Senior Provider Engagement Network Specialist
4 days ago
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. NOTE: For this role we are seeking candidates who live in Pacific Standard Time (PST) zone Position Purpose: Perform day to day duties of assuring that providers are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to resolve provider data issues. Research and effectively respond to provider related issues. Act as the internal and external liaison for provider networking, maintaining positive working relationships with participating physicians, participating physician groups (PPG’s), multi-specialty groups, and/or ancillary providers within assigned area. Act as account manager for assigned groups acting as gatekeeper for interactions with other internal departments. Responsible for daily administration and operation of the contractual provider relationships, including overseeing accurate and current provider databases, providing training, education and information to providers. Research, analyze and resolve complex problems dealing with contract loading, division of financial responsibility interpretation, contract rate and language interpretation, appeals, grievances and eligibility. Serve as primary point of contact and liaison between assigned providers and the health plan. Provide issue resolution support for most complex provider contracts by researching and partnering to resolve provider claims and data issues. Act as department subject matter expert. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in healthcare related field or equivalent experience required. 5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing benefits interpretation, and internal operations of provider relations.Pay Range: $25.97 - $46.68 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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Senior Care Provider
2 weeks ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeSunrise Senior Living, a leading provider of senior care services, is seeking a compassionate and dedicated Caregiver to join our team.About the Role:The Caregiver will be responsible for providing exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met. This includes assisting with daily living activities,...
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Cybersecurity Specialist
4 weeks ago
Olympia, Washington, United States State of Washington Full timeJoin the State of Washington's Technology Solutions team as a Senior Network Security Specialist. As a key member of our Network Operations Center, you will be responsible for designing, implementing, and maintaining the state's complex network infrastructure. Your expertise in network security, routing, and switching will ensure the reliability and...
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Senior Care Specialist
1 week ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeJoin Our Team as a Senior Care SpecialistSunrise Senior Living is dedicated to providing high-quality care and services to seniors in our assisted living and reminiscence neighborhoods. We are seeking a compassionate and skilled Senior Care Specialist to join our team.About the RoleThe Senior Care Specialist will be responsible for providing assistance with...
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Cannabis Licensing Specialist Senior
1 month ago
Olympia, United States Washington State Liquor and Cannabis Board Full timeWSLCB Vision Safe communities for Washington State. Mission Promote public safety, public health, and trust through fair administration, education and enforcement of liquor, tobacco, cannabis and vapor laws. *This position is required to work in the office 2-3 days per week. This may change based on business needs. * * Please Note: This job announcement...
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Patient Engagement Specialist
3 days ago
Olympia, Washington, United States CVS Health Full timeResponsibilities">As a Patient Engagement Specialist at CVS Health, you will be responsible for delivering a world-class customer experience through effective communication and problem-solving skills. Your key responsibilities will include:Answering questions and resolving issues as a single-point-of-contact for plan sponsors, members, and providersProviding...
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Client Engagement Specialist
4 weeks ago
Olympia, Washington, United States Bank of America Full timeJob OverviewWe are seeking a highly motivated and enthusiastic Client Engagement Specialist to join our team in Olympia, Washington.This role is responsible for engaging clients in the lobby to educate and assist with conducting transactions through self-service resources, such as mobile banking, online banking, or ATM. Key responsibilities include...
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Caregiver Specialist
4 weeks ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeJoin the Sunrise Senior Living Team as a Caregiver SpecialistSunrise Senior Living is a leading provider of senior care services, and we are seeking a dedicated and compassionate Caregiver Specialist to join our team. As a Caregiver Specialist, you will play a vital role in providing high-quality care and services to our residents, ensuring their physical,...
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Cancer Care Specialist
4 weeks ago
Olympia, Washington, United States Provider Solutions & Development Full timeAbout the RoleWe are seeking a skilled Cancer Care Specialist to join our team. As a key member of our Hematology/Oncology department, you will provide comprehensive care to patients with cancer and blood disorders.ResponsibilitiesProvide outpatient care in one of our clinics, with minimal shared call and inpatient coverage which is largely...
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Diagnostic Imaging Specialist
2 weeks ago
Olympia, Washington, United States Health Advocates Network-Allied Full timeExplore a rewarding career as a Diagnostic Imaging Specialist with Health Advocates Network-Allied. We are seeking an experienced MRI Technologist to join our team for a travel assignment in Washington State.About the RoleThis 13-week contract offers a unique opportunity to work in a fast-paced environment, utilizing your skills and expertise to deliver...
