Provider Job Openings - 33 Jobs

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem

    Ashburn, VA

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem

    Ashburn, VA

  • Estimated Salary

    $19,510

    Sitter Wanted - Present In Home Daycare Provider Wanted In Ashburn
    Careguide

    Ashburn, VA

  • Estimated Salary

    $94,500

    Business Change Manager - NY Medicaid Provider Relations - Remote - US - 139533
    Anthem

    Ashburn, VA

  • Estimated Salary

    $88,941

    Provider Network Mgr II
    Anthem

    Ashburn, VA

  • Estimated Salary

    $155,690

    Provider Network Mgt Dir
    Anthem

    Ashburn, VA

  • Estimated Salary

    $63,898

    Provider Auditor or Provider Auditor Sr. - Remote (PS1577)
    Anthem

    Ashburn, VA

  • Estimated Salary

    $67,490

    Provider Contract Cost
    Anthem

    Ashburn, VA

  • Estimated Salary

    $101,000

    Provider Contract Cost
    Anthem

    Ashburn, VA

  • Estimated Salary

    $63,898

    NEW
    Clinical Provider Auditor I, II or Sr. - Remote - PS1751
    Anthem

    Ashburn, VA

  • Estimated Salary

    $67,490

    Provider Contract Cost
    Anthem

    Ashburn, VA

  • Estimated Salary

    $88,941

    Provider Network Mgr I
    Anthem

    Ashburn, VA

  • Estimated Salary

    $88,941

    NEW
    Provider Network Mgr II
    Anthem

    Ashburn, VA

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Chantilly, VA

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem, Inc.

    Reston, VA

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem, Inc.

    Arlington, VA

  • Estimated Salary

    $75,000

    NEW
    Provider Informaticist
    Medstar Health

    Washington, DC

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem

    Washington, DC

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem

    Alexandria, VA

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Fairfax, VA

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Reston, VA

  • Estimated Salary

    $79,391

    RVP II Provider Solutions
    Anthem, Inc.

    Rockville, MD

  • Estimated Salary

    $65,631

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Rockville, MD

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Arlington, VA

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem

    Washington, DC

  • Estimated Salary

    $65,631

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem, Inc.

    Bethesda, MD

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem

    Falls Church, VA

  • Estimated Salary

    $52,020

    Licensed Healthcare Provider - JE-OPETS
    Patricio Enterprises

    Fort Belvoir, VA

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem, Inc.

    Fairfax, VA

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem

    Alexandria, VA

  • Estimated Salary

    $79,391

    RVP II Provider Solutions
    Anthem, Inc.

    Bethesda, MD

  • Estimated Salary

    $83,480

    RVP II Provider Solutions
    Anthem, Inc.

    Chantilly, VA

  • Estimated Salary

    $63,565

    Clinical Provider Auditor I or II - Remote - PS1555
    Anthem

    Falls Church, VA

Provider Jobs

average

$22,020

  • Assisting and Caring for Others
  • Documenting/Recording Information
  • Communicating with Supervisors, Peers, or Subordinates
  • Getting Information
  • Performing General Physical Activities

What does a Provider do at Humana

* Strong facilitation skills with an ability to run provider meetings with prioritized specific topic agenda reflecting entire provider support organization
* Develop and review Dashboard Metrics and translate into actionable items based on group specifics
* Ability to train others to use the tools that will enable the PCP to be successful
* Partner with all internal stakeholders and leverage the experience from all departments
* Manage provider continuum, prospecting other providers for value based opportunities
* Role Essentials
* Bachelor’s Degree
* Working knowledge of HEDIS
* Experience thriving in a matrix environment
* Prior experience in healthcare and/or managed care
* Proficient in Microsoft Office
* Excellent communication skills, both oral and written
* Strong relationship building skills
* This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
* Role Desirables
* Graduate degree preferred
* Experience with Medicare Advantage
* Knowledge of Humana’s internal policies, procedures and systems
* Reporting Relationships
* You will report to a Provider Engagement Manager.
* Additional Information
* This role is provider facing and will require occasional overnight stay
* At Humana, we know your well-being is important to you, and it’s important to us too.
* That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life.
* If you share our passion for helping people, we likely have the right place for you at Humana

