- AmeriHealth Caritas (Newtown Square, PA)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Provider Network Data Oversight Analyst** performs the role of ... Network Pricing, provides analytical support to the Provider Network Management team by performing analysis...Network , and Operational areas to develop lenses that provide event triggered output for monitoring of impending contract… more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... agreements; (iii) service agreements; (iv) lease agreements; (v) other provider -related contracted service agreements; and, related human resources or employment… more
- Highmark Health (Pittsburgh, PA)
- …and payment strategy. The role also leads the strategy and creation of provider network designs and programs. The incumbent is responsible for understanding ... accountable for any program or strategic tactic to drive provider performance in the domains of reimbursement and ...provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquisition Specialist is responsible for assisting with the mission of the network 's growth and provider satisfaction strategies by supporting the recruitment ... of Advanced Practitioners, Physicians and related provider roles. Activities include sourcing, advertising, candidate relationship management, interviewing, hiring,… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs related ... existing LOBs and new product + Manages the new business continuum for provider network reports and deliverables to monitor network development, gaps and… 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...a manager, this individual will lead a team of Network Operations Coordinators. This person will guide and educate… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and ... documentation for completeness and accuracy to support billed claims. + Generate provider reports through billing software. + Coordinates, schedules, and meet with… more
- Humana (Harrisburg, PA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Datavant (Harrisburg, PA)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... **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… more
- The Cigna Group (Harrisburg, PA)
- **Position Summary** The Dental Health Care Provider (HCP) Communications position is accountable for developing dental HCP communications and marketing materials ... Communications. + Ensure that Cigna for HCP has updated provider materials. + Coordinate and develop quarterly provider...their distribution for initiatives that affect dental and/or our network of dental HCPs. + Ensure all information has… more