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Manager - Network Infrastructure Solutions
2 days ago
J&J Family of Companies Carson City, United StatesManager - Network Infrastructure Solutions W · Description · Johnson & Johnson is recruiting for a Manager - Network Infrastructure Solutions . The preferred location is Raritan, NJ. Remote work options may be considered on a case-by-case basis and if approved by the Company. · A ...
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Network Security Engineer
3 weeks ago
CDW Reno, United StatesNetwork Security Engineer · Reno, NV · Full Time / 40 hours per week / FTE / W2 · CDW has a long term career opportunity available in Reno, NV. For this position, we seek a background in network infrastructure, including routing, switching, telephony and video and the accompanyin ...
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Network Administrator-
1 week ago
Atlantis Casino Resort Spa Reno, United States Full timeOverview · Atlantis Casino Resort Spa is a wholly owned subsidiary of Monarch Casino & Resort, Inc. (NASDAQ: MCRI), a publicly traded corporation recognized by Forbes on their "Most Trustworthy Companies" list and rated as America's Best and Mid-Size Employers. · Atlantis has op ...
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Mobile IT Tech
1 week ago
Taurean Consulting Group, Inc Reno, United StatesTaurean Consulting Group is a 100% Woman-Owned IT Staffing and Project Solutions company built on deep relationships. With over 25 years of experience in Technology Staffing, we match candidates to the culture of an organization as well as required skill sets. · Our client is see ...
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Receptionist
2 weeks ago
Seronda Network Reno, United StatesSeronda Networks is Hiring: Receptionist · About Us: At Seronda Networks, you will not only find a company that offers cutting-edge solutions but also a place where you can grow professionally, be part of a passionate team, and work in an environment that values your contribution ...
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Aircraft Mechanic II
3 weeks ago
Life Flight Network Reno, United StatesLife Flight Network and REMSA Care Flight unite to deliver top-tier medical transport services through a Fixed Wing partnership in Reno, Nevada. · Life Flight Network is one of the most prominent not-for-profit air ambulance organizations. As the industry's trailblazers, we const ...
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Enterprise Security Architect
3 weeks ago
Atlantis Casino Resort Spa Reno, United States Full timeOverview · Come join Team Atlantis We are currently accepting applications for Enterprise Security Architect. Responsible for designing, building, testing and implementing security systems within the companies' networks. Responsible for overseeing all system security and ensurin ...
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System Administrator
1 week ago
BREWER GLOBAL LLC Reno, United States Full timeBenefits:Retirement · Life Insurance · Dental insurance · Health insurance · Paid time off · Vision insurance · We are searching for a Systems Administrator to provide both onsite and remote IT support, ensuring clients receive exceptional technical assistance. The position is re ...
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Operations Supervisor
3 days ago
Central Transport Reno, United StatesCentral Transport LLC is one of the nation's most reliable and technologically advanced LTL (Less-than-Truckload) carriers to date. We are privately owned and have been servicing manufacturing & retail companies of all sizes for almost 90 years now. With over 200 locations around ...
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Service Technician
1 week ago
Supermicro Reno, United StatesSupermicro is seeking a (ST) that will be responsible for field work in local area. The ST will work exclusively at customer site to resolve and repair server systems. The ST are a critical part of post-sales support and need to be able to demonstrate exceptional technical aptitu ...
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Logistics Management Training Program
6 days ago
ITS Logistics Reno, United StatesAll About ITS Logistics · Join the best management training program in the exciting Logistics and Supply Chain industry. ITS is the perfect arena to kick off your career because we invest in your personal and professional growth, providing the tools, resources, and support you n ...
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Senior Tax Manager
2 weeks ago
Gpac Reno, United States Full timeA Top CPA firm in the Reno, NV area is looking to add a Senior Tax Manager to their team. This stable and growing firm offers its clients valuable knowledge and expertise in tax. Due to the recent growth of the firm, there is an opportunity for a Senior Tax Manager to join a team ...