What does a Provider do at Unitedhealth Group

* Identify and work with providers with focus on growth and retention of UnitedHealthcare Community Plan membersHelp identify and pursue potential providers who could become an asset to promote the health plan’s overall health care initiatives and quality of service.
* Execute plan marketing strategies to increase market share in Service Delivery AreaDemonstrate understanding of all Texas Medicaid lines of business as they apply to managed care and the needs of the members enrolled in them in order to facilitate their care and resolution of their issuesDevelop strong relationships with providers and their office management teams
* Maintain strong business relationships to ensure retention of existing contracted providers, therefore decreasing loss in membership due to provider terminationsEducate providers on general policies and procedures applicable to delivery of care (e.g., regulatory; benefit; quality of care)Introduce and educate providers on health lifestyle initiatives offered by the health plan for their patients
* Conduct regular visits to providers to introduce new initiatives and monitor success of those in place
* Conduct regular visits to providers to identify issues and ensure effective problem resolution to maintain strong relationships.
* Demonstrate understanding of providers' business goals and strategies in order to align them with those of the health plan.
* Coordinate activities/events with providers to promote the health plan and educate members on value added services offered by the health plan
* Advocate the use of Provider Tools, Online technology and health plan resources, (e.g.
* LINK, UHC Online, Provider Manuals)Communicate members’ and providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goalsWork with internal business partners to identify, understand, and/or improve tools, resources, systems, and capabilities that can maximize provider/member experience, or health plan performanceCollaborate and/or participate in discussions with colleagues and business partners to identify potential root cause of issuesAnalyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and/or escalate problem to appropriate business partner for further analysis as necessaryInvolve leadership and/or escalate issues as necessary to implement provider /member solutionsRespond to providers’ requests by directing them to appropriate internal or external resourcesSolicit provider informal and formal feedback via surveys, complaints and conversations in order to develop action plans (e.g., corrective actions; suggestions to leadership; complaint resolution processes)Support member retention events/activities and health plan communal initiatives (e.g.
* Alzheimer’s Walks, Special Olympics, Ride 2 Recovery, etc.)
* Position can be located in: Harris County TX (Houston

What does a Provider do at UPMC

* Interface with customers by
* telephone or correspondence to answer inquiries and resolve concerns.
* Actively maintain worklist open
* cut logs and follow up within the designated time standards.
* Maintain or exceed designated
* quality standards.
* Identify any area of concerns that may compromise
* client satisfaction.
* Participate in team meetings,
* provide ideas and suggestions to ensure client satisfaction and promote
* teamwork.
* Provide assistance to other
* departments during periods of backlogs.
* Assist with adjustments in
* accordance with company policies and procedures.
* UPMC Health Plan Provider
* Service Representative must adhere to the following service level
* standards of excellence: Quality: 98% Monthly Average
* Production: 60
* calls per day.
* Quality customer service
* includes, but is not limited to, responding to customer requests and
* inquiries in a timely and accurate manner in keeping with Health Plan
* Policies and Procedures, Department of Public Welfare (DPW) laws and
* standards, Department of Insurance (DOI) laws and standards, Department of
* Health (DOH) laws and standards, Department of Health and Human Services
* DHHS), Health Care Financing Administration (HCFA), and National
* Committee for Quality Assurance (NCQA) standards.
* Quality customer service should
* be applied to all customers, including all Health Plan members and
* potential members, all Health Plan providers and potential providers, all
* Health Plan and Health System employees, all Health Plan and Health System
* vendors, and all government and other oversight organization staff.
* Quality customer service will
* be measured by, but not limited to, the number of complaints from a
* customer (with a goal of zero) and by the number of second requests for
* information or response received (with a goal of zero).
* Maintain employee/insured
* confidentiality

What does a Provider do at Kforce

* Responsible for opening and evaluating provider dispute correspondence
* Responsible for triaging provider dispute correspondence; must differentiate provider disputes from claims correspondence; claims correspondence must be sent be sent to Claims Department immediately
* Log provider disputes in Provider Dispute database
* Trigger appropriate acknowledgement letter (include request for additional information as necessary)
* If appeal is not submitted appropriately, inform provider in writing along with instructions on proper submission requirements
* Follow-up on all pending requests (request for information, notification to IPAs, etc)
* Contact providers and external agencies to obtain additional information to adequately resolve and respond to reconsiderations and grievances
* Serve as a liaison between the company and other provider/vendor relationship
* Write resolution letter and ensure that resolution language accurately represents the final outcome
* All processes must be completed in accordance with regulatory timelines
* Assists as needed in investigating provider claims or billing discrepancies and coordinates with claims department in order to successfully achieve corrective actions and resolution
* Maintains departmental filing system for accessible and complete appeal files involving confidential information
* Minimum of High School diploma or equivalent
* Thorough knowledge of provider appeals process, principals and protocols of quality customer services and relations
* Awareness of the managed care delegated model
* Previous experience in A&G, UM, and Claims processing
* Ability to successfully interact with members, physicians, medical representatives, and other medical professionals, health plan, and government representatives
* Excellent organizational skills and ability to handle multiple tasks
* Excellent verbal and written communication skills
* Proficient in Excel, Word, and Access
* Attention to detail and accurate; capable of meeting deadlines consistently; effectively work in stressful situations involving multiple assignments
* Excellent interpersonal skills and ability to act as a team player
* Ability to consistently work in a fast pace environment

