• Healthcare, Provider Contract Manager…

    The Cigna Group (Erie, PA)
    **WORK LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
    The Cigna Group (08/01/25)
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  • Sr. Provider Onboarding Specialist…

    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...Conduct regular audits to ensure compliance with regulatory standards. Provide detailed reports to leadership. Collaborates with credentialing, enrollment,… more
    Guthrie (07/23/25)
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  • Provider Enrollment Specialist

    Intermountain Health (Harrisburg, PA)
    …to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives ... and specific payer types. + Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid)...mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers… more
    Intermountain Health (08/24/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Harrisburg, PA)
    …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed for resolution to internal partners + Receive and effectively respond… more
    Centene Corporation (08/02/25)
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  • Provider Services Coordinator

    Penn Medicine (Bala Cynwyd, PA)
    …Departmental Needs - Full Time - Monday - Friday Hybrid Summary: + The Provider Services Coordinator will provide support of all credentialing / re-credentialing ... for a timely and optimal start into the organization. + Additionally, the Provider Services Coordinator will provide administrative support to the physician… more
    Penn Medicine (08/07/25)
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  • Provider Network Contract Representative

    AmeriHealth Caritas (Harrisburg, PA)
    **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
    AmeriHealth Caritas (08/08/25)
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  • Director Financial Investigations…

    Highmark Health (Pittsburgh, PA)
    …for the execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and ... and abuse (FWA) and recoupment of related overpayments associated with the company's provider spending. The incumbent will function as a champion and driving force… more
    Highmark Health (08/08/25)
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  • Associate Director, Provider Engagement…

    Evolent (Harrisburg, PA)
    …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
    Evolent (07/25/25)
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  • Supervisor Provider Data Quality Management…

    Highmark Health (Harrisburg, PA)
    … demographics. Oversees an internal audit quality review program designed to ensure provider data accuracy and completeness, and to provide staff with feedback ... office once monthly.** This job manages a team of provider file representatives who are responsible for the system...experience performing Medicaid and /or Medicare systems setup of provider contracts and provider demographics + 3… more
    Highmark Health (08/22/25)
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  • Manager, Provider Sales - Remote

    Sharecare (Harrisburg, PA)
    …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with...getting reviewed prior to release 100% of the time. Provider Solutions is looking for a strong, dynamic and… more
    Sharecare (08/21/25)
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