Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies ...
Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
Partners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness ...
* Board certification/eligibility in Developmental Behavioral Pediatrics or Neurodevelopmental ... Generous CME allowance and relocation support offered * 650+ employed provider network, including ...
* Board certification/eligibility in Developmental Behavioral Pediatrics or Neurodevelopmental ... Generous CME allowance and relocation support offered * 650+ employed provider network, including ...
Behavioral Health Medical Director
Crowley, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Crowley, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ida, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ida, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Crowley, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Crowley, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Collinston, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Collinston, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Pelican, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Pelican, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Manager, Business Development & Market Outreach - Physician Relations - Days - Full-Time
Baton Rouge, LA · On-site
This role leads outreach to healthcare providers, employers, community organizations, conference ... Must have at least 2 years of experience in healthcare network development, physician relations ...
Manager, Business Development & Market Outreach - Physician Relations - Days - Full-Time
Baton Rouge, LA · On-site
This role leads outreach to healthcare providers, employers, community organizations, conference ... Must have at least 2 years of experience in healthcare network development, physician relations ...
Behavioral Health Medical Director
Ball, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ball, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ball, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ball, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ida, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Ida, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Collinston, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Collinston, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Pelican, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
Behavioral Health Medical Director
Pelican, LA · On-site +1
$225K - $428K/yr
Participates in provider network development and new market expansion as appropriate. * Assists in the development and implementation of physician education with respect to clinical issues and ...
This role leads outreach to healthcare providers, employers, community organizations, conference ... Must have at least 2 years of experience in healthcare network development, physician relations ...
This role leads outreach to healthcare providers, employers, community organizations, conference ... Must have at least 2 years of experience in healthcare network development, physician relations ...
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Quick apply
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Quick apply
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Quick apply
Sales & Marketing Internship
$1.0K - $5.0K/wk
... and provide necessary support for success * Promote like-minded success through friendly ... Networking * Potential full-time hire upon completion of internship * The opportunity to network ...
Internship Provider Network Development information
What is the difference between Internship Provider Network Development vs Internship Coordinator?
| Aspect | Internship Provider Network Development | Internship Coordinator |
|---|---|---|
| Primary Focus | Building and managing relationships with internship providers and expanding network opportunities | Organizing, scheduling, and overseeing internship programs for students or interns |
| Work Environment | Strategic, partnership-focused, often involving outreach and negotiations | Administrative, program management, working directly with interns and academic staff |
| Required Skills | Networking, communication, industry knowledge, relationship management | Organization, communication, program coordination, student support |
While both roles support internship programs, Internship Provider Network Development primarily focuses on establishing and maintaining relationships with external internship providers, whereas Internship Coordinator manages the day-to-day operations of internship programs. The former is more strategic and outreach-oriented, while the latter is more administrative and program-focused.
Full-time
Re-posted 28 days ago
Job description
Baton Rouge, LA - Medical Director - Psychiatry
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.
• Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
• Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.
• Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
• Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees
Education/Experience: Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions.
About Necnic Group
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Burlington, MA, US