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Network Development Specialist

Summary Under the general direction of the Vice President, Provider Relations, this position is responsible for continued development of PPO network, PPO rate negotiations, and orientation of providers. Specific Duties: Under the direction of the Vice President, Provider Relations, and in cooperation with the Director, Provider Relations and all divisions as deemed appropriate: Develop, expand … Read More

Vice President, Quality Assurance and Compliance

Summary Under the direction of the Chief Executive Officer (or as may be otherwise designated), this position is responsible for corporate quality assurance and accreditation activities and corporate utilization review/case management services and procedures. Specific Duties: Under the direction of the CEO and other officers as may be designated, and in cooperation with all divisions … Read More

Vice President, Claims Administration

Summary Under the direction of the Executive Vice President, Finance and Chief Financial Officer, this position is responsible for directing all claims administration for BHS. Directly supervises and is responsible for departmental staff and operations. Specific Duties: Under the direction of the Executive Vice President, Finance and Chief Financial Officer: Directs and oversees the operations … Read More