manager (Must live in Mississippi)
Mississippi WFH, United States

NCQA Provider engagement Problem identification Regulatory reporting Resolution CMS Performance Improvement Visio Quality improvement +32

Senior Mid Full Time

USD 73K+

Value-Based Programs Lead (Hospital Systems)
Remote US, United States

Hospital contracting Financial Leadership Program Reporting Corporate strategy Provider engagement Management consulting Contracting BI Healthcare services +40

Senior Mid Full Time

USD 104K+

Compliance Analyst II
Mississippi WFH, United States

Corrective Action Management Audit Support Provider engagement Healthcare operations Regulatory knowledge Training and education Policy Development Root Cause Analysis Managed Care +25

Entry Mid Full Time

USD 63K+

Director, Clinical Operations - Care Management(Must Live In Mississippi)
Mississippi WFH, United States

Provider engagement Clinical operations Regulatory requirements Team Development Care management Conflict Resolution Decision making Microsoft Word Regulatory Compliance +17

Exec Senior Full Time

USD 119K+

Director, Population Health(Must Live in Mississippi)
Mississippi WFH, United States

Systematic Thinking Critical Listening Provider engagement Business Process Management Problem identification Regulatory reporting Population health Resolution Conflict Resolution +19

Exec Senior Full Time

USD 99K+

Triage Nurse - RN - Must live within 1hr of Ridgeland MS 39157
Mississippi WFH, United States

Compassionate care Health information service Critical reasoning Critical Listening Nursing process Clinical triage Phone Etiquette Provider engagement Computer Applications +15

USD 55K+

Strategy Advancement Advisor
Remote US, United States

STARS Provider engagement Medicare Advantage Analyzing Interoperability Risk Adjustment Strategic decision-making Report Preparation Strategy Development +47

Senior Mid Full Time

USD 115K+

AVP, Health Partners and Network Strategy
North Carolina WFH, United States

Healthcare cost reduction Health plan policies Market performance Value-Based Reimbursement Transformational change Program strategy Provider networks Provider engagement Population health +4

Exec Senior Full Time

USD 150K+

Vice President of Provider Engagement
United States - Remote

Provider engagement strategy Consultative conversations Network development Provider engagement Risk Adjustment Value-based care KPI Tracking Clinical operations Performance Optimization +18

Exec Senior Full Time

USD 180K+

Population Health Director
United States - Remote

Clinical decision support Quality of care Provider engagement Risk Adjustment Population health Value-based care Roadmap Development Clinical operations Resource Management +19

Exec Senior Full Time

USD 110K+

Vice President, Provider Engagement
Remote-MO, United States

Centene Corporation

Provider management Healthcare Strategy Provider engagement Healthcare administration Cross-functional Team Leadership Performance Improvement Cross-functional Teams Health Insurance Performance Management +12

USD 231K+

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