- 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
- CVS Health (Harrisburg, PA)
- …to GLOBAL VIP CLIENT. The ideal candidate will assist the Senior Network Manager in managing competitive and complex contractual relationships with TPAs and business ... management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by...next 12 months' time frame. + Assist Sr. Network manager to manage assigned TPAs via managing day to… 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
- CVS Health (Harrisburg, PA)
- …medical cost management and overall claim/customer service strategies. This role will provide concierge level of service to GLOBAL VIP CLIENT members via timely ... Ensure setup / maintenance of claim file, eligibility file, provider data file and changes. + Lead operational vendor...management team with network and TPA questions or inquiries. Provide support to peers and colleagues working on GLOBAL… 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
- CVS Health (Harrisburg, PA)
- …Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with ... key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and implements internal and external… more
- Datavant (Harrisburg, PA)
- …for healthcare. We are seeking a highly talented and dynamic Strategic Business Operations Manager on the Provider Business Optimization Team. In this role, you ... execute strategic initiatives to boost productivity and reduce costs across the Provider Division of Datavant. This position requires a strategic thinker with strong… 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