The Senior Director, Performance Improvement provides strategic leadership in the planning, development, implementation and execution of all aspects of a robust portfolio of value based programs and strategies within the Prominence Health umbrella. Emphasis will be centered around risk based contract performance, risk adjustment, and quality measurement performance across

The Operations Supervisor position is responsible for both Delivery and Warehouse operations. This position will supervise the day to day activities of the delivery department along with responsibilities over warehouse inventory, receiving, slotting, replenishment and order selecting. Position Responsibilities may include, but not limited to Supervises daily delivery oper

The Product Development Manager is at the forefront of guiding our product strategy by orchestrating collaboration with business leaders, technical teams, actuarial stakeholders, and external partners. The role demands expertise in advancing product design based on market analysis, aligning with the company's strategic goals, ensuring adherence to regulatory timelines for

Purchasing Coordinator Facility PHS Bio Medical Services Location US NV Reno ID 2024 153820 Category Admin Position Type Full Time Shift Days Job Type Non Exempt Overview As a long standing community partner with a 114 year history, Saint Mary's Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredi

The Contract Analyst is responsible for the comprehensive creation, maintenance, and testing, of Hospital and Professional payer contracts. The Contract Analyst plays a crucial role as a liaison between Contracting and Revenue Cycle in the collaboration on payment data to verify that contract builds, models, and negotiated agreements are optimized. Additionally, they prov

The Prominence Product Development Director plays a pivotal role in the development, organization, and facilitation of Prominence Health Plan's commercial and Medicare Advantage products, system and infrastructure improvements, and vendor selection and implementation. Reporting directly to the Chief Development Officer, the Product Development Director will provide essent

The Director of Busines s Development (Sales) is a highly visible role that will be forward facing with members and brokers . Reporting to the VP of Sales this role is responsible for the acquisition and management of new fully insured and new ASO business with 51 + employee lives. This role is also responsible for managing all retention activities for an existing book of

This position is accountable for the planning, direction, and efficiency workflow of the surgical scheduling board. Nature and Scope Renown Health nursing leadership is a shared responsibility between the Nursing Coordinators, Directors, Managers and Supervisors in resolving problems related to patient care, and in maintaining the quality of care planned for the patients

Excellent opportunity for a current undergraduate or graduate student to gain exposure to healthcare administration and data analytics. The Business Analytics Intern at Prominence Health will be focused on providing analytical support across various departments as well as directly to Senior Leadership. The position will start off gaining sufficient training on health insu

The Special Investigations Unit is responsible for investigating and resolving high complexity healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. This position researches, gathers, and analyzes claims data, medical records, corporate policy, state/federal policy, and practice standards to identify trends, patterns, aberrancies, and o