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WEBUtilization Management. FT. Lauderdale. 04-16-2024. 1 Available. Job Summary: Under administrative direction, to plan, organize, and supervise the utilization …

Actived: 7 days ago

URL: https://careers.healthnetworkone.com/

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WEBJob Description. Responsible for developing, maintaining and supporting the day-to-day Specialty Provider Networks (SPN) contracting initiatives, which the …

Category:  Health Go Health

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WEBJob Description. Due to our rapid growth, we have several positions available for remote/on-site positions in the following states (FL, GA, MD, PA, PR, TN and TX). This position is …

Category:  Health Go Health

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WEBEssential Functions & Responsibilities. · Protects system by defining access privileges, control structures, and resources. · Recognizes problems by identifying …

Category:  Health Go Health

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WEBAuthorization Coordinator. Utilization Management. Remote/On-Site (FL or PR) 1 year ago. 2 available.

Category:  Health Go Health

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WEBRecruits and contracts physicians, specialists, ancillary providers and hospitals for HN1. Responds to provider inquiries regarding contract matters, provider networks issues and …

Category:  Health Go Health

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WEBEnters acceptable provider contracts into the Provider File Maintenance module. Reviews pended claims due to issues with providers and assists in the …

Category:  Health Go Health

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WEBJob Description. Responsible for clinically reviewing request for PT/OT/ST services in a timely manner utilizing established clinical guidelines and Utilization Management …

Category:  Health Go Health

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WEBJob Description. Performs administrative and office support activities for multiple members of management, including executives, using a variety of project management, …

Category:  Health Go Health

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WEBJob Summary: Under administrative direction, to plan, organize, and supervise the utilization review clinical program and related functions; and to perform related duties as …

Category:  Health Go Health

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WEBJob Description. Receives direction and prioritization from Credentialing D irector to coordinate the daily activities of the Credentialing Coordinators and Credentialing …

Category:  Health Go Health

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WEBJob Description. Provides data & informatics support and analyses including quality matrices, outcomes studies and program evaluations, internal and external reporting, …

Category:  Health Go Health

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WEBFamiliarity with health care operations, provider data, and claims data preferred. Minimum 2 years health care industry experience.

Category:  Health Go Health

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WEBJob Description. Responsible for analytical review of provider network performance for active, as well as, prospective Clients. Develop and maintain a close …

Category:  Health Go Health

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WEBRequired Education and Experience. · Bachelor’s degree or 8 years equivalent work experience in a managerial role. · Minimum 10 years experience in a medical office …

Category:  Medical Go Health

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WEBJob Description. This position is responsible for the initial credentialing and re-credentialing of network providers, and for the maintenance of provider credentialing …

Category:  Health Go Health

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WEBJob Description. Provides quality support and data integrity support to the Network Department. Primary focus of the position is to conduct on-site initial credential …

Category:  Health Go Health

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