- Magellan Health Services (PA)
- …and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive ... provider experience. + Act as liaison between Clinical, Quality,...Providers for support, issue resolution, and collaboration. (40%) + Provide orientation, education, training, and support to Magellan contracted… more
- The Cigna Group (Philadelphia, PA)
- …contracting in a strategic fashion and offer meaningful options during negotiations with a provider + Provide ad hoc analysis and deep dives into data as ... and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor. In this role,...appropriate to support negotiation and provide value to our contracting partners + Summarize and… more
- CVS Health (Harrisburg, PA)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions,...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- Highmark Health (Pittsburgh, PA)
- …This role is accountable for any program or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the ... (VBR) & risk programs, as well as the overall provider inventive and payment strategy. The role also leads...+ 7 years leadership experience + 7 years in Healthcare Strategy, with strong preference for Payor experience +… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider ... with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations.… more
- Highmark Health (Pittsburgh, PA)
- …billing staff to ensure understanding of and compliance with proper guidelines. + Provide control and processing support for final provider settlements and ... office site visits and medical records reviews, ensuring resolution of member/ provider complaints in timely manner. + Prepare periodic reports that summarize… more
- Aveanna Healthcare (Wyncote, PA)
- …care plans. + Monitor patient progress and report any significant changes to the healthcare team. + Provide education and support to families, helping them ... PRN Licensed Practical Nurse (LPN) - Pediatric Day Healthcare ApplyRefer a FriendBack Job Details Requisition #:...in Wyncote, PA, where you'll have the opportunity to provide compassionate care to medically fragile children. We're looking… more
- Aveanna Healthcare (Wyncote, PA)
- … provide supportive care to medically fragile patients in our pediatric day healthcare center. Aide Position Details: + Provide care and supportive services ... Aide / Nursing Assistant - Pediatric Day Healthcare Center ApplyRefer a FriendBack Job Details Requisition...Position Details Aide / Nursing Assistant - Pediatric Day Healthcare Center Aveanna Healthcare is hiring compassionate… more
- CVS Health (Harrisburg, PA)
- …Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with ... key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and implements internal and external… more
- NTT DATA North America (PA)
- …Diploma or equivalent. + 3+ years of experience in a Health care processing ( Provider Data Management preferred, Claims or other Healthcare Payer/ Provider ... when executed as part of an overall sourcing strategy. NTT Data is seeking a Provider Data Management Processor to join our team working remote. 100% remote Pay Rate… more