- Humana (Harrisburg, PA)
- …from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical ... role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into… more
- Guardian Life (Bethlehem, PA)
- As the ** Provider Retention Leader** , you will be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to ... inquiries, identifying and addressing pain points, and driving continuous improvement in provider experience. On day one this will be an individual contributor role,… more
- Highmark Health (Pittsburgh, PA)
- …business network strategy (government, commercial, etc.). Leads all aspects of provider network strategy including, but not limited to: discounts analysis, ... well as leading the negotiation for the contracting team. Establishes a provider recruitment plans for expansion, new product support and overall network… more
- St. Luke's University Health Network (Allentown, PA)
- …agreements; (iii) service agreements; (iv) lease agreements; (v) other provider -related contracted service agreements; and, related human resources or employment ... In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG Contracts Administrator, the Contracts… more
- Datavant (Harrisburg, PA)
- …**What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical ... This role will be responsible for driving revenue growth, building strong provider relationships, and working cross-functionally with internal teams to design and… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business ... and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- AmeriHealth Caritas (Newtown Square, PA)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Provider Network Data Oversight Analyst** performs the role of payment terms ... of the Vice President - Network Pricing, provides analytical support to the Provider Network Management team by performing analysis of provider data, payment… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... strategy. **ESSENTIAL RESPONSIBILITIES** + Direct and oversee hospital and institutional provider contract negotiations, taking the lead in complex or high-dollar… more
- Health Care Service Corporation (Philadelphia, PA)
- …is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, ... be responsible for education of providers, and for ongoing provider service. As a manager, this individual will lead...management, mentoring and training of a team responsible for provider contracting and provider support resources, providing… more