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Provider • louisville ky

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Manager, Provider Network - Medicare

Manager, Provider Network - Medicare

Group 1001Louisville, KY, US
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Manager, Provider Network Management.Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Food Service Provider

Food Service Provider

The Kidz ClubLouisville, KY, US
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Join our team of passionate pediatric healthcare professionals empowering Kidz to be kids through PPEC daily skilled nursing!. The Food Service Provider (FSP) will be responsible for all aspects of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Coordinator, Provider Credentialing-Senior, Days

Coordinator, Provider Credentialing-Senior, Days

KY StaffingLouisville, KY, US
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Provider Credentialing Coordinator-Sr.Responsibilities Under minimal supervision, the Coord, Provider Credentialing-Sr defines the scope of the departmental processes based on needs.Devises or modi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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MS / Neuroimmunology Provider

MS / Neuroimmunology Provider

U of L PhysiciansLouisville, KY, US
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Physician provides assessment, management and outcome evaluation for patients outpatient settings.Educates patients, families and staff. The Department of Neurology at the University of Louisville / U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Senior Customer Success Manager, Service Provider

Senior Customer Success Manager, Service Provider

RelativityLouisville, KY, United States
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The Service Provider Customer Success Management Team supports our partners in meeting their goals using the Relativity suite of products. The team guides overall value and product adoption based on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Provider Contracting Executive

Provider Contracting Executive

HumanaLouisville, KY, US
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Provider Contracting Executive.Become a part of our caring community and help us put health first.The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and / or ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Multiple Acute Care trained Advanced Practice Provider Opportunities

Multiple Acute Care trained Advanced Practice Provider Opportunities

Norton Medical GroupLouisville, KY, US
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Multiple Acute Care trained Advance Practice Provider Opportunities - Louisville, KY.Norton Medical Group, Norton Children’s Medical Group, and Norton Cancer Institute. Greater Louisville, Southern ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Field Advanced Practice Provider

Field Advanced Practice Provider

Elevance HealthLouisville, Kentucky, USA
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Field Advanced Practice Provider.Field Advanced Practice Provider.This field-based role enables associates to primarily.This approach ensures flexibility responsiveness to client needs and direct h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Associate Analyst, Provider Configuration

Associate Analyst, Provider Configuration

Kentucky StaffingLouisville, KY, US
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Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases.Synchroniz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Provider Engagement Account Manager

Provider Engagement Account Manager

CenteneLouisville, KY, US
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You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Senior Sales Executive, Provider

Senior Sales Executive, Provider

MCG HealthLouisville, KY, US
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Level-up your career by having opportunities at MCG Health sent directly to your inbox.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Family Home Provider Program Manager

Family Home Provider Program Manager

Day SpringLouisville, KY, US
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The Family Home Provider Program Manager is primarily responsible for maintaining quality and excellence of care within the Family Home Provider program, meeting compliance requirements and support...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Advanced Practice Provider (APP, APRN, PA)

Advanced Practice Provider (APP, APRN, PA)

Commonwealth Pain & SpineLouisville, KY, US
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Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovativ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Manager Provider Network Reporting

Manager Provider Network Reporting

AmeriHealth CaritasLouisville, KY, US
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Manager Provider Network Reporting.The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs related to the evaluation of netwo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Primary Care Provider

Primary Care Provider

ChenMedLouisville, KY, United States
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We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Advanced Practice Provider

Advanced Practice Provider

Norton HealthcareLouisville, Kentucky, United States
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Job Responsibilities : The Advance Practice Provider provides healthcare to patients with an emphasis on disease prevention, health promotion, health maintenance and supportive care.This includes, b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Provider Recruiter

Provider Recruiter

VirtualVocationsLouisville, Kentucky, United States
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A company is looking for a Provider Recruiter to manage the recruitment and hiring of physicians, scientists, and advanced practice providers. Key Responsibilities Develop and implement recruitmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Elder Care Provider

Elder Care Provider

ElderCare.comLouisville, Kentucky, USA
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Hello, I am an individual in Louisville, Kentucky seeking a dedicated care provider for myself.I am offering a part-time live-out position that focuses on companionship and home care.The ideal cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Licensure and Provider Enrollment Specialist

Licensure and Provider Enrollment Specialist

BrightSpring Health ServicesLouisville, KY, United States
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Licensure and Provider Enrollment Specialist.The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will work with all Medicare and Medicaid enrollm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Manager, Provider Network - Medicare

Manager, Provider Network - Medicare

Group 1001Louisville, KY, US
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Manager, Provider Network Management

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001's culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets our employees.

Clear Spring Health is part of Group One Thousand One ("Group1001"), a customer-centric insurance group whose mission is to make insurance more useful, intuitive and accessible so that everyone feels empowered to achieve financial security. Clear Spring Health is dedicated to helping seniors protect their health and well-being by providing Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina and offers Medicare Prescription Drug Plans in 42 states plus DC.

The Manager, Provider Network Management, is responsible for overseeing the contracting, provider relations, and performance of the Medicare Advantage provider network. This role ensures that network adequacy, provider satisfaction, and operational integrity meet CMS requirements and organizational standards. The manager will lead a team focused on building strong provider relationships, monitoring performance metrics, and driving strategic initiatives to enhance member access, affordability, and quality of care.

We are primarily seeking candidates who reside in the state of Georgia or Colorado experienced in the Medicare provider network. At Clear Spring Health, our mission is to simplify health to enrich lives. We believe in clarity, compassion, and connection for our members, our providers, and our people. Our culture is built on five action-oriented pillars : Do What's Right, Serve with Humility, Own It, Grow with Intention, and Innovate with Purpose.

How You'll Contribute :

  • Network Development & Contracting
  • Provider Relationship Management
  • Regulatory & Compliance Oversight
  • Performance & Operations
  • Leadership & Collaboration

What We're Looking For :

  • Bachelor's degree in Healthcare Administration, Business, or related field required; Master's degree preferred.
  • Minimum 57 years in provider network management or contracting within a Medicare Advantage or managed care environment.
  • Demonstrated understanding of CMS requirements, risk-based contracting, and provider reimbursement methodologies (FFS, capitation, value-based).
  • Experience leading teams and managing cross-functional projects.
  • Excellent analytical, organizational, and communication abilities.
  • Proficient in Microsoft Office and provider network management tools (e.g., FACETS, HealthEdge, or similar).
  • Strong negotiation and relationship-management skills.
  • Compensation :

    Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay for this position ranges from $100,000 / year in our lowest geographic market up to $135,000 / year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience.

    Benefits Highlights :

    Employees who meet benefit eligibility guidelines and work 30 hours or more weekly, have the ability to enroll in Group 1001's benefits package. Employees (and their families) are eligible to participate in the Company's comprehensive health, dental, and vision insurance plan options. Employees are also eligible for Basic and Supplemental Life Insurance, Short and Long-Term Disability. All employees (regardless of hours worked) have immediate access to the Company's Employee Assistance Program and wellness programsno enrollment is required. Employees may also participate in the Company's 401K plan, with matching contributions by the Company.

    Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals. All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.