- CareOregon (Portland, OR)
- Job Title Network Access and Adequacy Program Manager Requisition # 24774 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title ... downtown Portland office 1-2 times per week. Job Summary The Network Access and Adequacy Program Manager oversees CareOregon's Network Access and… more
- LA Care Health Plan (Los Angeles, CA)
- …provider issues. The Account Manager III is responsible for monitoring and managing network adequacy by assuring appropriate access to services throughout ... right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's...standard provider dataset is complete, accurate, and current. Provides network adequacy analysis and data to the… more
- AmeriHealth Caritas (Washington, DC)
- …strategy.; + ;Recruit providers as needed to ensure the realization of network adequacy targets.; + ;Initiates and maintains effective communication channels ... to resolve provider issues. Responsible for monitoring and managing provider network by assuring;appropriate access ;to services throughout the Plan's territory… more
- AmeriHealth Caritas (Youngstown, OH)
- …market strategy. + Recruit providers as needed to ensure the realization of network adequacy targets. + Initiates and maintains effective communication channels ... and works to resolve provider issues. Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the Plan's… more
- Molina Healthcare (Atlanta, GA)
- …Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network management… more
- Hudson Headwaters Health Network (Warrensburg, NY)
- HHHN Mission To provide the best health care, and access to that care, for everyone in our communities. HHHN Vision To pioneer an innovative, sustainable, and ... essential duty satisfactorily: Essential Duties and Responsibilities: + Collaborate with the Network team as the content expert for Nutrition to implement population… more
- Cedars-Sinai (CA)
- …all other aspects of Managed Care, quality & efficiency measures, Star ratings, access , physician network integrity, physician network performance, patient ... **Job Description** The Program Manager is responsible for supporting all facets...and departments within Cedars-Sinai Medical Center, the Cedars-Sinai Medical Network , Marina del Rey Hospital, and other Cedars-Sinai Health… more
- Fresenius Medical Center (Fircrest, WA)
- …regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). + Ensures ... strength in the North American market and extensive global network provide our employees with the best of both...procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues… more
- Fresenius Medical Center (Brandon, MS)
- …regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM). + Ensures ... strength in the North American market and extensive global network provide our employees with the best of both...procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues… more
- WellSense (Boston, MA)
- …all critical functions necessary to assess, develop, maintain and/or improve provider network adequacy and performance. Our Investment in You: . Full-time ... Gathers and analyzes data and other relevant intelligence in assessing provider network adequacy against required standards and business expectations; .… more