What does a Provider do at Rochester Regional Health Systems

* Obtain complete, detailed and accurate patient histories, review patient records, perform physical exams, record all pertinent data to develop comprehensive medical status, diagnosis and clinical treatment plan for all admitted patients.
* Order appropriate laboratory diagnostic procedures, synthesize and interpret data to monitor and alter the management of patient treatment plans.
* Prescribe medication, write orders, perform procedures and respond to emergency and/or immediate condition changes of acute, critically ill patients.
* Assist the supervising or attending physician with the delivery of services to vascular surgical patients which include use of hospital and office EMR for patient progress notes, issuing diagnostic orders, transcribing or executing specific orders at the direction of the physician.
* Provide education, instruction, guidance and advise patients regarding medication and treatment, communicate with and counsel family members and recommend community resources to meet patient and family needs.
* Assist the vascular surgeon with the delivery of services to patients which include dictating consultation and follow up report in the office or hospital, writing patient progress notes, issuing diagnostic orders, transcribing or executing specific orders at the direction of the vascular surgeon.
* Submit appropriate billing and documentation for patient services when allowed by 3rd party payers.
* Maintain strict patient confidentiality and adhere closely to disclosure on a need to know basis.
* Utilize personal protection, work practice controls and safety guidelines to minimize and/or prevent occupational exposure to communicable diseases, body fluids and risks of prescribed patient treatment (i.e., radiation, toxic substances

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how to become a Provider

Most personal care aides are trained on the job. There are no formal education requirements for personal care aides, but most aides have a high school diploma.

Education

Although there are no formal education requirements for personal care aides, employers may prefer candidates with a high school diploma.

Training

Aides may be trained on the job by registered nurses, other personal care aides, or their direct employer. They are trained in specific tasks, such as how to work with a client who has a cognitive impairment and how to assist a client in preparing meals.

Most employers require aides to have training or certification in first aid and cardiopulmonary resuscitation (CPR).

Important Qualities

Detail oriented. Personal care aides must follow specific rules and protocols to help take care of clients. They must pay close attention to a client’s medical condition, quickly noting any changes that may require assistance from medical personnel.

Integrity. Personal care aides should make clients feel comfortable when the aides tend to personal activities, such as helping a client bathe. In addition, personal care aides must be dependable and trustworthy so that clients and their families can rely on them.

Interpersonal skills. Sometimes clients are in extreme pain or distress, and aides must be sensitive to their emotions. Aides must be compassionate, and they must enjoy helping people.

Physical stamina. Personal care aides should be comfortable performing physical tasks. They often need to lift or turn clients who have a disability.

Licenses, Certifications, and Registrations

Personal care aides may be required to complete a formal training program depending on the state where they work, and state laws vary widely in terms of the requirements that must be met. Some states and organizations may conduct background checks on prospective aides. A competency evaluation also may be required to ensure that the aide can perform certain tasks.

There are no federal training requirements for personal care aides. For specific state requirements, contact the state’s health board.

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Real Provider Salaries

Get paid what you deserve

Job Title Company Location Start Date Salary
Gastroenterology Provider Saint Louis Connect Care Saint Louis, MO Apr 16, 2012 $208,000
Provider (Family Practitioner) Community Clinic, Inc. Takoma Park, MD Nov 15, 2013 $131,500
Provider (Family Practitioner) Community Clinic, Inc. Takoma Park, MD Sep 06, 2014 $131,500
Mid Level Dental Provider DR. Brian H Miller DDS Newton, MA Apr 15, 2016 $78,000
Building Blocks Provider Northeast Arc, Inc. Danvers, MA Mar 03, 2011 $30,136
Provider Integrated Behavioral Technologies, Inc. Basehor, KS Dec 01, 2014 $27,131

Top Skills for a Provider

Know what it takes to get the job done

LaundryProceduresMealPrepChildPersonalCareCompanionshipCustomerServiceHealthCarePersonalHygieneAssistanceMedicineCommunicationSkillsVitalSignsMedicaidDailyLivingActivitiesMedicationManagementPatientCareCPRSpecialNeedsMentalHealthDevelopmentalDisabilities

Top Provider Skills

Many of the most in demand skills for provider jobs include:
  1. Laundry
  2. Procedures
  3. Meal Prep
The following examples show how job seekers include the top skills on their resumes:
  • Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care.
  • Maintained work operations by following policy and procedures.
  • Helped patient with meal preparation, cleaned household and gave medication/insulin injections.
  • Prepare meals to ensure children eat healthy and on time.
  • Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care.

Companionship, Health Care, Communication Skills, Patient Care, Daily Living Activities, Medicine, CPR, Personal Care, Meal Prep, Laundry, Medication Management, Special Needs, Mental Health, Medicaid, Child, Developmental Disabilities, Procedures, Personal Hygiene Assistance, Vital Signs, Customer Service

Top Provider Employers

Find the best employers to advance your career

Top 10 Provider Employers

Provider positions seems to be very popular at IHSS where they currently get hired the most.

The data shows that these companies have high demand for Provider candidates:
  1. In-Home Supportive Services
  2. In Home Support Services
  3. In Home
  4. Visiting Angels

In total, 10 firms have active employees for Provider positions.

IHSS, In-Home Supportive Services, In Home Support Services, In Home, Visiting Angels, Provant Health Solutions, Rescare, Blue Cross Blue Shield, Home Instead, Department of Social Services

Why Zippia is Better

Zippia empowers you to make the correct career decisions, not just find your next job.

You can access millions of others' career paths with the Career Map to help you identify what skills and experiences you need to achieve your career goals. And when you're ready to take the next step in your career, you can research jobs and really understand the implications for your career aspirations.