SpringfieldMORecruiter Since 2001
the smart solution for Springfield jobs

Provider Network Specialist II (Springfield, MO)

Company: Centene Coproration
Location: Springfield
Posted on: December 5, 2019

Job Description:

Description: Position Purpose: Perform health plan provider orientations and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship. Conduct initial provider orientations as well as ongoing educational outreach Educate providers regarding policies and procedures related to referrals, claims submission, credentialing documentation, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface Enhance account relationships by investigating, documenting and resolving provider matters and effectively handling and responding to account changes and correspondence. Engage providers and educate them on Patient Centered Medical Home initiatives Perform detailed HBR (Health Benefits Ratio) analyses, Health Information data Information Set (HEDIS) analyses, and create reports for provider Review provider performance by both quantitative metrics and qualitative factors Create and communicate milestone documents, dashboards and success or improvement metrics Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance Provide information and status updates for providers regarding incentive agreements Conduct site visits when required Perform other contracting duties as requested, including but not limited to recommending changes to pricing subsystems, submitting changes to provider related database information and assisting in the completion of special projects Ability to travel

Keywords: Centene Coproration, Springfield , Provider Network Specialist II (Springfield, MO), Other , Springfield, Missouri

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Warehouse Maintenance Tech
Description: Warehouse Maintenance Tech - Republic, MO About the Job: Maintenance Tech I 3rd Shift Wednesday - Saturday At McLane, we treat our teammates like family That's why we offer comprehensive (more...)
Company: McLane Company
Location: Springfield
Posted on: 12/6/2019

DC - Part-Time Data Collector (AR - Springdale)
Description: Description: Part-Tme Data Collector Do you enjoy shopping at large retail stores Do you appreciate competitive prices and watch for sales on your favorite items Would you like to make some extra money (more...)
Company: RetailData, LLC.
Location: Springdale
Posted on: 12/6/2019

CDL A Truck Drivers - Average $70,000+
Description: WHY JOIN NCI Because Our Drivers Say So Company Pay amp Benefits Pay You Can Bank On 70,000 per year Our newest increase has drivers starting up to 51 CPM and earning 70,000
Company: National Carriers Inc.
Location: Springfield
Posted on: 12/6/2019


Accounts Receivable Supervisor
Description: OverviewWHO WE ARE:--ABI Document Support Services is the largest nationwide provider of records retrieval, subpoena services, and document management for the legal and insurance industries. Our singular (more...)
Company: ABIDSS, Inc.
Location: Springfield
Posted on: 12/6/2019

Customer Service Representative
Description: Customer Service Representative Active Listener. ProblemSolver. Caring Nature. It's what connects us and we'd like to connect with youtoo We are looking for you to help us deliver exceptional customerexperiences (more...)
Company: TTEC
Location: Springfield
Posted on: 12/6/2019

CDL-A Midwest Regional Truck Driver
Description: Weekend Home Time on Midwest Regional Runs We have the regional CDL-A truck driver runs you ve been searching for J amp R Schugel has regional truck driver runs in the Midwest that get you home weekly (more...)
Company: J&R Schugel Trucking
Location: Springfield
Posted on: 12/6/2019

CDL-A Truck Driver | South Central
Description: Required Class A CDL and 6 months recent tractor-trailer experience Average Miles: 2,100
Company: Heartland Express
Location: Springfield
Posted on: 12/6/2019

Experienced OTR Company Truck Drivers
Description: CDL-A TRUCK DRIVER - HOME WEEKLY Enjoy Huge Earnings amp Weekly Home Time At EPES Transport, we re hiring experienced CDL-A Truck Drivers for regional opportunities that offer guaranteed high miles (more...)
Company: Epes Transport System Inc
Location: Springdale
Posted on: 12/6/2019

Class A CDL OTR Truck Driving Positions Available - Accepting Students
Description: START EARNING MORE WITH CORE.At Core Carrier Corp, we've increased ourpay to 47 CPM and made it easier to earn up to 56 CPM through competitiveproductivity bonuses and insurance opt-out. Get on the road (more...)
Company: Core Carrier
Location: Springfield
Posted on: 12/6/2019

U.S. Xpress is excited to announce Straight Pay- A New Way to Team Pay!
Description: U.S. Xpress is excited to announce Straight Pay- A New Way to Team Pay TRUCK DRIVING JOBS: TEAMS EARN UP TO 150,000 A YEAR Don't Wait, Call Now 423-445-7462We're changing the game on team pay and making (more...)
Company: U.S. Xpress
Location: Springfield
Posted on: 12/6/2019

Log In or Create An Account

Get the latest Missouri jobs by following @recnetMO on Twitter!

Springfield RSS job feeds