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SEVEN HILLS, Ohio
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Description Summary:**
**Develops the provider network through contract negotiations, relationship ... .
Ensure that network composition includes an appropriate distribution of provider specialties
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SEVEN HILLS, Ohio
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other associates.
Analyze and interpret data per a provider’s trial balance, financial statements
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SEVEN HILLS, Ohio
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provider contractors and network relations reps to meet provider service needs.
Encourages providers ... .**
PRIMARY DUTIES:
Provides support for assigned provider contracts.
Manage and oversee the
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Seven Hills, Ohio
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; leads or plans implementations for access management and network security technologies.
Develops ... events and incidents; provides system and network architecture support for information and network
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SEVEN HILLS, Ohio
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payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and
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Seven Hills, Ohio
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repositioning in a market, legislative changes, network/provider changes/ medical management program and policy
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SEVEN HILLS, Ohio
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market plans to ensure readiness for products, network and digital features.
**How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities
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SEVEN HILLS, Ohio
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the manager.
Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related
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SEVEN HILLS, Ohio
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training – new product rollouts, network changes, etc.
Attend and present group benefits during
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Seven Hills, Ohio
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and network security technologies.
Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies.
Close or escalate
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Seven Hills, Ohio
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preferred.
Prior experience with provider network contracting, provider networks, claims, finance, and ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization
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Seven Hills, Ohio
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claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics
Location: This
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Seven Hills, Ohio
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architecture oversight and planning for information and network security technologies.
Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security.
Configure
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SEVEN HILLS, Ohio
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Able to work independently on assignments and under minimal guidance from the manager.
Prepare
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Seven Hills, Ohio
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problems and leads implementations for system and network security technologies.
Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support
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SEVEN HILLS, Ohio
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quality initiatives.
Guides strategic efforts with clinical and network to improve experience of ... and implementing targeted clinical, network, and vendor programs to drive measurable improvements in
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SEVEN HILLS, Ohio
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and federal regulatory agencies.
Familiarity with provider contracting and network adequacy
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Seven Hills, Ohio
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services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of
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Seven Hills, Ohio
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architecting/engineering DevOps-based cloud network or cloud network security CI/CD deployment pipelines
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SEVEN HILLS, Ohio
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forming a supportive, recovery network.
Develops and implements provision of onsite psychiatric
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Seven Hills, Ohio
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understanding of health insurance policies, health insurance claims handling and provider network contracting
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SEVEN HILLS, Ohio
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manager.
Prepare detailed work papers and present findings in accordance with Government Auditing ... supervisory review of work completed by other associates.
Analyze and interpret data per a provider’s
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SEVEN HILLS, Ohio
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guidance from the manager
Prepare detailed work papers and present findings in accordance with
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SEVEN HILLS, Ohio
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Perform cost report desk reviews.
Analyze and interpret data per a provider’s trial balance ... reviews of provider exception requests as assigned.
Minimum Requirements:
**Requires
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