- The Cigna Group (Erie, PA)
- …projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet ... Pittsburgh, PA - Western PA/West Virginia market** The **Manager, Provider Contracting Network Management** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- St. Luke's University Health Network (Allentown, PA)
- …include but are not limited to organizing and directing vendor evaluations, contract engagement, and value analysis for IT, RFI/RFPs as required, facilitating asset ... and governance. At an operational level, the Manager directs contract consultations and negotiations, including contract reviews,...and procedures for the VCMO to align with the Network 's and IT objectives + Develop and maintain strong… more
- AmeriHealth Caritas (Newtown Square, PA)
- …focus on provider service. + Drive a standardized approach to provider contract negotiations with the necessary financial controls and exception approval ... and the configuration of the LIFT platform (Salesforce & Conga) for provider CRM and contract lifecycle management. Additionally, the VP plays… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for... onboarding or a related administrative role in the healthcare sector is required. Demonstrated ability to work independently… more
- Centene Corporation (Harrisburg, PA)
- …standard contracts that meet objectives + Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication ... internal departments and contracted providers to implement and maintain contract compliance **Education/Experience:** Bachelor's degree in Healthcare … more
- Prime Therapeutics (Harrisburg, PA)
- …years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care ... fuels our passion and drives every decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management… more
- Motion Recruitment Partners (Philadelphia, PA)
- Network Cloud Engineer/PA or NJ Philadelphia, Pennsylvania **100% Remote** Contract $60/hr - $70/hr A lead provider in security solutions, is hiring for a ... critical part on their infrastructure team. This is a contract to hire opportunities based out of PA. Are...in cloud networking for enterprise environments? As a Cloud Network Engineer, you will implement, design, and manage cloud… more
- CVS Health (Harrisburg, PA)
- …Qualifications:** + 2 years healthcare industry experience specifically in provider relations or network experience. + Organizational skills due to ... day. **NEF Team Role and Responsibilities:** + Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center.… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement… more
- Amergis (Natrona Heights, PA)
- …that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any ... body and adjusts T1 and T2 scanning parameters to provide pertinent information for interpretation. + Performs Diffusion studies,...with the ARRT; if required by state regulations or contract specification. + One (1) one year of experience… more
Recent Jobs
-
Professional Staff Nurse
- UPMC (Farrell, PA)
-
Taco Bell Crew Member
- Taco Bell (NJ)
-
Trauma / Emergency Radiologist
- University of Maryland, Baltimore (Baltimore, MD)
-
Senior Sales Executive -Must have Financial Services sales- Eastern or Central United States location preferred
- Ensono (Columbus, OH)