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Cardiovascular Interventional Specialist
3 weeks ago
Olympia, Washington, United States Health Advocates Network-Allied Full timeWe are excited to offer a challenging and rewarding role as a Cardiovascular Interventional Specialist with Health Advocates Network-Allied.About the Opportunity:This 13-week contract provides a unique opportunity to gain experience in a fast-paced cardiovascular environment.As a Cath Lab Tech, you will work closely with a talented team of professionals to...
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Primary Care Provider Opportunity
3 days ago
Olympia, Washington, United States Provider Solutions & Development Full time**Job Description:**We are seeking a highly motivated Physician Assistant or Nurse Practitioner to join our team at Providence ExpressCare Lacey. As a member of our community-focused service, you will have the opportunity to provide high-quality patient care while enjoying a 3-day workweek schedule.This is an excellent opportunity for a skilled healthcare...
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Senior Care Professional
4 weeks ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeAt Sunrise Senior Living, we're passionate about delivering high-quality care with a personal touch. Our team members are our greatest resource, and we're seeking individuals who share our commitment to providing exceptional service to seniors and their families.About the RoleWe're seeking a dedicated Senior Care Professional to join our team at Sunrise of...
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Senior Care Specialist
4 weeks ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeSunrise Senior Living OpportunityAt Sunrise Senior Living, we strive to provide exceptional care and services to seniors. As a Caregiver, you will be responsible for providing the highest degree of quality care and services to our residents. This role is perfect for individuals who are passionate about serving others and making a difference in their...
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Senior Networking Equipment Developer
3 days ago
Olympia, Washington, United States Oracle Full timeKey ResponsibilitiesCollaborate with program/project managers to develop test strategy landmarks and deliverables.Develop test practices and strategies to validate production network configurations and scale use cases.Implement testing protocols for networking equipment to ensure performance, reliability, and scalability.Conduct inspections and testing of...
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Senior Care Specialist
4 weeks ago
Olympia Fields, Illinois, United States Sunrise Senior Living Full timeOverviewSunrise Senior Living is a leading provider of senior care services, dedicated to delivering high-quality care and creating a warm and welcoming environment for our residents.
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Olympia, Washington, United States Maverick Elite Healthcare Consulting Full timeMaverick Elite Healthcare Consulting is seeking a highly skilled Senior Anesthesiology Specialist to join our team in Springfield, MO. As a senior anesthesiology specialist, you will be responsible for providing exceptional care to patients undergoing surgical procedures.Job SummaryThis locums tenens opportunity offers a unique chance to work as an...
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Critical Care Nurse Specialist
4 weeks ago
Olympia, Washington, United States Health Advocates Network-Nursing Full timeWe are seeking a highly skilled Critical Care Nurse Specialist to join our team at Health Advocates Network-Nursing. This 13-week contract offers a competitive pay rate of up to $2217 per week, with flexible 12-hour shifts and 36 hours of work per week.About the RoleThe successful candidate will have a minimum of 2 years of recent experience in Progressive...
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Healthcare Professional
4 weeks ago
Olympia, Washington, United States Peoples Injury Network NW Full timeJob SummaryWe are seeking a skilled and compassionate Physical Therapy Specialist to join our team at Peoples Injury Network NW. As an Allied Health professional, you will be responsible for providing top-notch care to our clients, utilizing your expertise in physical therapy to promote healing, mobility, and overall well-being.
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Olympia, Washington, United States Provider Solutions & Development Full timeJob SummaryWe are seeking an experienced Brain Specialist to join our team at Providence Olympia Neurology in Olympia, Washington. This is a fantastic opportunity to practice in your desired subspecialty with some general Neurology.About the RoleThe ideal candidate will have excellent clinical skills and experience in outpatient care. You will have the...
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Medical Imaging Specialist
4 weeks ago
Olympia, Washington, United States Health Advocates Network-Allied Full timeWe are seeking a skilled Medical Imaging Specialist to join our team in the Pacific Northwest. This is an exciting opportunity to work with a dynamic healthcare organization and contribute to the delivery of high-quality patient care.About the RoleThis 13-week contract will have you working in a busy Cath Lab environment, performing various imaging...