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J Resort
2 weeks ago
Jacobs Entertainment, Inc. Reno, United States FT Salary Non ExemptA Legacy of Excellence · Entertaining Your World · Jacobs Entertainment, Inc. (JEI) is a developer, owner and operator of gaming and entertainment facilities across the United States. Core to the company's value is our commitment to ethical leadership, outstanding training, and o ...
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Administrative Director
1 week ago
Renown Health Reno, United StatesWe are looking for a talented Administrative Director like YOU. · About Renown Health: · Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care cent ...
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Technical Sales Representative
2 weeks ago
ClickBio, Inc. Reno, United StatesWe are seeking an entrepreneurial self-starter to join our team and contribute to our continued growth and success. · This is a sales role and sales experience within the life sciences industry is a must. · How you will make an impact: As a Technical Sales Representative at Click ...
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Logistics Management Training Program
3 days ago
ITS Logistics Reno, United StatesAll About ITS Logistics · Join the best management training program in the exciting Logistics and Supply Chain industry. ITS is the perfect arena to kick off your career because we invest in your personal and professional growth, providing the tools, resources, and support you ne ...
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Senior Manager
3 weeks ago
Prominence Health Reno, United States Full timeJob Description · Responsibilities · Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and provid ...
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Quail Surgical and Pain Management Center Reno, United States Full timeJob Description · Responsibilities · Quail Surgical and Pain Management Center in Reno, Nevada, is an outpatient surgical center dedicated to providing high-quality patient care. Established by a group of community physicians, the goals of the founding physicians have not cha ...
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Fiduciary Advisor, VP Reno, NV
3 weeks ago
International Search Consultants Reno, United StatesISC's team of Financial Services Recruiters are partnering with a prominent Multi-Family Office & Trust Company on a Fiduciary Officer, VP role in Reno, NV.The Reno office is expanding and the team's looking to add a Trust professional providing solutions for UHNW clients. The co ...
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Software Engineer III
3 weeks ago
Generac Power Systems Reno, United States Full timeCompany Generac Power Systems · Name Software Engineer III -- Backend · Req # 65058 · Employment Type Full Time · Shift 1st · What to Expect · Generac Clean Energy is building next generation residential clean energy systems. Our products are enabling energy rollout while saving ...
Manager Network - Reno, NV, United States - Molina Healthcare
Description
Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports robust provider engagement to achieve positive operational and financial outcomes. Candidates must have experience in healthcare quality compliance and provider partnership for this position.Establishes the strategy and operational direction for provider engagement and practice transformation, in collaboration with the Plan President, network and operations staff for larger value based contracted provider organizations.
Provides strategic direction for provider quality and practice transformation specialists to help providers understand how to improve quality and progression toward meeting value-based purchasing goals and assesses provider readiness for higher levels on the value-based purchasing continuum.
Ensures health plan provider engagement stakeholders are engaged and prepared to report quarterly updates at the meetings and overall, to health plan Senior Leadership Team meetings.
Leads one or more teams from multiple disciplines (Quality, Provider Services, Clinical, Operations) to engage with key providers.Participates in state level quality and risk adjustment strategy meetings, develops a quality workplan, and ensures integration of quality and risk adjustment into the overall business process.
Has overall responsibility for the content, maintenance and access to the Health Plan provider quality and practice transformation SharePoint site.
changes in quality outcomes, financial results, etc.) on periodic basis to Senior Leadership Team.Bachelor's Degree or equivalent combination of education and experience.
Min 5 years' experience in managed healthcare administration and/or Provider Services.
Provider contract network development & management experience
Project management experience, in a managed healthcare setting
Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid, Marketplace and Medicare lines of business, including but not limited to fee-for service, capitation and various forms of risk, ASO, etc.
Experience with risk adjustment and quality metrics with government business lines of business.Experience with Value Based Contract arrangements, and provider engagement
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
