as needed. Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data..., systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization...
for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large... relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in...
advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through... the healthcare journey. Additionally, the candidate will be responsible for the adoption and demonstration of the Care...
reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry... on eviCore's case management software. Conduct physician consultation (peer-to-peer) calls with referring providers...
providers, such as Cigna Centers of Excellence, Cigna Care Network physicians, or other quality networks. Combining clinical...Evernorth Workplace Care offers health care delivery services along with population health and health coaching...
Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience... of benefits and accessing direct care services. As clinicians we support customers and families facing challenges big and small...
-based medical reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations... on eviCore's case management software. Conduct physician consultation (peer-to-peer) calls with referring providers...
, rescue animals, trap animals running at large and provide humane care of animals under his or her supervision. In addition... live animal traps to public. Conduct home visits on animal/victims involved in animal bites/attacks. Prepare animal...
United States. Our mission is to revolutionize after-hours Home Care by providing relief to Home Care providers..., and sensitive to the Home Care industry. It is very important that you truly have a heart for the clients and their families...
advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through... the healthcare journey. Additionally, the candidate will be responsible for the adoption and demonstration of the Care...