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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
Responsibilities. Job Summary. The Director of Digital Marketing and Member Engagement will play a crucial role in driving the organization's digital strategy to enhance patient engagement and overall healthcare experiences. This leadership position requires a seasoned professional with a deep understanding of digital technologies, a strategic mindset, and a passion for leveraging technology to improve patient outcomes and satisfaction within a v...
Responsibilities. Job Summary. The ACO Nurse Navigator Lead is a registered nurse operating in a leadership role overseeing a team of Nurse Navigators. ACO Nurse Navigators are liaisons between the ACO, the patient and the multidisciplinary healthcare team to assist in developing an optimal plan of care for transitioning Medicare patients, primarily those being discharged from hospital inpatient or emergency department services. The ACO Nurse Nav...
Responsibilities. Job Summary. The Provider Relations Manager is responsible for the satisfaction of Prominence Health Plan participating providers through managing a staff of representatives that builds and maintains excellent relationships and facilitates growth, retention, and quality of care. Analyzes specific issues pertaining to providers, and oversees the management, problem resolution and education of the provider network on Prominences’ ...
Responsibilities. Job Summary. The Vice President of Health Services is responsible for the leadership, development, management, and execution of Prominence Health’s Health Services division, including Utilization Management, medical spend, Care Management, and the Transitions of Care Programs. The employee will collaborate closely with the Chief Medical Officer (CMO), Medical Directors, Chief Operating Officer, and other departments to optimize ...
Responsibilities. Job Summary. The Care Advocate Supervisor is responsible for first level of response and provide resolution to escalated issues to ensure high level customer service. This will be dedicated to the delivery of benefits and services provided to Health Plan members, Potential New Members, employer groups, brokers, insurance carriers, providers, and their office staff. As we expand our footprint in Nevada, Florida and Texas, we’re l...
Responsibilities. Job Summary. The Medical Management Resolution Specialist (non-clinical staff) is responsible for monitoring the daily operations with the Medical Management Department, ensuring complete and accurate information is provided on all inquiries and deadlines are met per established departmental policy and procedures, state and federal requirements, and group health plan documents. Medical Management Resolution Specialist are respon...
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 providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance org...
