- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... billing staff to ensure understanding of and compliance with proper guidelines. + Provide control and processing support for final provider settlements and… more
- The Cigna Group (Philadelphia, PA)
- …member to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor. In this role, you will conducts ... hospital and professional provider contract underwriting/analysis, partnering with Contracting to...fashion and offer meaningful options during negotiations with a provider + Provide ad hoc analysis and… more
- AmeriHealth Caritas (Harrisburg, PA)
- …hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, ... **Role Overview:** The Provider Network Contract Representative oversees the...Minimum of 2 years of experience in a Behavioral Health or Managed Care environment, with direct provider… more
- CVS Health (Harrisburg, PA)
- …not required. **DESIRED SKILLS** + Leadership/Fostering a Global Perspective + Health Insurance understanding / business negotiations + Service/Demonstrating ... At CVS Health , we're building a world of health...management and overall claim/customer service strategies. This role will provide concierge level of service to GLOBAL VIP CLIENT… more
- Penn State Health (Hershey, PA)
- **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1.0 **Duration:** 13 months **Positions ... (MAILTO://###@pennstatehealth.psu.edu) for additional information. **Program Overview** The **Advanced Practice Provider Fellowship in Hospital Medicine** at Penn State Hershey… more
- Penn State Health (Camp Hill, PA)
- **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA:Camp Hill **Work Type:** Full Time **FTE:** 1.0 **Shift:** Day **Hours:** 10 hour shifts ... ###@pennstatehealth.psu.edu for additional information. **SUMMARY OF POSITION:** Penn State Health Heart and Vascular Institute is seeking qualified Physician… more
- Centene Corporation (Harrisburg, PA)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... Philadelphia and the surrounding cities **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our… more
- UPMC (Pittsburgh, PA)
- …Analyst - Intermediate is responsible for evaluating and providing recommendations regarding health insurance provider contracts and relationships. The ideal ... compared to current contractual terms and other comparable payor contract terms. + Data mine provider and...role is preferred. + Solid understanding of healthcare terminology, insurance contract language and hospital or professional… more
- TEKsystems (Canonsburg, PA)
- …role will support the Supply Chain organization in uploading contracts and contract data to our repository system. Responsibilities - Upload supplier contracts and ... associated metadata into the contract repository system - Maintain and update ...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Ricoh Americas Corporation (Easton, PA)
- …Compensation Range $120,000 - $135,000 per Year Bonus Eligible **Manager II, Contract Development and Compliance** **Able to reside in the Eastern Time Zone** ... compelling proposals through global expertise and consistent best practices. The Contract Development and Compliance (CD&C) team ensures quality, compliance, and… more