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- ...Inc. seeks a Director of Network Operations to lead provider network strategy, governance, and data integrity, ensuring timely regulatory submissions and... ...data accuracy and operational excellence. Ten years in managed care and five in leadership are preferred. #J-18808-...Data
- Harris Health is seeking a Director of Network Operations to lead Community provider network operations, data integrity, and regulatory reporting in Houston. You will shape governance standards, performance measures, and cross-functional practices to ensure accurate provider...Data
- Career Opportunities: Provider Experience Project Manager (19821) Posting ID 19821 -Posted 08/07/2026 -Health & Human Services Comm MCS Ops DEC and Admin... ...priorities and projects at the same time. Analyzing data, project trends, stakeholder feedback, and operational processes...DataFull timeTemporary workPart timeWork at officeRemote workShift work
- ...Job Description Job Description Job Title: Senior Product Manager - Provider Operations Location : Hybrid Compensation : 50-60$/Hr... ...business cases, define KPIs, and track product performance using data-driven decision-making and A/B testing. · Drive agile...Data
Krest Global Solutions
Dallas, TX12 days ago - UnitedHealthcare is seeking a Manager, Provider Network Contracting to lead physician and facility contracting strategies across the U.S. You... ...strategic leadership, cross-functional collaboration and a data-driven approach to negotiations, with remote work flexibility...DataRemote job
$77k - $202k
...Provider Clinical Operations Consultant, Senior Associate The Opportunity: As a Provider... ...and effectiveness. Within our Management Consulting practice, you will leverage your... ...Utilizing analytical thinking and business data analytics to drive operational excellence...DataPwC (US)
Austin, TX1 day ago$45k - $65k
...Overview: The Reservations Support Specialist provides administrative and client-facing support... ...and attention to detail Ability to manage multiple tasks in a structured, remote environment... ...you would like more information about how your data is processed, please contact us....DataRemote workFlexible hoursGrabJobs
El Paso, TX19 hours ago$108.5k - $155k
...academies to help build your skills and capabilities.SummaryThe Principal Provider Integration & Analytics Delivery Manager is a senior, client-facing techno-functional leader responsible for end-to-end data and analytics delivery for Gainwell’s Provider+ solution. This role...DataFull timeLocal areaFlexible hours- ...equivalent) and experience with healthcare provider strategy and operations are highly... ...setting, specifically within workforce management, staffing office operations, or clinical... ...modelsDemonstrated experience in quantitative data analysis and using metrics to enhance...DataApprenticeshipWork at officeEasy work
- ...Operations Lead to turn payer directories into a measurable patient‑acquisition channel. You will own the full directory funnel from provider data to scheduling, ensuring accuracy and actionable listings across contracted payers. This is a remote, part‑time or full‑time 1099...DataRemote jobFull timePart time
- Head of Provider Operations, TRICARE Oversees Program At International SOS , we are in the... ...have delivered customised security risk management, health, and wellbeing solutions to... ...coordination), credentialing and provider data integrity (NSS), and provider support services...DataWork experience placementWorldwideOverseas
- ...health outcomes. We are seeking a Project Manager to support implementations of our... ...worked directly within the physician or provider compensation space, either as a Project Manager... ..., analyze provider compensation data, manage project deliverables, and ensure...DataWork at officeRemote work
Hallmark Health Care Solutions
Dallas, TX7 days ago - Sutherland Global in Dallas, TX is seeking a Provider Data Management Specialist to maintain provider records across health plan systems. You will enter and update provider data and demographics with a focus on accuracy and compliance. Responsibilities include validating...Data
- ...Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the... ...Through its network of more than 10,000 providers and 94 hospitals, Community serves over 4... ...Provider Operations, Issue Resolution, and Data Governance Provide leadership over provider...DataWork experience placement
$80.3k - $138.33k
...communities we serve.The JobThe Senior Provider Relations Lead- Houston is responsible for... ...and executive-level relationship management for high-complexity provider groups within... ...translating multi-dimensional performance data into actionable improvement plans that advance...DataFull timeFor contractorsLive inRemote work- ...Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the... ...Through its network of more than 10,000 providers and 94 hospitals, Community serves over 4... ...agreements, coordinates quality performance and data submission requirements, ensures...DataContract workWork experience placementWork at office
$111.78k - $146.71k
Hi, we're Oscar. We're hiring a Provider Contracting Manager to join our National Contracting team.Oscar is the first health insurance company built... ...contract strategies; uses financial, claims, and provider data to inform negotiations; and maintains durable provider relationships...DataFull timeContract workWork experience placementLocal areaRemote workWork from homeHome office- Plutus Health Inc. seeks a detail-oriented Client Success Manager - Provider Credentialing to lead end-to-end credentialing for healthcare providers... ...and payer enrollment while maintaining HIPAA compliance and data accuracy. The role requires 7+ years of U.S. credentialing...Data
- CorVel Corporation is seeking a Provider Management Analyst to verify provider information and audit documentation for claims, including itemized bills, medical records, UB04s, and HCFAs. This remote role emphasizes accuracy and timely processing. You will collaborate with...DataRemote job
- CorVel Corporation, CERIS division, seeks a Provider Management Analyst to verify provider information and documentation for claim audits, including itemized bills and medical records. This is a remote position. Responsibilities include communicating with leadership, maintaining...DataRemote job
$149k - $248k
Job Family:Management ConsultingTravel Required:Up to 50%Clearance Required:NoneWhat You Will Do:Lead PMO governance and execution for... ...at ****@*****.***. All information you provide will be kept confidential and will be used only to the extent...Permanent employmentFull timeWork experience placementWork at officeFlexible hours- ...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
- Primary Responsibilities: The Sr. Manager of Provider Data Management oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT Responsibilities include maintaining a unified SQL-based provider data source supporting...DataWork at office
$92.6k - $213.5k
Business Planning Manager - OEM, Service Providers, Telco This role has been designed as "Hybrid" with a requirement that you will work on average 2... ...help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so...DataTemporary workWork experience placementWork at officeLocal areaImmediate start2 days per week- CorVel Corporation is seeking a Provider Management Analyst to verify provider information and documentation for auditing claims, including itemized bills, medical records, UB04s, and HCFA forms. The role requires independent work, strong organization, and attention to...DataRemote job
$196.73k - $258.21k
...re hiring a Senior Director to join our Provider Experience team. Oscar is the first health... ...and drive organizational change management. Maintain deep healthcare market and... ...changes, and competitor models. Leverage data to drive insights, root cause analysis and...DataFull timeWork at officeRemote workOscar Health
Dallas, TX22 days ago$10k
...Behavior Support Provider Must be able to practice in the state of Texas as an LPC, LPC... ...clients with the design, delivery, and management of personalized treatment plans in order... ...for gathering and summarizing behavioral data and implementation of strategies....DataFull timeLocal areaRelocation packageCaregiver, Inc.
Lufkin, TX2 days ago- CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and requests for documentation... ...forwarding misdirected requests while upholding strict privacy and data security practices. #J-18808-Ljbffr CERIS HealthDataRemote job
- Company Description: We are seeking a Provider Data Management (PDM) Specialist to oversee and maintain accurate provider records within our health plan systems. This role involves entering and updating provider data and demographic information in internal systems, while...DataWork at office
$125k - $135k
...Tapestry Management Provider Tapestry Management Providers (TMPs) play a crucial role in delivering comprehensive, in-person clinical support... ...with medical professionals, ensuring alignment between data insights and patient care. Ensure clinical observations support...DataFull timeRemote work
