- AmeriHealth Caritas (Newtown Square, PA)
- …Work closely with the teams from Network Pricing and Analytics, New Market Network Development , and Value Base Care / Population Health Analytics. + Create ... processes for network contracting and operations. + Oversee the assessment, development , and implementation of enterprise technology and tools that support the … more
- Guardian Life (Bethlehem, PA)
- …provider compensation as well as providing thought leadership in the Dental network development strategy. This role involves developing and implementing ... is seeking a resolute motivated individual to join our team as a Dental Network Pricing Consultant. This role will be responsible for leading a team of analysts… more
- CVS Health (Blue Bell, PA)
- …delivering on our overarching Medicare network strategy; it is inclusive of target network development in new geographies, and development of networks to ... Medicare who will be responsible for understanding and driving action on Medicare Network Insights and curating support for this important line of business. This is… more
- Highmark Health (Harrisburg, PA)
- …assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development /renewal and financial ... of participation, fee schedules, plan designs, competitive position, product development , network options, strategic partnerships, utilization review,… more
- Lumen (Harrisburg, PA)
- …program milestones in partnership with cross-functional teams/squads (Product Management, Network , Development Engineering, Operations, AGT, Legal, Finance, and ... Plan could include: impact assessments, customer communications, migration workflow, development engineering and network delivery, deployment readiness (… more
- Prime Therapeutics (Harrisburg, PA)
- …Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant is responsible for development , performance and ... networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts,… more
- Highmark Health (Pittsburgh, PA)
- … of tools and analytics needed for identification, inclusion, and management of network participants. Oversee design and development of Network performance ... tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of… more
- Ryder System (Harrisburg, PA)
- … infrastructures. Provide technical expertise and hands on support in network analysis, design, planning, assessment, development , and implementation. ... operations, advanced required + Knowledge of structured and rapid design, development , and implementation of network architectures, advanced required… more
- Highmark Health (Pittsburgh, PA)
- …research, education, and capital needs within the hospital and across the health network . The Executive Director of Development will supervise two development ... professionals and participate as a member of a network -wide team of development professionals responsible for...a member of a network -wide team of development professionals responsible for securing philanthropic gifts from individuals,… more
- Magellan Health Services (PA)
- …5+ years' experience in a Healthcare environment 2+ years' experience in network development Excellent organizational and time management skills. Ability to ... position is responsible for building, maintaining and enhancing relationships with network providers by sharing performance, quality, and other value-based data.… more