- 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
- Sharecare (Harrisburg, PA)
- …the time. Provider Solutions is looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The ... Provider Sales Manager is responsible for protecting existing named account revenue as well as growing and expanding Provider Solutions inside the existing… more
- 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
- Huron Consulting Group (Philadelphia, PA)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... plans and partnerships for the world's leading healthcare organizations. We are seeking a Manager to join our consulting team. As a Manager , you will lead… more
- UPMC (Pittsburgh, PA)
- …your Career in Neonatal Care with UPMC! Position: Neonatal Advanced Practice Provider Manager University of Pittsburgh Physicians, Department of Pediatrics, ... Nurse Practitioner or Neonatal Physician Assistant to lead our Advanced Practice Provider (APP) team. Hours: Primarily 8 and 12-hour rotating shifts. Occasional… more
- Highmark Health (Harrisburg, PA)
- …are delivering supportive and palliative care in the community and virtually. This leader will provide day to day support to the APPs as well as provide general ... Team Work + Oral and Written Communication + Understanding of Advance Practice Provider scope and limitations + Delivery of Virtual Healthcare Visits + Customer… more
- 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
- Humana (Harrisburg, PA)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Genesis Healthcare (PA)
- …directly to the Director of Clinical Practice and/or the Area Clinical Practice Manager . The Advanced Practice Wound Provider collaborates on-site with the ... weekends)! We are seeking a part-time (16-24 hours per week) wound care provider for float between our centers located in southeastern Pennsylvania (cities include… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The Provider Data Specialist performs accurate and timely abstraction, auditing, and monitoring of data from various provider information ... Enrollment, Roster Management, Kyruus, Attestations, Credentialed and Non-Credentialed providers, Provider access to Intermountain Information Systems, Radiant Logic, and… more