• Director Financial Investigations…

    Highmark Health (Pittsburgh, PA)
    …(c) actively communicating with management from various departments regarding impact on provider relations and reimbursement, and (d) providing direction on ... to external professionals serving on the MRC; prepares and presents provider / network appeal cases; and/or providing technical expertise in evaluating and… more
    Highmark Health (08/08/25)
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  • Athletic Trainer

    St. Luke's University Health Network (Stroudsburg, PA)
    …Take responsibility to understand and complete professional and technical requirements and provide St. Luke's University Health Network with the necessary ... or novice Athletic Trainers interested in working with St. Luke's University Health Network 's Sports Medicine Program. This position is a temporary (12 to 20 week)… more
    St. Luke's University Health Network (07/07/25)
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  • Senior Product Marketing Manager - Network

    Trellix (Harrisburg, PA)
    **_Job Title:_** Senior Product Marketing Manager - Network Security Portfolio **About Skyhigh Security:** Skyhigh Security is a dynamic, fast-paced, cloud company ... by openness and transparency. Since 2011, organizations have trusted us to provide them with a complete, market-leading security platform built on a modern… more
    Trellix (07/15/25)
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  • Athletic Trainer, Part-Time

    St. Luke's University Health Network (Bethlehem, PA)
    …the Lead Athletic Trainer, Program Manager and Senior Director of Sports Medicine Relations in evaluating program effectiveness and provide any program updates ... Takes responsibility to understand and complete professional and technical requirements and provide St. Luke's University Health Network with the necessary… more
    St. Luke's University Health Network (07/16/25)
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  • Program Manager

    Pearl Interactive Network (Harrisburg, PA)
    **Pearl Interactive Network ** is seeking an experienced and results-oriented **Program Manager** to oversee the planning, execution, and delivery of complex programs ... Mbps and upload speed of 5 Mbps. No Satellite Connections. **Test your network at speed.cloudflare.com to verify before you apply.** 2. Ethernet cable access.… more
    Pearl Interactive Network (07/21/25)
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  • Team Leader - Geisinger St. Luke's

    St. Luke's University Health Network (Orwigsburg, PA)
    …DUTIES AND RESPONSIBILITIES: + Maintains confidentiality of all materials handled within the Network / Entity as well as the proper release of information + The Team ... + Investigates, evaluates and remedies problems brought to his/her attention, to provide a safe, healthful and pleasant environment for patients, visitors and staff… more
    St. Luke's University Health Network (07/01/25)
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  • Delaware Valley ACO Fellowship

    Humana (Harrisburg, PA)
    …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations . This design ... with each of our member hospitals. (For any internals, this will be a Provider Engagement Professional 2 position.) In addition to these rotations, the Fellow can… more
    Humana (07/30/25)
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  • Director of Managed Care Contracting

    Select Medical (Mechanicsburg, PA)
    …and execute Single Case Agreements. + **Liaison between DBD's, CEO's, CBO, and Payor Provider Relations staff, to assure that the requirements of a contract can ... care setting, hospital setting, preferably working in contracting or provider relations arenas Apply for this job… more
    Select Medical (08/11/25)
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  • VP Medicaid Markets CEO

    Highmark Health (Pittsburgh, PA)
    …the market. Partner with and provide both strategic and tactical direction to the provider network contracting team to build and enhance the provider ... care, service and financial goals. As needed, engage in provider relations escalated service issues to achieve...quality care to members. + Work with Highmark Compliance, provide strategic direction and tactic guidance to the compliance… more
    Highmark Health (07/08/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Harrisburg, PA)
    …thought leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more
    Highmark Health (07/30/25)
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