- The Cigna Group (Erie, PA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- CVS Health (Harrisburg, PA)
- …supports the international network, medical cost management, and overall claim/customer service experience. The candidate will provide concierge-level service ... to add those providers In-Network. Manage overall responsibilities of provider nomination process for GLOBAL VIP CLIENT. + Manage... immediately for a swift resolution. + Assist Network manager in ensuring service level adherence (GOP… more
- Sharecare (Harrisburg, PA)
- …the time. Provider Solutions is looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The ... Provider Sales Manager is responsible for protecting...order to ensure a standardized approach to work and services provided + Participation in education as required for… more
- CVS Health (Harrisburg, PA)
- …appropriate action from the provider perspective. + Key contributor to enhanced provider service solution like provider portal and other digital ... in support of an international network, medical cost management and overall claim/customer service strategies. This role will provide concierge level of … more
- Huron Consulting Group (Philadelphia, PA)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... plans and partnerships for the world's leading healthcare organizations. We are seeking a Manager to join our consulting team. As a Manager , you will lead… more
- UPMC (Pittsburgh, PA)
- …your Career in Neonatal Care with UPMC! Position: Neonatal Advanced Practice Provider Manager University of Pittsburgh Physicians, Department of Pediatrics, ... and services to support strategic and operational plans. The Manager , Neonatal APP establishes and maintains collaborative relationships with physicians, other… more
- Datavant (Harrisburg, PA)
- …for healthcare. We are seeking a highly talented and dynamic Strategic Business Operations Manager on the Provider Business Optimization Team. In this role, you ... execute strategic initiatives to boost productivity and reduce costs across the Provider Division of Datavant. This position requires a strategic thinker with strong… 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...Clearance Management: Oversee the management of PA Child Protective Services Law clearances for all GMG providers and locums.… more
- Humana (Harrisburg, PA)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Genesis Healthcare (PA)
- …directly to the Director of Clinical Practice and/or the Area Clinical Practice Manager . The Advanced Practice Wound Provider collaborates on-site with the ... for patient specific medical care. The Advanced Practice Wound Provider provides acute and chronic wound care services...as pay classification, job grade, location, and length of service . Eligibility for full-time benefits requires a minimum of… more