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Amerigroup Corporation-Nashville, TN, 37201
JOB SUMMARY: Responsible for the management of staff and activities focused on servicing and contracting of physicians and other providers with standard contracts. Responsible for managing provider issues resolution, education/orientation, evaluation of network adequacy, recruitment and marketing related to physician providers. Assists Vice President of Provider Relations in assuring that staff is maintaining positive physician relationships, advancing the goals of the Health Plan and promoting consistency with corporate objectives. PRIMARY RESPONSIBILITIES: 1. Manages the Provider Services...
Director Provider Relations Jobs in Nashville, Tennessee Jobs
Amerigroup Corporation | Nashville, TN, 37201 | 7
JOB SUMMARY: Responsible for the management of staff and activities focused on servicing and contracting of physicians and other providers with standard contracts. Responsible for managing provider issues resolution, education/orientation, evaluation of network adequacy, recruitment and marketing related to physician providers. Assists Vice President of Provider Relations in assuring that staff is maintaining positive physician relationships, advancing the goals of the Health Plan and promoting consistency with corporate objectives. PRIMARY RESPONSIBILITIES: 1. Manages the Provider Services...
AMERIGROUP Corporation | Nashville, TN, 37230, USA | 7
Job Title: Director Provider Relations Job ID: 10672 Location:Nashville, TN Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Responsible for the management of staff and activities focused on servicing and contracting of physicians and other providers with standard contracts. Responsible for managing provider issues resolution, education/orientation, evaluation of network adequacy, recruitment and marketing related to physician providers. Assists Vice President of Provider Relations in assuring that staff is maintaining positive physician relationships, advancing the goals o...
Amerigroup Corporation Jobs
AMERIGROUP Corporation | Virginia Beach, VA, 23452, USA | 1-2
Job Title: Coordinator Appeals &Grievance-Medicare Job ID: 10786 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular SSO Grade 16 Recruiter: J. Mays JOB SUMMARY: The Coordinator of Appeals and Grivances (MCAG) is responsible for the intake, routing and coordination of the Medicare Member Complaints, Appeals & Grievances (CAGs) received within the department. In addition, the MCAG Coordinator is responsible for the processing of non-clinical MCAGs in accordance with the requirements as set forth by the Centers for Medicare & Medicaid Services (CMS) Medicare Advan...
AMERIGROUP Corporation | New York City, NY, 10044, USA | 3
Job Title: Quality Improvement Mgr. Long Term Care Job ID: 10750 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Temporary Grade: 20 JOB SUMMARY: The HCMS manager is responsible for providing clinical supervision to a team responsible for coordinating member service, utilization, access, and concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services. PRIMARY RESPONSIBILITIES: 1. Manages and oversees team responsible in case finding and coordinating those cases that involve comorbid conditions and need to be part of t...
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