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Triwest Healthcare
Seattle, WA, United States
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary Develops and maintains provider relationships within designated state/territory, i
Job Source: Triwest HealthcareFred Hutchinson Cancer Research Center
Seattle, WA, United States
Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow t
Job Source: Fred Hutchinson Cancer Research CenterDigital Monitoring Products, Inc.
Seattle, WA, United States
* Sales * Seattle, WA, USA * Salary + Commission * Full Time *Onsite medical clinic for employee, spouse and family members under 21 living at home; Medical, Dental, 401k, Life Insurance, Short and Long Term Disability, paid vacation/holidays) plus some not so usual (free security system, free UPS shipping), so you don't have to worry about
Job Source: Digital Monitoring Products, Inc.Meta
Seattle, WA, United States
Meta seeks an experienced professional to support the company's public policy and government relations efforts across Western United States. Candidates should demonstrate experience in state public policy, political engagement, and issue advocacy and have a strong understanding of internet, technology, and economic development policy. Candidates sh
Job Source: MetaSprings Window Fashions
Seattle, WA, United States
Description Regional Sales Manager - Northwest The Best Experience Company Our tagline is “The Best Experience Company.” More than just a set of words, it represents the essence of who we are at Springs Window Fashions. As North America’s premier window covering company, we’re committed to creating the Best Experience for our associates, consumer
Job Source: Springs Window FashionsSprings Window Fashions
Seattle, WA, United States
Description Regional Sales Manager - Northwest The Best Experience Company Our tagline is “The Best Experience Company.” More than just a set of words, it represents the essence of who we are at Springs Window Fashions. As North America’s premier window covering company, we’re committed to creating the Best Experience for our associates, consumer
Job Source: Springs Window FashionsCuriox Biosystems Pte Ltd.
Seattle, WA, United States
Sales Manager Pacific Northwest **POSITION OVERVIEW:** * Curiox is seeking an experienced life science capital equipment sales professional for our innovative products. Based in the Seattle area, you will have a proven track record of instrument sales success within any of the following areas: Flow cytometry, single cell applications, lab automat
Job Source: Curiox Biosystems Pte Ltd.Palmer Holland Inc.
Seattle, WA, United States
About Palmer Holland: Do you ever wonder how your sneakers can have such a great bounce? Or how your gummy bear gets its chewy texture? Maybe you've wondered how your paint gets its shine. Palmer Holland helps make this possible. Based in Westlake, OH, Palmer Holland is an employee-owned, international distributor of specialty chemicals and fine in
Job Source: Palmer Holland Inc.Seattle, WA, United States
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary Develops and maintains provider relationships within designated state/territory, inclusive of relationships with both TriWest Network Subcontractors and any directly contracted provider groups. Manages network development activity with network subcontractors/network providers to ensure network meets all access standards. Provider network includes hospital, physician and ancillary service agreements. Provider Network Manager ensures adherence with government operational manuals, monitors network access, and resolves access issues throughout the assigned region. Facilitates resolution of escalated provider issues, and promotes TriWest Corporate initiatives. Ensures that Network Subcontractors fulfill all performance obligations defined in their Health Network Agreement. Education & Experience Required: Bachelor's degree in Business, Health Care Administration or equivalent experience 2+ years of experience managing large or complex provider networks 5 years of experience in a Managed Care or equivalent health care environment 2+ years of experience managing provider contracts including pricing, discounts, and all associated terms and conditions Preferred: Experience in provider contracting for government programs and/or commercial lines of business Has established relationships and resides in the market for the which the position is located Management experience in the healthcare industry Experience in utilizing a contract management system to manage contracting workflow Negotiation experience Understanding Claims issues and terms Key Responsibilities Maintains relationships with Network Subcontractors in state/market of operations. Develops negotiation strategies for areas of responsibility to achieve individual and department performance metrics. Develops strategic plan to meet network adequacy needs for areas of responsibility and submits to department leadership for inclusion in overall network development plans. Coordinates with Federal stakeholders to deploy network solutions to adhere to requirements of the contracts held by TriWest. Collaborates with Federal stakeholders to identify areas of provider training and education to be incorporated into the TriWest provider education plan. Aligns with Network Subcontractors and Federal Stakeholders to identify areas of opportunity for deployment of alternative payment models to support TriWest's network and improve health care outcomes. Collaborates with internal leadership team to address network access. Supports providers as needed, with issues related to claims, referrals, or any other program related activity. Demonstrates and maintains current knowledge of all programs, contracting, credentialing, reimbursement and operational policies and TriWest initiatives, operations, and goals. Reviews systems/work flow processes and procedures to identify/recommend opportunities for productivity and process improvement. Collaborates closely with other department leadership, staff, and executive leadership on process improvement to promote service level improvements or facilitate new processes. Monitors and responds to network shortfalls within region through coordination with network subcontractors where appropriate. Regularly reviews and determines appropriate network access and development and makes recommendations to support network build activities. Provides regular updates to department leadership regarding provider network development, management, and access for assi
Email Alert for Provider Network Manager (Northwest) jobs in Seattle, WA, United States
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