Tucson, Arizona, United States · Remote OK
$81k–$122k/yr
Job Description Summary The Network Support Manager ensures that provider network is optimized for access, quality, compliance, and performance. This role is accountable for operational execution, network issue resolut…
Skills: Network Optimization, Provider Engagement, Contract Administration, Operational Execution, Compliance Management
Carcassonne, Occitania, France · Remote OK
$119k–$179k/yr
Job Description Summary CareMore Health, a Mosaic Health company, is seeking an experienced Financial Planning & Analysis (FP&A) Lead to serve as a key finance partner supporting financial planning, forecasting, report…
Skills: Financial Planning & Analysis, Financial Modeling, Budgeting, Forecasting, Variance Analysis
Apple Valley, California, United States · On-site
$114k–$171k/yr
Job Description Summary The Nurse Practitioner (NP) End-Stage Renal Disease (ESRD) provides high-quality, patient-centered clinical care for individuals with advanced chronic kidney disease (CKD Stage 4/5) and ESRD acr…
Skills: Patient Assessment, Diagnosis, Treatment Planning, Chronic Kidney Disease Management, Dialysis Management
Montebello, California, United States · On-site
$24/hr–$36/hr
Job Description Summary About the Role The Medical Assistant plays a critical role in supporting clinicians and ensuring the delivery of high-quality, patient-centered care. This position is responsible for assisting w…
Skills: Patient Examination, Vital Signs Measurement, Medication Administration, Patient Scheduling, Medical Documentation
Fort Smith, Arkansas, United States · On-site
$98k–$146k/yr
Job Description Summary Vera Whole Health seeks an experienced provider who sets the standard of excellence as a clinical services leader within one of our primary-care clinics. Vera’s mission and clinical model were c…
Skills: Primary Care, Case Management, Population Health Management, EMR Systems, Coding and Documentation
Montebello, California, United States · On-site
$22/hr–$33/hr
Job Description Summary About the Role The Medical Assistant plays a critical role in supporting clinicians and ensuring the delivery of high-quality, patient-centered care. This position is responsible for assisting w…
Skills: Patient Care, Clinical Support, Vital Signs Measurement, Medication Administration, Patient Scheduling
Fullerton, California, United States · On-site
$22/hr–$33/hr
Job Description Summary About the Role The Medical Assistant plays a critical role in supporting clinicians and ensuring the delivery of high-quality, patient-centered care. This position is responsible for assisting w…
Skills: Patient Examination Support, Vital Signs Measurement, Medication Administration, Patient Scheduling, Medical Documentation
Tucson, Arizona, United States · On-site
$61k–$92k/yr
Job Description Summary This role provides operational leadership for one or more CareMore Health care centers serving Medicare and Medicaid patients with chronic and complex conditions. The manager is responsible for …
Skills: Operational Leadership, Workforce Management, Regulatory Compliance, Patient Experience, Clinical Efficiency
Upland, California, United States · On-site
$119k–$179k/yr
Job Description Summary Nephrology Nurse Practitioner - Medical Office How will you make an impact & Requirements Work Site Locations: 2 days a week @ Apple Valley Care Center (Apple Valley, CA 92308 ) + 3 days a w…
Skills: Nephrology, Dialysis Care, Physical Assessment, Diagnostic Testing, Care Planning
Carcassonne, Occitania, France · On-site
$119k–$179k/yr
Job Description Summary The Mobile Nurse Practitioner provides comprehensive primary and/or specialty healthcare services to patients in facility-based settings including Board & Care homes (B&C), Assisted Living Facil…
Skills: Patient Assessment, Chronic Disease Management, Diagnostic Interpretation, Prescription Management, Care Coordination
Apple Valley, California, United States · On-site
$21/hr–$31/hr
Job Description Summary See Job Description How will you make an impact & Requirements Please attach Medical Assistant II to requisition Compensation: $21.00 to $31.50
Skills: Medical Assisting, Patient Care, Clinical Support
Carcassonne, Occitania, France · Remote OK
$119k–$179k/yr
Job Description Summary CareMore Health is seeking a Senior Clinical Data Analyst to join the analytics team to support and advance clinical analytics by analyzing clinical, claims, and operational data to uncover insi…
Skills: SQL, Data Analysis, Power BI, Data Visualization, Healthcare Analytics
Lawndale, California, United States · On-site
$21/hr–$36/hr
Job Description Summary About the Role The Medical Assistant plays a critical role in supporting clinicians and ensuring the delivery of high-quality, patient-centered care. This position is responsible for assisting w…
Skills: Patient Care, Vital Signs Measurement, Medication Administration, Patient Scheduling, Medical Documentation
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The Network Support Manager optimizes the provider network for access, quality, and compliance. They are responsible for operational execution, resolving network issues, and managing provider engagement aligned with value-based care.
The candidate must be able to oversee department activities, manage facility provider contracts, and create tools for contract implementation. They should be capable of interfacing with providers regarding contractual obligations and reimbursement policies.
The Network Support Manager ensures that provider network is optimized for access, quality, compliance, and performance. This role is accountable for operational execution, network issue resolution, provider engagement, and alignment to value-based
Primary duties may include, but are not limited to:
· May oversee the day to day training, guidance and management of department activities and facilitates resolution of problems and issues.
· Analyzes and coordinates strategies, policies and programs to ensure accurate administration of facility provider contracts across multiple lines of business and multiple platforms.
· Creates tools to assist contract implementation and administration.
· Interfaces with providers on contractual obligations, education, and provider operations manual updates.
· Coordinates and acts as a business partner on projects that ensures accurate facility and provider reimbursement policy and procedure
to
$122,238.00For more than 30 years, CareMore Health has delivered highly integrated, personalized care that has led the industry with exceptional clinical outcomes proven to lower the cost of care. We specialize in managing complex and chronically ill patients and providing life-changing care wherever they are – in the home, virtually, in our Care Centers, mobile units, at skilled nursing facilities and hospitals. CareMore was an early advocate of value-based care and has a successful history of full-risk capitation, risk sharing and accountability for cost and outcomes. With health plan experience, we understand the challenges of fully managing complex populations. We are agile and can flex to meet your needs in the following areas: Complex Care — A team-based care model that delivers integrated whole-person care to address all aspects of the patient’s needs Full Population Health — A whole-health care model that coordinates care for Medicare and Medicaid populations, whether members are healthy, at risk, or in need of palliative care Commercial – We specialize in managing complex and chronic patients, improving outcomes and reducing the cost of care.
Offices: 12900 Park Plaza Drive, Cerritos, CA 90703, US
For more than 30 years, CareMore Health has delivered highly integrated, personalized care that has led the industry with exceptional clinical outcomes proven to lower the cost of care. We specialize in managing complex and chronically ill patients and providing life-changing care wherever they are – in the home, virtually, in our Care Centers, mobile units, at skilled nursing facilities and hospitals. CareMore was an early advocate of value-based care and has a successful history of full-risk capitation, risk sharing and accountability for cost and outcomes. With health plan experience, we understand the challenges of fully managing complex populations. We are agile and can flex to meet your needs in the following areas: Complex Care — A team-based care model that delivers integrated whole-person care to address all aspects of the patient’s needs Full Population Health — A whole-health care model that coordinates care for Medicare and Medicaid populations, whether members are healthy, at risk, or in need of palliative care Commercial – We specialize in managing complex and chronic patients, improving outcomes and reducing the cost of care.
Offices: 12900 Park Plaza Drive, Cerritos, CA 90703, US
