- Amentum (Philadelphia, PA)
- …wireless communication infrastructure for over 40 years. We specialize in everything from network development to complete telecom life cycle solutions. While the ... the downtown Philadelphia office. Primary Activities * Lead and oversee the strategic development of the Telecom's BMS system in alignment with the Global Business… more
- Penn Medicine (Radnor, PA)
- …the market and audience expert, providing actionable intelligence for inclusion into network and program development + Strategic Capabilities: Responsible for ... as a field and audience expert, and important for inclusion for network and program development . Primary resource providing information about referring… more
- Solvay (Castanea, PA)
- …experience of minimum five years in at least two IT solution development disciplines, including technical or infrastructure architecture, network management, ... Create architectural designs to support product, service, and system development , ensuring alignment with enterprise architecture and project execution plans.… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Director, Network Strategy is tasked with developing and implementing provider network strategies based on advanced market research, intelligence and ... development , product leadership, medical management, pricing and actuary, provider performance programs, and local provider ...and actuary, provider performance programs, and local provider network resources to lead and deploy… more
- Highmark Health (Pittsburgh, PA)
- …at the provider and/or facility level. + Provides strategic vision, development , planning, execution and leadership to the department regarding claims audits and ... key liaison to external professionals serving on the MRC; prepares and presents provider / network appeal cases; and/or providing technical expertise in… 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
- Evolent (Harrisburg, PA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and… more
- Humana (Harrisburg, PA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer… more
- SHI (Harrisburg, PA)
- …effective incident management. + Design and validate technical solutions, supporting network and infrastructure development . **Behaviors and Competencies** + ... every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's… more
- CVS Health (Harrisburg, PA)
- …Promote collaboration with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage ... expansion and strategic targets. * Collaborate cross-functionally to manage provider compensation and pricing development activities, submission of contractual… more