- 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 ... new product + Manages the new business continuum for provider network reports and deliverables to monitor... network reports and deliverables to monitor network development , gaps and strategy + Implements… more
- Guardian Life (Bethlehem, PA)
- … compensation as well as providing thought leadership in the Dental network development strategy. This role involves developing and implementing analytical ... to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to… more
- CVS Health (Blue Bell, PA)
- …delivering on our overarching Medicare network strategy; it is inclusive of target network development in new geographies, and development of networks to ... at a market level-data cubes, HCIC (health care information center), curation of a network , and overall provider performance. + Participate in state specific RFP… more
- Highmark Health (Harrisburg, PA)
- …assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development /renewal and financial ... of participation, fee schedules, plan designs, competitive position, product development , network options, strategic partnerships, utilization review,… 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 ... provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy... design strategy, translating product / segment needs to provider and market executives. + Oversee development … more
- Magellan Health Services (PA)
- …5+ years' experience in a Healthcare environment 2+ years' experience in network development Excellent organizational and time management skills. Ability to ... supportive provider experience. + Act as liaison between Clinical, Quality, and Network and the provider community, sharing provider feedback to internal… more
- Ryder System (Harrisburg, PA)
- … Provide technical expertise and hands on support in network analysis, design, planning, assessment, development , and implementation. Responsible ... manages system issues related to IT Infrastructure environments. **Essential Functions** + Provide top-level support and ownership of the network infrastructure… more
- CenterWell (Harrisburg, PA)
- …acumen, and strategic insights to drive value-based specialty care programs, specialty provider network development , and financial performance. The Senior ... ROI. + Partner with market leadership to support contracting strategies, including provider network design and value-based payment arrangements. + Analyze… more
- Deloitte (Pittsburgh, PA)
- …project work can include working with payers and providers in such projects as provider network development , operational claim reviews, etc. The team ... + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter expertise on the pharmacy landscape, including emerging trends… more
- Humana (Harrisburg, PA)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... member hospitals. (For any internals, this will be a Provider Engagement Professional 2 position.) In addition to these...Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality… more