Top 1619 Clinical support staff Jobs in Nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE
Molina Healthcare —Nebraska
- $47,433.00 - $97,362.61 a year
- Full-time
- Remote
- Medical office experience
- Contracts
- Senior level
- Health insurance
11d
Clinical Support Staff
NEBRASKA HEMATOLOGY ONCOLOGY (NHO) —Lincoln, NE
- CPR Certification
- Vital signs
- Writing skills
Quick Apply
10d
Staff RN - Behavioral Health / Emergency - Part Time / Days
Children's Nebraska —Omaha, NE
- Part-time
- Nursing
- Medication administration
- Patient monitoring
Social Worker
ONEWORLD COMMUNITY HEALTH CENTERS INC —Omaha, NE
- Full-time
- Spanish
- Customer service
- Computer literacy
- Health insurance
- Dental insurance
Dentist
Emergency Dental of America —Omaha, NE
- From $300,000 a year
- Part-time
- CPR Certification
- Dental office
- Doctoral degree
Quick Apply
Staff RN - Experienced Bedside Behavioral Health / Emergency - Full time/Nights
Children's Nebraska —Omaha, NE
- Weekends as needed
- Nursing
- Medication administration
- RN License
Licensed Mental Health Therapist
Ogallala Counseling, P.C. —Ogallala, NE
- $75,000 - $100,000 a year
- Full-time
- Private practice
- Licensed Clinical Social Worker
- HIPAA
- Professional development assistance
- Flexible schedule
Quick Apply
9d
CT/X-Ray Technologist PRN Nights
Nebraska Hospital —Omaha, NE
- From $40 an hour
- Full-time
- BLS Certification
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
9d
Staff RN - Experienced Bedside CC - Cardiac Care Unit - Full time/Nights
Children's Nebraska —Omaha, NE
- Weekends as needed
- Nursing
- RN License
- PALS Certification
Supervisor Clinical Nursing / Inpatient Nursing Float Pool Nights
Children's Nebraska —Omaha, NE
- Full-time
- Nursing
- Float pool
- RN License
Board Certified Behavior Analyst
Nebraska Department of Health and Human Services —Omaha, NE
- From $30.18 an hour
- Full-time
- Background check
- Mid-level
- Master's degree
- Health savings account
- Health insurance
Quick Apply
Health Educator
Two Rivers Public Health Department —Kearney, NE
- $22.19 - $24.97 an hour
- Weekends as needed
- Background check
- Ability to walk for extended periods
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse (LPN) – LTC/Acute Rehab
Ambassador Health of Omaha —Omaha, NE
- Weekends only
- CPR Certification
- Hospital
- BLS Certification
- Paid training
- Paid holidays
Quick Apply
Assistant Director of Nursing
Elk Ridge Village Senior Living —Elkhorn, NE
- On call
- CPR Certification
- Nursing
- RN License
- AD&D insurance
- Health insurance
Registered Nurse
The Banyan at Montclair —Omaha, NE
- Part-time
- In person
- Skilled nursing facility
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
Family Preservation Therapist
Guardian Light Family Services —McCook, NE
- $40 - $60 an hour
- Background check
- Mid-level
- Driving
- Mileage reimbursement
- Paid holidays
Psychiatrist/Forensic Psychiatrist
State of Nebraska —Lincoln, NE
- $325,000 - $350,000 a year
- Full-time
- Medicine
- Psychiatry
- BC/BE
- Health savings account
- Health insurance
Quick Apply
Family Preservation Therapist
Guardian Light Family Services —Chadron, NE
- $40 - $60 an hour
- Background check
- Mid-level
- Driving
- Mileage reimbursement
- Paid holidays
Family Preservation Therapist
Guardian Light Family Services —Kearney, NE
- $40 - $60 an hour
- Background check
- Mid-level
- Driving
- Mileage reimbursement
- Paid holidays
Family Preservation Therapist
Guardian Light Family Services —O'Neill, NE
- $40 - $60 an hour
- Background check
- Mid-level
- Driving
- Mileage reimbursement
- Paid holidays

I want to receive the latest job alert for clinical support staff in nebraska

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical support staff jobs near nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE

Molina Healthcare -
Nebraska

Apply Now

Job Details

Full-time
$47,433.00 - $97,362.61 a year
11 days ago

Benefits

Health insurance

Qualifications

Customer training
Medicare
Managed care organization experience
Medical office experience
Educational talks
Schedule management
Corporate training teaching experience
Health insurance knowledge
Medicare regulations
Medicaid regulations
Medicaid
Productivity software
Healthcare reimbursement methods
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION Job SummaryProvides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages the plan's highest priority, high-volume and strategic complex community providers to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Resolves complex provider issues that may cross departmental lines and involve senior leadership.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
Serves as a subject matter expert for the provider relations function.
Provides training and support to new and existing provider relations team members.
Role requires 80%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

Required Qualifications

At least 3 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
Understanding of the health care delivery system, including government-sponsored health plans.
Understanding of various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Experience in provider services, operations, and/or contract negotiations in a Medicaid, Medicare, and/or Marketplace managed health care setting - ideally with different provider types (i.e. physician, group, hospital).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $47,433 - $97,362.61 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

clinical support staff jobs in nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE

Clinical Support Staff

Staff RN - Behavioral Health / Emergency - Part Time / Days

Social Worker

Dentist

Staff RN - Experienced Bedside Behavioral Health / Emergency - Full time/Nights

Licensed Mental Health Therapist

CT/X-Ray Technologist PRN Nights

Staff RN - Experienced Bedside CC - Cardiac Care Unit - Full time/Nights

Supervisor Clinical Nursing / Inpatient Nursing Float Pool Nights

Board Certified Behavior Analyst

Health Educator

Licensed Practical Nurse (LPN) – LTC/Acute Rehab

Assistant Director of Nursing

Registered Nurse

Family Preservation Therapist

Psychiatrist/Forensic Psychiatrist

Family Preservation Therapist

Family Preservation Therapist

Family Preservation Therapist

I want to receive the latest job alert for clinical support staff in nebraska

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected