Program Manager, Provider Engagement
1 month ago
The Program Manager, Provider Engagement will play a key role in our innovative Risk Adjustment department, collaborating with a diverse team of data leaders, risk adjustment experts, and developers to develop and implement business strategies, operations, and vendor management related to provider engagement activities in government lines of business impacted by the regulatory risk adjustment payment model.
Key Responsibilities- Implement and manage prospective provider engagement programs to achieve improved risk score accuracy, compliance, and completeness in risk adjustment revenue for all government lines of business.
- Collaborate with the Director of Prospective Programs to support the strategic direction and organization of corporate initiatives.
- Interact and support regulatory agency policy and procedures by acting as a key business partner to the Director, Prospective Programs, Market & Segment Leaders, provider network team, health plan teams, external vendors, actuary, and finance.
- Develop and implement provider education/engagement initiatives, including provider incentives, to better align with clinical documentation requirements, value-based payment programs, and provider performance programs.
- Track and monitor the success of provider engagement program initiatives against set goals, develop corrective action plans, and communicate program progress to key stakeholders.
- Minimum Bachelor's Degree in Public Health, Business, Finance, or equivalent combination of education and experience.
- 3-5 years managed care experience, preferably with a national or multi-location organization.
- Experience in a complex healthcare delivery environment, specifically with government-sponsored programs, including risk revenue management, strategy, and compliance.
- Proven ability to innovate and drive organizational change.
- Excellent presentation and communication skills.
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Sports Program Manager
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Hattiesburg, Mississippi, United States Justice, Bureau of PrisonsFederal Prison System Full timeJob SummaryAs a Sports Specialist with the Justice, Bureau of Prisons/Federal Prison System, you will be responsible for designing and implementing leisure-time activities in a correctional institution. This includes individual and team sports such as weight-lifting, track, basketball, softball, flag football, and more. You will also plan the institution's...
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Sports Program Coordinator
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Hattiesburg, Mississippi, United States Justice, Bureau of PrisonsFederal Prison System Full timeJob SummaryWe are seeking a highly skilled and experienced individual to serve as a Sports Specialist in our correctional institution. The successful candidate will be responsible for designing and implementing leisure-time activities, including individual and team sports, to promote a humane and secure environment and ensure public safety.Key...
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Clinical Program Manager
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Audit Manager
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Trusted In-Home Childcare Provider
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Senior Audit Manager
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Healthcare Provider
3 weeks ago
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Hattiesburg, Mississippi, United States Wyndy LLC Full timeAt Wyndy LLC, we are seeking a trustworthy and experienced in-home childcare provider to join our team. The ideal candidate will have a genuine love for children and a strong commitment to ensuring their safety and well-being at all times. Key responsibilities include supervising and engaging with children, preparing healthy meals and snacks, assisting with...
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Market Operations Manager
1 month ago
Hattiesburg, Mississippi, United States West Quality Food Service, Inc. Full timeMarket Coach Job DescriptionWest Quality Food Service, Inc. is a 47-year-old company with a proven track record of success, operating as a premier operator within its brand. We are seeking a proactive, self-motivated, and ethical Multi-Unit Manager to take our company to the next level of excellence.Key Responsibilities:Oversee training and development in...
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Program Aide On-Call Specialist
1 month ago
Hattiesburg, Mississippi, United States Save the Children Full timeJob SummarySave the Children is seeking a highly motivated and dedicated Program Aide On-Call to join our team. As a Program Aide On-Call, you will be responsible for providing educational, relational, and social experiences for infants, toddlers, and preschool-aged children to foster growth and development in all developmental domains.Key...
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Leasing Manager
4 weeks ago
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Management Trainee Position
4 weeks ago
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Pharmacy Manager
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Primary Care Provider
4 weeks ago
Hattiesburg, Mississippi, United States Hattiesburg Clinic Full timeJob Summary:The Hattiesburg Clinic is seeking a certified Family Nurse Practitioner to join our team. As a primary health care provider, you will practice in ambulatory, hospital, and long-term care settings, providing nursing and medical services to individuals, families, and groups. You will diagnose and manage acute episodic and chronic illnesses, promote...
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Director of Case Management
4 weeks ago
Hattiesburg, Mississippi, United States Forrest General Hospital Full timeJob SummaryThe Director of Case Management is a key leadership position at Forrest General Hospital, responsible for overseeing the day-to-day operations of the case management department. This includes directing, organizing, developing, and planning to ensure effective functioning and performance of the department. The Director oversees and manages a team...
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Merchandise Team Member
4 weeks ago
Hattiesburg, Mississippi, United States TJ Maxx Full timeKey Responsibilities:• Engage with customers to provide an exceptional shopping experience.• Accurately process customer transactions and manage cash handling procedures.• Promote loyalty programs and credit services to customers.• Prepare merchandise for the sales floor and maintain a visually appealing store environment.What We Offer:A dynamic and...
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Retail Project Manager
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Hattiesburg, Mississippi, United States Driveline Full timeJob SummaryRetail Project Supervisors at Driveline are responsible for managing large-scale resets, new store sets, and other projects while leading a team of traveling professionals. This role offers opportunities to develop and implement new programs, train and mentor a team, and travel extensively across the US.Key ResponsibilitiesManage large-scale...
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Canvasser Hattiesburg Position
4 weeks ago
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Restaurant Operations Manager
4 weeks ago
Hattiesburg, Mississippi, United States Checkers Drive-In Restaurants , Inc. Full timePurpose of Your WorkAt Checkers & Rally's, we strive to be the first choice for our guests and employees. As a member of the Field Operations team, you will be responsible for executing the restaurant plan, achieving sales and profit goals, and providing excellent guest and team service.Key ResponsibilitiesMeeting budgeted sales and profits by managing all...