- Evolent (Harrisburg, PA)
- …role also collaborates with internal teams as necessary (including Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical ... objectives. **What You Will Be Doing:** **Account/ Relations Management** - provide corporate, executive and overall account management for designated client… more
- AmeriHealth Caritas (Philadelphia, PA)
- …position is responsible for the administrative tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of ... medical management authorizations.; + Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons,… more
- Geisinger (Scranton, PA)
- …chief complaint, vital signs, and provides basic medical data base for provider , and prepares patient for examinations. + Oversees chart checks insuring that ... all patient completed testing is available for provider visit. + Assists providers in procedures as directed...our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members… more
- CVS Health (Blue Bell, PA)
- …Medicare collaboration models as well as any potential financial risk to our provider partners associated with Medicare pricing or CMS regulations. This role will ... team with any financial modeling needed to help negotiate with our external provider partners. The role will develop the strategy for expansion/revision of existing… more
- WellSpan Health (Chambersburg, PA)
- …complexity. Works in a strong dyad or triad relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader ... and provider recruitment, development and retention. **Duties and Responsibilities** **Essential...the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer… more
- Guthrie (Towanda, PA)
- …information documented properly on the images - name, ID number, ordering provider , date, technologist's initials, technique, position markers in view, etc. + Make ... sure all positive cases are called to the ordering provider . + Responsible for the care and safety of...patient, yourself , co-worker, etc. at all times. + Provide for patient modesty, comfort and privacy. + Be… more
- Geisinger (Scranton, PA)
- …chief complaint, vital signs, and provides basic medical data base for provider , and prepares patient for examinations. + Oversees chart checks insuring that ... all patient completed testing is available for provider visit. + Assists providers in procedures as directed...our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members… more
- IQVIA (Wayne, PA)
- …a customer-first, insights-driven, and integrated omnichannel vision. We provide authenticated, privacy-enhanced data and analytics, innovative fit-for-purpose ... care and patient outcomes. IQVIA is the leading global provider of data, advanced analytics, technology solutions and clinical...the widest array of platforms in the industry. We provide flexible and unique data solutions for programmatic display,… more
- UPMC (Pittsburgh, PA)
- …UPMC Shadyside is seeking a dedicated and highly skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our Neurosurgical Oncology ... with attending physicians and the oncology care team. + Provide education, counseling, and support to patients and families...neurosurgical oncology program. See what being an Advanced Practice Provider can do for UPMC and what UPMC can… more
- UPMC (Farrell, PA)
- …UPMC Jameson and Horizon Position Specifics: The emergency medicine APPs provide 24/7 coverage in the ER. Previous experience is preferred. **Department ... Details:** As one of the largest provider groups in Pennsylvania, UPMC Emergency Medicine enables health...quality of care for the care delivery team + Provide patient care activities for a group of patients… more