Top 7559 West/central Jobs

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Certified Occupational Therapy Assistant (COTA)
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Special Education Teacher - Rossville
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Duininck Concrete —Morris, MN
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PHYSICIAN ASSISTANT - CERTIFIED
WEST SHORE FAMILY PRACTICE P,C. —Mechanicsburg, PA
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Postdoctoral Associate
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Class A CDL Solo & Team OTR Drivers: Sign-On Bonus! | Van Buren
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Physical Therapist (OP Ortho)
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CDL A OTR Truck Driver
American Central Transport Inc. —Fort Worth, TX
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- Paid holidays
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Member Engagement Sales & Service Advisor - West Bend WI - August 17th Start
Delta Defense, LLC —West Bend, WI
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- High school diploma or GED
- Associate's degree
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Tri-National Inc. —Russellville, AR
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- CDL A
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8d

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Provider Engagement Specialist III- Mississippi- Central West and Coastal Region

CareSource -
Mississippi

Apply Now

Job Details

Full-time
$64,980 - $103,950 a year

Qualifications

Managed care organization experience
Driver's License

Full Job Description

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.

Job Summary:

The Provider Engagement Specialist III is responsible for provider contracting services, provider assistance and acts as the engagement lead for high value, strategic health partners.

Essential Functions:

Execute the quality, engagement, and contracting strategy, develop provisions based on cost, quality/analysis and monitor key metrics for the assigned Market
Lead for identified Market performance and engagement strategic initiatives under the direct supervision of their manager
Market lead for performance and engagement activities to support overall network performance, new products, and product expansion
Responsible for provider recruitment, contracting and initiating the loading and credentialing processes and ensuring timely and appropriate loading
Coordinate the account strategy and provide account support with the goal of driving the overall satisfaction and engagement of Provider network
Negotiate and re-negotiate hospital, ancillary, physician and behavioral health contracts, terms, reimbursement rates, etc., in a manner that complies with corporate policies
Analyze financial data to establish network strategic initiatives, partnerships, and to establish rates in collaboration with leadership and Finance
Knowledgeable of federal and state laws and regulations pertaining to provider contracting
Drive quality outcomes through execution and support of Value Based Reimbursement agreements with providers
Assume leadership role in JOC’s (Joint Operating Committees) with key health partners and be able to develop and present data on Provider performance
Enhance effectiveness of Providers’ population health through a variety of member health outcome and quality improvement techniques
Collaborate with Population Health Analytics team in coordinating the exchange of clinical information and member/population level data
Assist in development and implementation of strategic plans in collaboration with leadership and population health analytics team
Collaborate with the Provider to develop and enhance the practice’s engagement strategies for individual members
As requested, become a Subject Matter Expert on specific provider types
Provide on-site practice transformation support and education to Providers identified as partners in the CareSource PCMH program. CareSource supports the NCQA Patient Centered Medical Home model.
Resolving complex or non-routine Provider questions, issues, and problems within 30 days or less and communicating as needed
Works with leadership and stakeholders to evaluate policy and process changes for potential provider impacts, monitors implementation of key initiatives, and provides leadership on initiatives affecting providers
Ensures CareSource complies with regulatory requirements, addresses compliance concerns, achieves accreditation standards, and participates in market audits
Mentor and/or train new hires
Perform any other job duties as requested

Education and Experience:

Bachelor’s degree in a healthcare related field, or equivalent years of relevant work experience is required
Master’s Degree is preferred
Minimum of five (5) years of healthcare experience, to include three 3 years of direct work experience in provider relations and/or provider contracting
Managed care experience is required
NCQA PCMH experience is preferred

Competencies, Knowledge and Skills:

Intermediate proficiency level with Microsoft Outlook Word, and Excel
Knowledge of Provider Network Management Processes & Services
Ability to manage and prioritize multiple tasks, promote teamwork and fact-based decision making
Strong negotiation skills
Effective oral and written communication skills
Critical listening and thinking skills
Training/teaching skills
Time management skills

Licensure and Certification:

Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Six Sigma Certification or Project Management certification preferred

Working Conditions:

Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
May be required to travel greater than 50% of time to perform work duties. A valid driver’s license, car, and insurance are necessary for work related travel
Required to use general office equipment such as a telephone, photocopier, fax machine, and personal computer
Flexible hours, including possible evenings and/or weekends as needed to represent CareSource

Compensation Range:

$64,980.00 - $103,950.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-TS1

Brand=TrueCare

Apply Now

Refine Your Search

West/central jobs

Provider Engagement Specialist III- Mississippi- Central West and Coastal Region

Conflicts Analyst

Patient Account Representative

ACE Central Crew Member Application - Location of your choice

Zone Safety Specialist (West & Central Regions)

CSNH RHT North West Central Student Support Specialist

Host

Certified Occupational Therapy Assistant (COTA)

School Liaison - Clinician (Licensed or License Eligible Required)

Special Education Teacher - Rossville

Ready Mix Driver - Morris, MN

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PHYSICIAN ASSISTANT - CERTIFIED

Postdoctoral Associate

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Member Engagement Sales & Service Advisor - West Bend WI - August 17th Start

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This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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