- The Cigna Group (Erie, PA)
- …analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts , and ... liaises between providers and internal departments such as Credentialing, Clinical , Member Services, and Provider Maintenance, ensuring compliance with state… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for leading clinical quality value analysis initiatives, optimizing workflow within ... clinical quality value analysis, and preserving the clinical quality value analysis process. This role requires monthly onsite presence to support the Director… more
- Genesis Healthcare (York, PA)
- …serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of the territory's center-based care ... and managed centers is effectively managing resource utilization, improving clinical outcomes, maximizing reimbursement, complying with contractual obligations and… more
- Amergis (Natrona Heights, PA)
- …each patient's requisition and previous studies for consistency + (examination ordered/ clinical diagnosis), and records pertinent data on MRI requisition at all ... with the ARRT; if required by state regulations or contract specification. + One (1) one year of experience...chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal,… more
- Amergis (Pittsburgh, PA)
- …L&D Setting. The Labor and Delivery nurse demonstrates the ability to make clinical judgments in an effective and efficient manner with supervision. The labor and ... of practice.? + One year of Labor and Delivery clinical experience within the last three years preferred.? +...chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal,… more
- Penn State Health (Hershey, PA)
- …of a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts . Mobilizes resources and ... data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and responds to… more
- System One (Pittsburgh, PA)
- Title: Director of Clinical Trials Location: Hybrid, Need to be local to Oakland, PA : 3 days a week onsite and 2 days remote Schedule: M-F 8 am-5 pm Type: ... A top-ranked research university is currently searching for a DIRECTOR, OFFICE OF CLINICAL TRIALS. The director will work with the Clinical Research Leaders… more
- Pfizer (Collegeville, PA)
- …Pfizer Research and Development. The candidate's accountabilities include overseeing clinical design, trial conduct, data management, result interpretation, and ... assisting in strategic planning. The position may require managing contract biostatisticians, including resource allocation, work assignment scheduling, and project… more
- University of Pennsylvania (Philadelphia, PA)
- … contract . Job Description Description: Responsible for the overall clinical research financial management and other financial matters of the School/Center. ... and will be greatly involved in a more complicated contract . Job Duties + Working with clinical ...complicated contract . Job Duties + Working with clinical investigators in the budget development, negotiation, and approval… more