Average salary: $122,750 /yearly
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- ...your skills and capabilities.SummaryThe Provider / Domain Lead (Principal Application Architect... ...clients and cross-functional teams to manage requirements, drive design decisions,... ...operational readiness activities (environment, data, process, staffing readiness) Provide...DataFull timeFlexible hours
- ...Member & Provider Operations Specialist Our client is looking for an organized and efficient... .... In this position, you will maintain data integrity across member accounts, facilitate seamless provider transitions, and manage initial claim submissions. Your accuracy will...Data
- Analyzing and processing provider transactions in accordance with plan provisions.Should follow the policy and procedure which is defined by the customer.Secure the PHI information. - Established working knowledge and application of a specialized technical skills.Understands...DataFull time
- ...executive and delivery leadership.Establish and manage the governance model for managed services... ...MSP operates as one integrated service provider across all technical towers.Monitor SLAs,... ...to protect the organization’s data and systems from potential threats and vulnerabilities...DataContract work
- ADP, Inc. in Coppell, TX is seeking a Provider Networks Coordinator to support data integrity and contract administration for the Outside Medical Networks division. The role focuses on managing in-network provider information, directories, and relationships with subcontractors...DataContract workFor subcontractor
- ...role in Austin, TX or remote across the US to own the end-to-end provider lifecycle—sourcing, onboarding, credential checks, activation,... ...privacy and regulatory boundaries, and lead a small team partnering with Product, Eng, Data, and Legal. #J-18808-Ljbffr ClinicBookingDataFull timeRemote work
$87.7k - $157.8k
Position Purpose: The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.Key Details: Must be authorized to work in the U.S. without the need for...DataFull timePart timeH1bWork at officeRemote workFlexible hours$56.2k - $101k
...between the health plan and the contracted provider networks serving our communities. Build... ...and solutions, and consultative account management and accountability for issue resolution.... ...claim issues and changesInitiate data entry of provider-related demographic information...DataFull timeContract workPart timeH1bWork at officeRemote workFlexible hours$122.21k - $160.4k
Hi, we're Oscar. We're hiring a Senior Manager, Revenue Cycle Management to join our Provider Operations team.Oscar is the first health insurance company built... ...and workflows across the revenue cycle while using data and root-cause analysis to drive measurable improvements...DataFull timeWork at officeRemote work- ...experiences, and pioneer new solutions, all provided through a seamless “as a service” model.... ...want to hear from you! As an Associate Manager you will get to:Supervise the daily operations... ...provider demographic and credentialing data is accurately entered and maintained in...DataWorldwide
- Oscar Health is seeking a Lead, Provider Services to drive data-driven production workflows within a payor environment. You will coach staff, oversee... ..., data accuracy, and performance. You will report to the Manager, Provider Data Operations. This remote role supports...DataRemote job
- ...Vice President, Provider Revenue Optimization About the Company Innovative provider of EHR terminology & clinical data solutions Industry Internet Type Privately Held... ...data normalization value set management nlp genai and llms About...Data
- CorVel is seeking a Provider Management Analyst to verify provider information and requests for documentation to audit claims, including itemized bills, medical records, UB04s, and HCFA forms. The role emphasizes accuracy, confidentiality of PHI/PII, and timely processing...DataRemote job
- ...Advanced Practice Provider - Chronic Disease Management Summary of Essential Functions Provides comprehensive acute and chronic patient care across... ...history, physical examination, and review of diagnostic data to guide clinical decision-making Develop, implement,...DataWeekend work
$12k
...Behavior Support Provider (LPC, LPC-A, or LCSW) - $2500 sign on bonus! Caregiver is... ...clients with the design, delivery, and management or personalized treatment plans in order... ...for gathering and summarizing behavioral data and implementation of strategies. Perform...DataFull timeLocal areaRelocation packageNight shift$200k - $250k
...development. SummaryThe Vice President, Provider Solutions Business Architecture owns the... ...architecture evolution through DDIs. This leader manages a growing team of 50+ professionals... ...enrollment, screening, credentialing, provider data management, portals, interfaces,...DataFull timeRemote workFlexible hours- Own the end-to-end provider lifecycle—sourcing, onboarding, credential checks, activation... ...small team; partner with Product, Eng, Data, and Legal; write crisp SOPs and postmortems... ...and win-rate versus inquiries. Issue management: Escalation taxonomy, root-cause...DataFull timeRemote workWork from home
- ...appropriate knowledge of hospital programs to manage administrative functions of the... ...independent analysis, interpretation of data and demonstrated appropriate judgment Knowledge... ...-boarding logistics are in place for new providers. Forwards billing queries, deficient record...DataWork at officeLocal areaMonday to FridayShift work
- ...Dallas to monitor the quality and regulatory compliance of network providers and those from whom ancillary services are purchased. The role... ...a service-oriented culture. Responsibilities include audits, data reviews, and collaboration with providers to implement...Data
- ...Vice President, Provider Network Management About the Company Innovative provider of health & wellness solutions Industry Hospital &... ...timely, high-quality care. This role involves using various data sources to identify and close access and capacity gaps, as...Data
- ...HHSC) seeks a Program Specialist V to lead the Provider Recoupments and Holds unit. The role analyzes... ...required on-site work, reporting to the PRH Manager and collaborating with multiple program teams. Excellent Excel and data-analysis skills are essential. #J-18808-...DataRemote work
- ...department seeks a Program Specialist V for the Provider Recoupments and Holds unit. Some telework... ...-site work required. This role conducts data analysis on LTC authorizations, claim... .... The position reports to the PRH Manager and requires strong Excel skills, policy...DataRemote work
$12k
...Behavior Support Provider Caregiver is a leading Texas-based provider of services to... ...clients with the design, delivery, and management of personalized treatment plans in order... ...for gathering and summarizing behavioral data and implementation of strategies. Perform...DataFull timeLocal areaNight shift- Position Summary: The Manager, Data Governance is responsible for establishing and maturing the policies, standards, frameworks, stewardship... ...IT, analytics, business domains, and external partners. • Provides guidance, coaching, development, and performance direction to...DataFull timeTemporary workWork experience placement
- ...in Austin, Texas. Relocation support is provided. What You'll Own Own and grow a portfolio... ...development, partnerships, or account management, ideally in e-commerce, fintech,... ...senior level with merchant partners. ~ Data-driven and a critical thinker. You form...DataRelocation package
- ...motivated **Talent Acquisition Analyst, External Workforce & Managed Service Provided (MSP). **This position will report to the Manager, Talent... ...activity, evaluates program and supplier issues, validates data across systems, leads audits and classification reviews, coordinates...DataH1b
$87.19k - $114.43k
...Hi, we're Oscar. We're hiring a Process Management Associate to join our Network Operations... ...business processes, including process mapping, data collection, and identifying areas for... ...improvement workshops and meetings, providing guidance and support to cross-functional...DataFull timeWork experience placementWork at officeRemote work- ...Vice President, Provider Sales, New Markets About the Company Globally recognized health services company Industry Hospital... ...profitability targets. Strong executive communication, presentation, and data-driven decision-making skills are essential. The ideal candidate...DataWork at office
- ...Medical Standards Provider GC Associates requires a Medical Service Provider to support... ...Center (AFPC), Physicians Career Management Branch (DP2NP), Joint Base San Antonio (... ...government record system, complete the workload data sheet at the end of each work day....DataContract workTemporary workFor contractors
- ...Associate Vice President, Provider Compensation About the Company Esteemed academic... ...Compensation to lead the strategic development and management of total cash compensation for APPs and... ..., and the ability to analyze complex data to make informed recommendations. The...Data


